Ocena jakości życia, natężenia lęku i objawów depresji u pacjentów przed i po wszczepieniu pomostów aortalno-wieńcowych (CABG)

Bożena Cygnarowicz; Irena Milaniak

doi:10.48269/2451-0858-pis-2024-2-004

Published: 2024-12-18

Vol. 24 No. 2 (2024)

Assessment of the quality of life, anxiety and depression symptoms in patients before and after coronary artery bypass grafting (CABG)

Bożena Cygnarowicz

, Irena Milaniak

Section: Health Sciences

https://doi.org/10.48269/2451-0858-pis-2024-2-004

Abstract

Introduction: Myocardial revascularization aims to minimize residual ischemia and improve a patient’s quality of life. Patients scheduled for coronary artery bypass surgery usually have symptoms of anxiety and poor quality of life. Preoperative education can reduce the level of anxiety and improve the quality of life. This study aims to assess the impact of the education programme implemented in the preoperative period on the quality of life and symptoms of depression and anxiety among coronary artery bypass graft (CABG) surgery patients during the operation period.
Material and methods: The study group comprised 189 patients divided into two groups (n = 96 and n = 93). The MacNew questionnaire was used to assess the quality of life, and the HADS scale was used to assess the level of anxiety and depression.
Results: The average age of patients in both groups was 63 years. The dominant gender was male (n = 79 vs n = 74). No statistically significant differences were found between the groups. In the period before the procedure, the quality of life in both groups was the lowest in the physical area and the best in the emotional area. After the procedure, there was a statistically significant improvement in the quality of life in all areas. The intensity of anxiety was medium, and approximately 12% of the respondents showed symptoms of depression. After surgery, the severity of anxiety and depression was statistically significantly lower. Participation in education did not differentiate the quality of life or the severity of anxiety and depression.
Conclusion: Patients undergoing CABG experience an improvement in their quality of life and a reduction in symptoms of anxiety and depression compared to the period before the surgery. The education programme provided to CABG patients may positively impact QoL and reduce their anxiety among these patients.

Keywords:

CABG , quality of life , anxiety , depression , education

Download files

PDF (Język polski)

Citation rules

Cygnarowicz, Bożena, and Irena Milaniak. “Assessment of the Quality of Life, Anxiety and Depression Symptoms in Patients before and After Coronary Artery Bypass Grafting (CABG)”. Państwo I Społeczeństwo State and Society, vol. 24, no. 2, Dec. 2024, pp. 53-66, doi:10.48269/2451-0858-pis-2024-2-004.

Cited by / Share

Licence

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Most read articles by the same author(s)

Irena Milaniak, Paulina Sarota, Health behaviours of nursing staff and the risk of cardiovascular diseases , Państwo i Społeczeństwo / State and Society: Vol. 25 No. 2 (2025)
Grażyna Dębska, Irena Milaniak, Introduction , Państwo i Społeczeństwo / State and Society: Vol. 25 No. 2 (2025)
Grażyna Dębska, Irena Milaniak, Introduction , Państwo i Społeczeństwo / State and Society: Vol. 24 No. 2 (2024)

References

Visseren FLJ, Mach F, Smulders YM, Carballo D, Koskinas KC, Bäck M, Benetos A, Biffi A, Boavida J-M, Capodanno D, Cosyns B, Crawford C, Davos CH, Desormais I, Di Angelantonio E, Franco OH, Halvorsen S, Hobbs FDR, Hollander M, Jankowska EA, Michal M, Sacco S, Sattar N, Tokgozoglu L, Tonstad S, Tsioufis KP, van Dis I, van Gelder IC, Wanner C, Williams B, ESC Scientific Document Group. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice: Developed by the Task Force for cardiovascular disease prevention in clinical practice with representatives of the European Society of Cardiology and 12 medical societies With the special contribution of the European Association of Preventive Cardiology (EAPC). Eur Heart J. 2021; 42(34): 3227–3337, https://doi.org/10.1093/eurheartj/ehab484.
Google Scholar

Sadowski J, Kędziora A, Piątek J, Wierzbicki K, Bochenek M. Pomostowanie aortalnowieńcowe [w:] Gajewski P (red.). Interna Szczeklika 2021. Wyd. 13, Medycyna Praktyczna – Polski Instytut Evidence Based Medicine, Kraków 2021: 229–233.
Google Scholar

Schmidt-RioValle J, Abu Ejheisheh M, Membrive-Jiménez MJ, Suleiman-Martos N, Albendín-García L, Correa-Rodríguez M, Gómez-Urquiza JL. Quality of Life After Coronary Artery Bypass Surgery: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2020; 17(22): 8439, https://doi.org/10.3390/ijerph17228439.
Google Scholar

Verwijmeren L, Noordzij PG, Daeter EJ, van Zaane B, Peelen LM, van Dongen EPA. Preoperative determinants of quality of life a year after coronary artery bypass grafting: a historical cohort study. J Cardiothorac Surg. 2018; 13(1), 118, https://doi.org/10.1186/s13019-018-0798-2.
Google Scholar

Ramesh C, Nayak BS, Pai VB, Patil NT, George A, George LS, Devi ES. Effect of Preoperative Education on Postoperative Outcomes Among Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis. J Perianesth Nurs. 2017; 32(6): 518–529.e2, https://doi.org/10.1016/j.jopan.2016.11.011.
Google Scholar

Ramesh C, Nayak BS, Pai VB, George A, George LS, Devi ES. Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery – A cross-sectional study. International Journal of Africa Nursing Sciences. 2017; 7: 31–36.
Google Scholar

Mousavi Malek N, Zakerimoghadam M, Esmaeili M, Kazemnejad A. Effects of Nurse-Led Intervention on Patients’ Anxiety and Sleep Before Coronary Artery Bypass Grafting. Crit Care Nurs Q. 2018; 41(2): 161–169, https://doi.org/10.1097/CNQ.0000000000000195.
Google Scholar

Ng SX, Wang W, Shen Q, Toh ZA, He HG. The effectiveness of preoperative education interventions on improving perioperative outcomes of adult patients undergoing cardiac surgery: a systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2022: 21(6): 521–536, https://doi.org/10.1093/eurjcn/zvab123.
Google Scholar

Guo P. Preoperative education interventions to reduce anxiety and improve recovery among cardiac surgery patients: a review of randomised controlled trials. J Clin Nurs. 2015; 24(1–2): 34–46, https://doi.org/10.1111/jocn.12618.
Google Scholar

Heilmann C, Stotz U, Burbaum C, Feuchtinger J, Leonhart R, Siepe M, Beyersdorf F, Fritzsche K. Short-term intervention to reduce anxiety before coronary artery bypass surgery--a randomised controlled trial. J Clin Nurs. 2016; 25(3–4): 351–361, https://doi.org/10.1111/jocn.13055.
Google Scholar

Zhuo Q, Liang H, Bai Y, Hu Q, Hanum AL, Yang M, Wang Y, Wei W, Ding L, Ma F. Perceptions of patients undergoing percutaneous coronary intervention on pre-operative education in China: A qualitative study. Health Expect. 2021; 24(1): 121–130, https://doi.org/10.1111/hex.13156.
Google Scholar

Cygnarowicz B. Poradnik edukacyjny dla pacjentów w okresie okołooperacyjnym pomostowania aortalno-wieńcowego oraz późnej rekonwalescencji. Wydawnictwo Uniwersytetu Jagiellońskiego, Kraków 2019.
Google Scholar

Moryś JM, Höfer S, Rynkiewicz A, Oldridge NB. The Polish MacNew heart disease health-related quality of life questionnaire: A validation study. Cardiology Journal. 2015; 22(5): 541–550.
Google Scholar

Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale: An updated literature review. J Psychosom Res. 2002; 52(2): 69–77, https://doi.org/10.1016/s0022-3999(01)00296-3.
Google Scholar

de Walden-Gałuszko K, Majkowicz M (red.). Ocena jakości opieki paliatywnej w teorii i praktyce. Akademia Medyczna, Gdańsk 2000.
Google Scholar

Pačarić S, Turk T, Erić I, Orkić Ž, Petek Erić A, Milostić-Srb A, Farčić N, Barać I, Nemčić A. Assessment of the Quality of Life in Patients before and after Coronary Artery Bypass Grafting (CABG): A Prospective Study. Int J Environ Res Public Health. 2020; 17(4): 1417, https://doi.org/10.3390/ijerph17041417.
Google Scholar

Gierszewska K, Jaworska I, Skrzypek M, Gąsior M, Pudlo R. Quality of life in patients with coronary artery disease treated with coronary artery bypass grafting and hybrid coronary revascularization. Cardiol J. 2018; 25(5): 621–627, https://doi.org/10.5603/CJ.a2017.0081.
Google Scholar

Zębalski M, Bis J, Krejca M, Deja MA. Quality of life in patients after coronary artery bypass grafting with bilateral internal thoracic artery versus single internal thoracic artery. Kardiochir Torakochir Pol. 2020; 17(1): 24–28.
Google Scholar

Limoee K, Baraz S, Asadizaker M, Heidari A, Maraghi E. Quality of Life of Patients Before Coronary Artery Bypass Graft Surgery. Jundishapur J Chronic Dis Care. 2019; 8(1): e84713, https://doi.org/10.5812/jjcdc.84713.
Google Scholar

Abdallah M, Mamdouh S, El-Gilany A-H, Abdel-Aziz W, Farag O, ElAdawy N. Short-term outcomes of surgical myocardial revascularization on health-related quality of life: a validation of the Arabic MacNew heart disease questionnaire. Cardiothorac Surg. 2020; 28: 19, https://doi.org/10.1186/s43057-020-00028-x.
Google Scholar

Özdemir B, Önler E. The effect of a structured patient education intervention on the quality of life for coronary artery bypass grafting patients: A prospective randomised controlled study. J Perioper Pract. 2021; 31(4): 124–131, https://doi.org/10.1177/1750458920936915.
Google Scholar

Qadir DO, Younis YM. Effectiveness of a health educational program on quality life and nutrition of coronary artery bypass graft patients. J Popul Ther Clin Pharmacol. 2023; 30(8): 111–122, https://doi.org/10.47750/jptcp.2023.30.08.012.
Google Scholar

Correa-Rodríguez M, Abu Ejheisheh M, Suleiman-Martos N, Membrive-Jiménez MJ, Velando-Soriano A, Schmidt-RioValle J, Gómez-Urquiza JL. Prevalence of Depression in Coronary Artery Bypass Surgery: A Systematic Review and Meta-Analysis. J Clin Med. 2020; 26; 9(4): 909, https://doi.org/10.3390/jcm9040909.
Google Scholar

Pietrzyk E, Gorczyca-Michta I, Michta K, Nowakowska M, Wożakowska-Kapłon B. Depression in patients after coronary artery bypass grafting. Psychiatr Pol. 2014; 48(5): 987–996.
Google Scholar

Tully PJ, Baker RA. Depression, anxiety, and cardiac morbidity outcomes after coronary artery bypass surgery: a contemporary and practical review. J Geriatr Cardiol. 2012; 9(2): 197–208, https://doi.org/10.3724/SP.J.1263.2011.12221.
Google Scholar

Korbmacher B, Ulbrich S, Dalyanoglu H, Lichtenberg A, Schipke JD, Franz M, Schäfer R. Perioperative and long-term development of anxiety and depression in CABG patients. Thorac Cardiovasc Surg. 2013; 61(8): 676–681.
Google Scholar