| Uncertainty and psychologic stress after coronary angioplasty and coronary bypass surgery. | |
| | |
MedLine Citation:
|
PMID: 7706095 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To examine the trajectory of uncertainty and symptoms of psychologic stress during the first 3 months after coronary angioplasty and coronary bypass surgery and to study the impact of social support on uncertainty and psychologic stress in these patient populations. DESIGN: Descriptive, correlative. SETTING: Urban community, at-home interviews. PATIENTS: Male patients with angioplasty (n = 22) and bypass (n = 25) at 1 and 3 months after treatment. Age range was 39 to 75 years (mean 58 years). OUTCOME MEASURES: Mishel Uncertainty in Illness scores, General Health Questionnaire scores, and Perceived Social Support Scale scores. INTERVENTION: Patients underwent either percutaneous transluminal coronary angioplasty or coronary artery bypass grafting as treatment for coronary artery disease. RESULTS: Data were analyzed with repeated measures analysis of variance and Pearson correlation coefficients. Results showed that at both time periods angioplasty patients were more uncertain than bypass patients (p < 0.05), and that regardless of procedure, patients reported fewer symptoms of psychologic stress at 3 months than at 1 month (p < 0.01). Patients with high social support had less uncertainty and psychologic stress than patients with low support (p < 0.05). Analysis of the social support and treatment group interaction showed that angioplasty patients with low perceived social support had significantly more psychologic stress than angioplasty patients with high support (p < 0.01). Analysis of the correlations between uncertainty and psychologic stress in the angioplasty and bypass grafting procedure groups after control for social support revealed that social support was a significant mediator of the relationship between uncertainty and stress only among patients undergoing percutaneous transluminal coronary angioplasty. There was little evidence of a mediating role for social support in the coronary artery bypass grafting group. CONCLUSIONS: These results suggest that angioplasty patients may be in particular need of interventions aimed at reducing uncertainty, and that interventions that increase social support could be important in achieving this reduction. |
| | |
Authors:
|
R E White; N Frasure-Smith |
Related Documents
:
|
2952605 - Reversible occlusion of a side branch and the left anterior descending coronary artery ... 9263655 - An update on acute myocardial infarction from recent clinical trials. 8221865 - Treatment of simple and complex coronary stenosis using rotational ablation followed by... 9462565 - Influence of a randomized clinical trial on practice by participating investigators: le... 19581315 - Microrna-1 downregulation by propranolol in a rat model of myocardial infarction: a new... 1934445 - Mechanical cardiac valve thrombosis. is thrombectomy justified? |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Heart & lung : the journal of critical care Volume: 24 ISSN: 0147-9563 ISO Abbreviation: Heart Lung Publication Date: 1995 Jan-Feb |
Date Detail:
|
Created Date: 1995-05-10 Completed Date: 1995-05-10 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0330057 Medline TA: Heart Lung Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 19-27 Citation Subset: AIM; IM |
Affiliation:
|
Department of Psychiatry, School of Nursing, McGill University, Montreal, Quebec, Canada. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Analysis of Variance Angioplasty, Transluminal, Percutaneous Coronary / psychology* Coronary Artery Bypass / psychology* Humans Male Middle Aged Social Support* Stress, Psychological / etiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Utilization of emergency medical services for symptoms of acute myocardial infarction.
Next Document: Ambulation after sheath removal: a comparison of 6 and 8 hours of bedrest after sheath removal in pa...