Yuenyongchaiwat Kornanong, Buranapuntalug Sasipa, Pongpanit Karan, Kulchanarat Chitima, Satdhabudha Opas
Physiotherapy Dept., Faculty of Allied Health Sciences, Thammasat University, Prathumthani, Thailand.
Physical Therapy Center, Thammasat University Hospital, 99 Khlong Nueng, Pathum Thani, Thailand.
Indian J Psychol Med. 2020 Jul 20;42(6):549-554. doi: 10.1177/0253717620930318. eCollection 2020 Nov.
Poor psychological health and cardiorespiratory fitness prior to open heart surgery (OHS) might be predictors of postoperative pulmonary complications that lead to morbidity and mortality. Assessment of physical and psychological conditions should be considered for patients receiving OHS, to possibly prevent these complications. This study investigates how inspiratory muscle strength (IMS) and functional capacity (FC) relate to the psychological health of preoperative cardiac surgery patients.
A cross-sectional study was designed before OHS; the 6-minute walk test and IMS were performed on patients who were admitted for OHS. All participants were requested to complete Hospital Anxiety and Depression Scale. Pearson correlation and hierarchal regression analysis were performed to determine the relationships between IMS and FC and psychological conditions (anxiety and depression).
Overall, 36 males and 28 females aged 56.89±10.23 years were recruited. Significant relationships were observed between IMS and anxiety and depression symptoms (r = -0.33 and = -0.27, respectively). Anxiety was negatively related to FC ( = -0.25). These relationships remained significant after adjustment for age, sex, and body mass index (BMI) (∆ = 0.11 and ∆ = 0.09). In addition, anxiety was also related to FC after controlling for age, sex, and BMI (∆ = 0.09).
Among patients undergoing OHS, those with a higher level of depression or anxiety had a lower cardiorespiratory fitness than those with a low level of depression or anxiety.
心脏直视手术（OHS）前心理健康状况不佳和心肺功能健康状况不佳可能是导致术后肺部并发症进而引发发病和死亡的预测因素。对于接受OHS的患者，应考虑评估其身体和心理状况，以预防这些并发症。本研究调查吸气肌力量（IMS）和功能能力（FC）与心脏手术术前患者心理健康之间的关系。
在OHS前设计了一项横断面研究；对因OHS入院的患者进行6分钟步行试验和IMS测试。要求所有参与者完成医院焦虑抑郁量表。进行Pearson相关性分析和层次回归分析，以确定IMS和FC与心理状况（焦虑和抑郁）之间的关系。
总共招募了36名男性和28名女性，年龄为56.89±10.23岁。观察到IMS与焦虑和抑郁症状之间存在显著关系（分别为r = -0.33和 = -0.27）。焦虑与FC呈负相关（ = -0.25）。在对年龄、性别和体重指数（BMI）进行调整后，这些关系仍然显著（∆ = 0.11和∆ = 0.09）。此外，在控制年龄、性别和BMI后，焦虑也与FC相关（∆ = 0.09）。
在接受OHS的患者中，抑郁或焦虑程度较高的患者比抑郁或焦虑程度较低的患者心肺功能健康状况更差。
