Document Detail


Stressors and anxiety in patients undergoing coronary artery bypass surgery.
MedLine Citation:
PMID:  17460316     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Patients undergoing coronary artery bypass surgery who have increased anxiety levels have poorer outcomes than patients with lower levels, yet few studies have identified the concerns associated with this anxiety. OBJECTIVE: To describe the concerns of patients undergoing coronary artery bypass surgery and to identify concerns that were associated with higher levels of anxiety. METHOD: Patients (n = 172) were interviewed to determine their concerns and anxiety levels before surgery, before discharge, and 10 days after discharge. Multiple regression was used to determine the predictors of anxiety. RESULTS: Although individual concerns changed over time, anxiety levels did not change from before to after surgery, remaining low to moderate. Being female and having more concerns about waiting for the surgery, being in pain/discomfort, and resuming lifestyle were predictors of increased anxiety before surgery. Predictors of increased anxiety while hospitalized after the surgery included taking anxiolytic or antidepressant medications, higher anxiety levels before surgery, concerns about personal things being inaccessible, and difficulty sleeping. Patients with higher anxiety levels after discharge were older, more anxious before surgery, and had concerns about being in pain/discomfort. CONCLUSION: Patients waiting for coronary artery bypass surgery should be routinely assessed for anxiety before the procedure, and interventions to prevent or reduce anxiety should be provided. Interventions must be multifactorial, including information and support for pain management and realistic information about surgery schedules and resuming lifestyle after the surgery. Women and older patients may need to be targeted for intervention.
Authors:
Robyn Gallagher; Sharon McKinley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of critical care : an official publication, American Association of Critical-Care Nurses     Volume:  16     ISSN:  1062-3264     ISO Abbreviation:  Am. J. Crit. Care     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-26     Completed Date:  2007-06-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9211547     Medline TA:  Am J Crit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  248-57     Citation Subset:  IM; N    
Affiliation:
Chronic and Complex Care, Faculty of Nursing, Midwifery, and Health, University of Technology, Sydney, Australia. Robyn.Gallagher@uts.edu.au
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Anxiety / epidemiology*,  etiology
Coronary Artery Bypass / psychology*
Educational Status
Female
Humans
Male
Marital Status
Prospective Studies
Risk Factors
Sex Factors
Stress, Psychological / epidemiology*,  etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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