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冠状动脉搭桥手术患者抑郁和焦虑的评估:一项前瞻性临床研究。

Evaluation of Depression and Anxiety in Coronary Artery Bypass Surgery Patients: A Prospective Clinical Study.

作者信息

Açıkel Melike Elif Teker

机构信息

S.B.Ü. Haseki Education and Research Hospital Department of Cardiovascular Surgery İstanbul Turkey Department of Cardiovascular Surgery, S.B.Ü. Haseki Education and Research Hospital, İstanbul, Turkey.

出版信息

Braz J Cardiovasc Surg. 2019 Aug 27;34(4):389-395. doi: 10.21470/1678-9741-2018-0426.

Abstract

OBJECTIVE

The aim of this clinical study is to determine the depression and anxiety levels in coronary artery bypass graft (CABG) surgery patients in the pre and postoperative periods.

METHODS

This clinical prospective study was done with 65 patients. Beck's Depression Inventory (BDI) and Beck's Anxiety Inventory (BAI) tests were performed in patients who had a diagnosis of coronary artery disease and were awaiting CABG surgery. These patients presented characteristic symptoms of anxiety and depression and BDI and BAI tests are important to assess these symptoms.

RESULTS

We found out that depression and anxiety levels were higher in the postoperative than in the preoperative period (P<0.001). Both anxiety and depression levels were increased significantly following CABG operation when compared with preoperative levels in all patients. Statistical correlation of depression and anxiety in different ages, genders, and professions were evaluated too, but we did not found a correlation between them (P>0.05).

CONCLUSION

We suggest that good management of the psychological condition of cardiac surgery candidates, as well as post-bypass patients, will improve quality of life and cardiovascular outcomes in these patients.

摘要

目的

本临床研究旨在确定冠状动脉搭桥术(CABG)患者术前和术后的抑郁和焦虑水平。

方法

本临床前瞻性研究共纳入65例患者。对诊断为冠状动脉疾病且等待CABG手术的患者进行贝克抑郁量表(BDI)和贝克焦虑量表(BAI)测试。这些患者表现出焦虑和抑郁的特征性症状,BDI和BAI测试对于评估这些症状很重要。

结果

我们发现术后抑郁和焦虑水平高于术前(P<0.001)。与术前水平相比,所有患者在CABG手术后焦虑和抑郁水平均显著升高。我们还评估了不同年龄、性别和职业中抑郁与焦虑的统计相关性,但未发现它们之间存在相关性(P>0.05)。

结论

我们建议,对心脏手术候选者以及搭桥术后患者的心理状况进行良好管理,将改善这些患者的生活质量和心血管结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a461/6713374/44351b8ca3fe/rbccv-34-04-0389-g01.jpg

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