Quality of Life Six Months After Coronary Artery Bypass Surgery: A Preliminary Report

Folks, David G.; Blake, Daniel J.; Fleece, Louie; Sokol, Roberta S.; Freeman, Arthur M.

doi:10.1097/00007611-198604000-00002

Cited by 36 publications

(16 citation statements)

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“…= 22.88) [36,371. Normal preoperative occupational and sexual functioning, and only mild to moderate preoperative anxiety, depression, and adjustment problems have been described also elsewhere [3,7,9,11,17,351 . The relatively good preoperative adjustment becomes more impressive considering that the patients were physically severely disabled, and in many ways sicker than many other studied groups awaiting CAB surgery [2,6,10, 11,381. With the exception of the PAIS total and some of its domains, the patients did not demonstrate a considerable improvement in their psychological adaptation one year after CAB surgery.…”

Section: Discussionmentioning

confidence: 74%

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Psychosocial Adjustment before and after Coronary Artery Bypass Surgery

Stein

Troudart

Hymowitz

et al. 1990

Int J Psychiatry Med

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Twenty-eight consecutive male patients were examined a few days before, and again twelve months after, coronary artery bypass surgery. The evaluation included the patients' psychological distress, psychosocial adjustment, cardiac state, personality and family relations. Before surgery the patients were relatively well adjusted, despite being severely disabled physically. On the follow-up evaluation the cardiac state improved significantly on every index examined. On the other hand no change occurred in the psychological distress, personality and family relations. Significant post-operative improvement was found in some of the domains of the psychosocial adjustment, but not in others.

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Section: Discussionmentioning

confidence: 74%

“…Some studies have found no significant change, neither in psychiatric symptomatology or morbidity [3,9,10, 13 -15], nor in social adjustment [3,9]. Other researchers, on the other hand, have reported some improvement in the post-operative psychosocial adaptation, compared to the pre-operative examination [4,16,17].…”

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confidence: 99%

Psychosocial Adjustment before and after Coronary Artery Bypass Surgery

Stein

Troudart

Hymowitz

et al. 1990

Int J Psychiatry Med

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“…28 In contrast, at 6 and 12 months after surgery, CABG patients (n=89) had an increased interest in (85%) and level of (49%) sexual activity, 167 although preoperative ratings of sexual performance and frequency of sexual contact were higher than those at 6 months after CABG (P<0.02). 168 Sexual satisfaction among patients (n=63) increased over time when baseline (before CABG) satisfaction levels were compared with those levels 8 years after CABG surgery, with an increase in sexual satisfaction from 57% to 63%. 169 Although there is variability in sexual functioning and activity after CABG surgery, clearly patients who experience sexual impairments and related psychosocial problems warrant further evaluation.…”

Section: Cabg Surgerymentioning

confidence: 99%

Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners

Steinke¹,

Jaarsma²,

Barnason³

et al. 2013

Circulation

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“…12 Patients also experience marked improvements in physical (eg, fewer restrictions on activity, decreased fatigue, fewer sleep problems), sexual (eg, decreased pain and worry, increased desire and energy), social (eg, increased participation in social activities and hobbies), and work activity (return to work, increased job performance). [12][13][14] Furthermore, 1 year after surgery, patients report increased life satisfaction and improvements in emotional well-being and family life. 15 However, these studies have not included detailed serial psychometric testing to assess the role of cognitive function.…”

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confidence: 99%

Report of the Substudy Assessing the Impact of Neurocognitive Function on Quality of Life 5 Years After Cardiac Surgery

Newman

Grocott

Mathew

et al. 2001

Stroke

322

188

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Background and Purpose-The importance of perioperative cognitive decline has long been debated. We recently demonstrated a significant correlation between perioperative cognitive decline and long-term cognitive dysfunction. Despite this association, some still question the importance of these changes in cognitive function to the quality of life of patients and their families. The purpose of our investigation was to determine the association between cognitive dysfunction and long-term quality of life after cardiac surgery. Methods-After institutional review board approval and patient informed consent, 261 patients undergoing cardiac surgery with cardiopulmonary bypass were enrolled and followed for 5 years. Cognitive function was measured with a battery of tests at baseline, discharge, and 6 weeks and 5 years postoperatively. Quality of life was assessed with well-validated, standardized assessments at the 5-year end point. Results-Our results demonstrate significant correlations between cognitive function and quality of life in patients after cardiac surgery. Lower 5-year overall cognitive function scores were associated with lower general health and a less productive working status. Multivariable logistic and linear regression controlling for age, sex, education, and diabetes confirmed this strong association in the majority of areas of quality of life. Conclusions-Five

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Quality of Life Six Months After Coronary Artery Bypass Surgery: A Preliminary Report

Cited by 36 publications

References 0 publications

Psychosocial Adjustment before and after Coronary Artery Bypass Surgery

Psychosocial Adjustment before and after Coronary Artery Bypass Surgery

Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners

Report of the Substudy Assessing the Impact of Neurocognitive Function on Quality of Life 5 Years After Cardiac Surgery

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