Anxiety, depression and perceived control in patients having coronary artery bypass grafts

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dc.contributor.author Gallagher, RD
dc.contributor.author McKinley, SM
dc.date.accessioned 2010-05-28T09:50:09Z
dc.date.issued 2009-01
dc.identifier.citation Journal of Advanced Nursing, 2009, 65 (11), pp. 2386 - 2396
dc.identifier.issn 0309-2402
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/9513
dc.description.abstract P>Title. Anxiety, depression and perceived control in patients having coronary artery bypass grafts. Aim. This paper is a report of a study to determine (1) the course of anxiety, depression and perceptions of control, and (2) the influence of perceptions of control, in patients undergoing coronary artery bypass grafts before surgery, after surgery in hospital and 2 weeks after discharge. Background. Anxiety and depression are common in patients undergoing coronary artery bypass graft surgery patients and predictive of worse outcomes. Few researchers have examined the influence of perceived control on these emotional states in the acute surgical period. Methods. A prospective, descriptive design was used with a convenience sample of patients having coronary grafts (n = 155). Anxiety and depression were measured by the Hospital Anxiety and Depression Scale and perceptions of control over their cardiac illness by the Control Attitudes Scale before surgery, after surgery during hospitalization and 2 weeks after hospital discharge. The data were collected in 2005. Results. Patients had low levels of anxiety at each timepoint; however, borderline or clinically significant levels were common before surgery (38 center dot 7%) and after discharge. (38 center dot 6%). Depression levels were low, but increased over time (F = 27 center dot 03, P < 0 center dot 001). Patients had low to moderate perceptions of control over their illness before surgery, which increased over time (F = 25 center dot 51, P < 0 center dot 001). Those with stronger perceptions of control were less anxious or depressed at all times and those who were more anxious or depressed before surgery continued to be so afterwards. Conclusion. Routine assessment of anxiety, depression and perceptions of control are justified to identify patients at risk and to intervene to promote control perceptions.
dc.publisher Wiley-Blackwell Publishing Ltd.
dc.relation.isbasedon 10.1111/j.1365-2648.2009.05101.x
dc.subject anxiety, control, depression, control attitudes scale, coronary artery bypass grafts, hospital anxiety and depression scale, nursng, Nursing
dc.subject anxiety, control, depression, control attitudes scale, coronary artery bypass grafts, hospital anxiety and depression scale, nursng; Nursing
dc.title Anxiety, depression and perceived control in patients having coronary artery bypass grafts
dc.type Journal Article
dc.parent Journal of Advanced Nursing
dc.journal.volume 11
dc.journal.volume 65
dc.journal.number 11 en_US
dc.publocation London en_US
dc.identifier.startpage 2386 en_US
dc.identifier.endpage 2396 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 111003 Clinical Nursing: Secondary (Acute Care)
dc.personcode 879925 en_US
dc.personcode 930003 en_US
dc.percentage 100 en_US
dc.classification.name Clinical Nursing: Secondary (Acute Care) en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords anxiety, control, depression, control attitudes scale, coronary artery bypass grafts, hospital anxiety and depression scale, nursng en_US
dc.description.keywords anxiety, control, depression, control attitudes scale, coronary artery bypass grafts, hospital anxiety and depression scale, nursng
dc.description.keywords anxiety, control, depression, control attitudes scale, coronary artery bypass grafts, hospital anxiety and depression scale, nursng
dc.description.keywords anxiety, control, depression, control attitudes scale, coronary artery bypass grafts, hospital anxiety and depression scale, nursng
dc.staffid en_US
dc.staffid 930003 en_US
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research


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