Psychological state in patients undergoing coronary artery bypass grafting surgery or percutaneous coronary intervention and their spouses

Abstract

Percutaneous coronary intervention (PCI) and the coronary artery bypass grafting surgery (CABG) are well accepted treatments for coronary artery disease. Many patients and their spouses experience increased level of stress, anxiety and depression before and after going under the procedure. One hundred and ninety-six cardiac patients who were candidate for CABG or PCI procedures and their spouses were asked to complete Hospital Anxiety and Depression Scale and General Health Questionnaire-12 before and 1 month after procedures. Anxiety, depression and stress level in patients and their spouses going under the procedures significantly reduced over time. Scores of anxiety, depression and stress in patients and their spouses were correlated. There was no difference in the level of anxiety, depression and stress between CABG and PCI groups before to after procedures. We suggest providing information about the procedures to both patients and their spouses to deal better with their own psychological state.

The effect of an islamic praise (Zikr) on postoperative anxiety of patients undergoing coronary artery bypasses graft surgery: A randomized clinical trial on Iranian Shia Muslims

“…Environmental factors at the intensive care unit (ICU) such as noises, intervention-related pain and discomfort in combination with psychological stress of having an acute disease and disease complications, may lead to development of anxiety in patients undergoing CABG surgery (8). Postoperative anxiety can affect patients' operative outcomes, wellbeing, satisfaction from medical care, and morbidity and mortality (9,10).…”

When the Topic Turns to Sex

“…32 One analysis found that men who had off-pump CABG reported greater frequency of sexual intercourse and better erectile function after surgery when compared with those who received on-pump CABG. 34 Psychological symptoms such as anxiety, stress, and depression have been shown to improve by 1 month postoperatively in patients with CABG and their spouses, illustrating that taking time to recover physically is important, 35 as is encouraging open communication among couples to support sexual quality of life. 36 Health care providers must initiate a detailed discussion about resuming sexual activity and minimizing risk after CABG.…”

Quality of Life and Psycho-Cognitive Condition in Patients After Coronary Artery Bypass Graft Surgery

“…Состояние дистресса, которое неизбежно испытывает больной, перенесший технически сложное и длительное опера-тивное вмешательство, может сопровождаться аффек-тивными расстройствами, которые не только в 2-3 раза повышают риск смерти и усугубляют клиническое тече-ние послеоперационного периода, но и снижают при-верженность пациента к врачебным рекомендациям [7,8]. Расстройства тревожно-депрессивного спектра также могут существенно ухудшать качество жизни больных [9], значительно снижая, тем самым, эффект дорогосто-ящего оперативного лечения.…”