The emotional state of patients after coronary bypass surgery

Cay, E. L.; O'Rourke, A.

doi:10.1007/978-94-011-2640-3_17

Cited by 13 publications

(10 citation statements)

References 13 publications

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“…This is consistent with findings that mood disorders are a commonly reported consequence of CABG surgery during the first few weeks after discharge in other populations (Artinian & Duggan, 1995;Artinian et al, 1993;Cay & O'Rourke, 1992;Gillis, 1983;King & Parrinello, 1988;Langosch & SchmollFlockerzier, 1992;Magni et al, 1987;Moore, 1993Moore, , 1994aMoore, , 1994bMoore, , 1995Tack & Gillis, 1990;Timberlake et al, 1997). However, in the present study, Thai CABG patients reported more confusion than depressed mood or anger.…”

Section: Mood States During Cabg Recoverysupporting

confidence: 94%

Recovery Symptoms and Mood States in Thai CABG patients

Utriyaprasit

Moore

2005

J Transcult Nurs

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Recovery symptoms and related mood states during early recovery after coronary artery bypass graft surgery (CABG) have never been assessed in Thailand. This cross-sectional descriptive correlational study was to identify the relationships between frequency of recovery symptoms and mood states of a convenience sample of 91 Thai CABG patients during 2 weeks after discharge. Standardized tools/procedures were used to measure the variables of interest. The most common recovery symptoms were chest and leg incision pain, having trouble sleeping, and neck and shoulder or back discomfort. The most common mood states were confusion, anxiety, and anger, respectively. In addition, Thai CABG patients who had more frequent recovery symptoms also had greater negative mood disturbance. These findings provide a beginning explanation about the phenomena of recovery symptoms and mood states in a specific culture, Thai CABG patients.

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Section: Mood States During Cabg Recoverysupporting

confidence: 94%

Recovery Symptoms and Mood States in Thai CABG patients

Utriyaprasit

Moore

2005

J Transcult Nurs

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“…One month after surgery, our results showed that the incidence of anxious-depressives had slightly increased, but was similar to before surgery, at the six-month follow-up. The incidence corresponds to results reported by Cay & O´Rourke (1992) among patients in rehabilitation and by Redeker (1993) up to six months after CABG.…”

Section: Psychological Symptoms and Their Association With Sleep Distsupporting

confidence: 86%

Sleep, psychological symptoms and quality of life in patients undergoing coronary artery bypass grafting

Edéll-Gustafsson

1999

Nordic Journal of Psychiatry

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In this thesis sleep, psychological symptoms and quality of life (Qol) in patients undergoing coronary artery bypass grafting (CABG) at the University Hospital in Linköping were evaluated. Interviews and 24-hour polysomnography were performed prior to surgery, immediately after surgery and again at one month, with a six-monthfollow-up mailed questionnaire. Habitual sleep was evaluated using the Uppsala Sleep Inventory questionnaire and a diary the recorded mornings. The Spielberger State of Anxiety Scale and the Zung´s Self-rating Depression Scale were used to measure anxiety and depression, respectively. Physical functional capacity was assessed according to the New York Heart Association´s (NYHA) classes and Qol, with the Nottingham Health Profile instrument (NHP).A retrospective evaluation of nurse's documentation about sleep was also performed. In addition, the quality and quantity of sleep were assessed before surgery and in the immediate postoperative period in a pilot study, with a one-month follow-up interview. The results indicated disturbed sleep, and changes in behaviour and mental state after surgery due to fragmented sleep, pain and anxiety.Forty-four patients were examined prior to surgery. The results showed that almost two-fifths experienced too little sleep habitually and 50 % had a combination of at least two sleep problems. Poorer health, higher level of anxiety and increased difficulties maintaining sleep (DMS) were consistent with significantly longer sleep latency, increased fragmented sleep, and reduced stages 3 and 4 and REM sleep measured by polysomnography. The level of Qol on the NHP was significantly associated with objectively measured sleep.In the immediate period following CABG there is a changed distribution of sleep, with a reduction of nocturnal sleep duration and an increase in daytime sleep, which had almost returned to preoperative values one month after surgery. Qol was significantly improved six months after surgery compared to before surgery.It was noted that patients with a more anxiety prone reactivity during six months following CABG had significantly more sleep disturbances, reduced energy and functional physical capacity, and lower quality of life, compared to those without such reactivity. Significantly more sleep disturbances, reduced energy and lower quality of life were more prominent among those with sadness/depression or cognitive/behavioural fatigue as reactions to sleep loss. A higher degree of cognitive/behavioural fatigue and dysphoria reactions were associated with a higher NYHA class.In conclusion, patients with coronary artery disease have poor quantity and quality of sleep. Increased psychological symptoms in patients with CAD prior to surgery were associated with greater symptoms six months after surgery. Physical functional capacity and quality of life were significantly improved six months after surgery

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“…Eriksson (12) found that 88.1% of the sample had memory and concentration problems prior to surgery for their coronary artery disease, whereas cognitive disturbances occurred in 60-80% in the immediate postoperative period and remained so in approximately 30% 1 year after surgery (46). However, participation in various rehabilitation programs after CABG has been shown to reduce the patient's negative emotional reactions to some extent, and improve the quality of life (48)(49)(50), whereas higher anxiety levels lengthen rehabilitation time (48).…”

Section: Discuss I 0 Nmentioning

confidence: 96%

Anxiety, Depression and Sleep in Male Patients Undergoing Coronary Artery Bypass Surgery

Edéll-Gustafsson

Hetta

1999

Scandinavian Caring Sciences

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The aim of this study was to examine the prevalence of depression and anxiety following coronary artery bypass surgery (CABG) and to see how those patients with depression and anxiety differ in sleeping pattern. The individual reaction to sleep loss was tested as a predictor of certain emotional symptoms in the follow-up period. Thirty-eight males, between 45 and 68 years, were interviewed prior to, and 1 month after, surgery, and received a questionnaire at the 6-month follow-up. Eighty per cent scored moderate anxiety prior to surgery and six patients were depressed. An anxiety-prone individual reactivity persisted in the same patients in 38.9% (n = 14) following CABG, with significantly more sleep disturbances, firedness, energy deficits, immobility, and lower degree of quality of life (QoL). Sad/depressed mood or cognitive/behavioural fatigue symptoms as reactions to sleep loss were predictors of sleep problems and daytime sequelae, whereas a higher postoperative NYHA class was predicted by cognitive/behavioural fatigue and dysphoria reactions. Being less refreshed by sleep on final awakening prior to surgery related to 44.5% of the variance in QoL outcome 6 months following surgery. In conclusion, an anxiety-prone individual reactivity is significantly associated with sleep disturbances. Reactions to sleep loss prior to surgery are associated with emotional distress after surgery.

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The emotional state of patients after coronary bypass surgery

Cited by 13 publications

References 13 publications

Recovery Symptoms and Mood States in Thai CABG patients

Recovery Symptoms and Mood States in Thai CABG patients

Sleep, psychological symptoms and quality of life in patients undergoing coronary artery bypass grafting

Anxiety, Depression and Sleep in Male Patients Undergoing Coronary Artery Bypass Surgery

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