Stressors and anxiety in patients undergoing coronary artery bypass surgery

Gallagher, R; McKinley, S

Stressors and anxiety in patients undergoing coronary artery bypass surgery

Gallagher, R

McKinley, S

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Publication Type:: Journal Article
Citation:: American Journal of Critical Care, 2007, 16 (3), pp. 248 - 257
Issue Date:: 2007-05-01

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Field	Value	Language
dc.contributor.author	Gallagher, R https://orcid.org/0000-0001-5588-9351	en_US
dc.contributor.author	McKinley, S	en_US
dc.date.issued	2007-05-01	en_US
dc.identifier.citation	American Journal of Critical Care, 2007, 16 (3), pp. 248 - 257	en_US
dc.identifier.issn	1062-3264	en_US
dc.identifier.uri	http://hdl.handle.net/10453/6240
dc.description.abstract	Background: Patients undergoing coronary artery bypass surgery who have increased anxiety levels have poorer outcomes than patients with lower levels, yet few studies have identified the concerns associated with this anxiety. Objective: To describe the concerns of patients undergoing coronary artery bypass surgery and to identify concerns that were associated with higher levels of anxiety. Method: Patients (n = 172) were interviewed to determine their concerns and anxiety levels before surgery, before discharge, and 10 days after discharge. Multiple regression was used to determine the predictors of anxiety. Results: Although individual concerns changed over time, anxiety levels did not change from before to after surgery, remaining low to moderate. Being female and having more concerns about waiting for the surgery, being in pain/discomfort, and resuming lifestyle were predictors of increased anxiety before surgery. Predictors of increased anxiety while hospitalized after the surgery included taking anxiolytic or antidepressant medications, higher anxiety levels before surgery, concerns about personal things being inaccessible, and difficulty sleeping. Patients with higher anxiety levels after discharge were older, more anxious before surgery, and had concerns about being in pain/discomfort. Conclusion: Patients waiting for coronary artery bypass surgery should be routinely assessed for anxiety before the procedure, and interventions to prevent or reduce anxiety should be provided. Interventions must be multifactorial, including information and support for pain management and realistic information about surgery schedules and resuming lifestyle after the surgery. Women and older patients may need to be targeted for intervention.	en_US
dc.relation.ispartof	American Journal of Critical Care	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Coronary Artery Bypass	en_US
dc.subject.mesh	Risk Factors	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Stress, Psychological	en_US
dc.subject.mesh	Anxiety	en_US
dc.subject.mesh	Marital Status	en_US
dc.subject.mesh	Age Factors	en_US
dc.subject.mesh	Sex Factors	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Educational Status	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	Stressors and anxiety in patients undergoing coronary artery bypass surgery	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	16	en_US
utslib.for	111003 Clinical Nursing: Secondary (Acute Care)	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	16	en_US

Abstract:

Background: Patients undergoing coronary artery bypass surgery who have increased anxiety levels have poorer outcomes than patients with lower levels, yet few studies have identified the concerns associated with this anxiety. Objective: To describe the concerns of patients undergoing coronary artery bypass surgery and to identify concerns that were associated with higher levels of anxiety. Method: Patients (n = 172) were interviewed to determine their concerns and anxiety levels before surgery, before discharge, and 10 days after discharge. Multiple regression was used to determine the predictors of anxiety. Results: Although individual concerns changed over time, anxiety levels did not change from before to after surgery, remaining low to moderate. Being female and having more concerns about waiting for the surgery, being in pain/discomfort, and resuming lifestyle were predictors of increased anxiety before surgery. Predictors of increased anxiety while hospitalized after the surgery included taking anxiolytic or antidepressant medications, higher anxiety levels before surgery, concerns about personal things being inaccessible, and difficulty sleeping. Patients with higher anxiety levels after discharge were older, more anxious before surgery, and had concerns about being in pain/discomfort. Conclusion: Patients waiting for coronary artery bypass surgery should be routinely assessed for anxiety before the procedure, and interventions to prevent or reduce anxiety should be provided. Interventions must be multifactorial, including information and support for pain management and realistic information about surgery schedules and resuming lifestyle after the surgery. Women and older patients may need to be targeted for intervention.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/6240