Guzelhan Yalcin, Conkbayir Cenk, Ugurlucan Murat, Yildiz Cenk Eray, Alpagut Ufuk, Bozbuga Nilgun
Psychiatry Clinic, Istanbul Education and Research Hospital, Istanbul, Turkey.
Department of Cardiology, Near East University, Nicosia, Cyprus.
Heart Surg Forum. 2018 May 11;21(3):E165-E169. doi: 10.1532/hsf.1451.
The present study was designed to evaluate the relationship between gender and coexisting anxiety in patients undergoing coronary artery surgery. Materials and Methods: A total of 137 patients (41 women and 96 men with a mean age 66.1 ± 6.0 years) patients underwent state and trait anxiety evaluation at baseline (preoperatively) and at six months after (postoperatively) coronary artery bypass graft (CABG). Anxiety symptoms were assessed at enrollment using the Spielberger State-Trait Anxiety Inventory (STAI). Psychological, social, clinical, and surgical data were assessed statistically. Results: There were statistically significant differences between female and male patient characteristics for the mean age, mean education year, and mean body mass index. The women were found to be statistically younger and less educated, and more likely to be overweight, diabetic, and hyperlipidemic. The mean hospitalization time, wound infection, and extreme postoperative pain complaints were found to be higher in the female group. 61 patients (33 female and 28 male) (44.5%) were classified as presenting clinically significant anxiety symptoms (STAI score of ≥ 40). The female patients' STAI scores were significantly higher than men in state and trait anxiety, both preoperatively and six months postoperatively. Postoperatively, there was not any significant decrease in the level of trait anxiety when comparing the level of state anxiety in female patients. Conclusion: Even after adjusting for known risk factors for compromised STAI, women do not show the same long-term quality benefits of CABG surgery that men do. The results indicate that the STAI is a valuable instrument for identifying and supporting patients with higher levels of anxiety, which can aid in determining patients that may have poor adjustment after CABG surgery.
本研究旨在评估接受冠状动脉手术患者的性别与并存焦虑之间的关系。材料与方法：共有137例患者（41例女性和96例男性，平均年龄66.1±6.0岁）在冠状动脉旁路移植术（CABG）基线（术前）和术后六个月接受状态和特质焦虑评估。在入组时使用斯皮尔伯格状态-特质焦虑量表（STAI）评估焦虑症状。对心理、社会、临床和手术数据进行统计学评估。结果：女性和男性患者在平均年龄、平均受教育年限和平均体重指数方面存在统计学显著差异。发现女性在统计学上更年轻、受教育程度更低，且更有可能超重、患有糖尿病和高脂血症。女性组的平均住院时间、伤口感染和术后极度疼痛主诉更高。61例患者（33例女性和28例男性）（44.5%）被分类为具有临床显著焦虑症状（STAI评分≥40）。女性患者的STAI评分在术前和术后六个月的状态和特质焦虑方面均显著高于男性。术后，比较女性患者的状态焦虑水平时，特质焦虑水平没有任何显著下降。结论：即使在调整已知的STAI受损风险因素后，女性也未表现出与男性相同的CABG手术长期质量益处。结果表明，STAI是识别和支持焦虑水平较高患者的有价值工具，有助于确定CABG手术后可能调整不佳的患者。
