Engin AKGUL1
engin_akgul@hotmail.com
1 Kutahya Health Sciences University, Department of Cardiovascular Surgery, Turkey
Abstract
Background: The psychological effect of the phrase “a stent was inserted” or “a vessel was changed” was evaluated in this study. The patients who were treated electively in the Cardiology and Cardiovascular Surgery Clinics were compared with Beck’s Anxiety and Depression Scale. Objective: The study aimed to investigate the prevalence of anxiety disorders and depression symptoms in cardiac patients. Also, the psychological reflections of treatment were observed. Material and Methods: Patients who were treated at Kutahya Evliya Celebi Training-Research Hospital with an elective angiography and stent insertion or an elective bypass operation between January 2015 and December 2017 were included in the study. The post-treatment psychological status was compared using Beck Anxiety and Depression Scale forms, which were filled by the patients who were invited to the outpatient clinics for a post-treatment visit in the week following their discharge from the hospital. The data were analyzed using the Chi-square and Mann-Whitney U test, where appropriate. A p-value less than 0.05 was accepted as statistically significant. Results: One hundred ninety-two patients from the cardiology department and 170 patients from the cardiovascular surgery department included. Mild anxiety disorder was the most frequently noted disorder among the cardiology group (64.1%). Minimal, mild, and moderate level depression were found to be approximately 31.8, 32.8 and 33.9 percent, respectively. Among patients who underwent cardiovascular surgery, 62.4 percent had mild anxiety and 67.1 percent had minimal depression, from which it can be understood that the rates of anxiety and depression symptoms were found to be higher in the cardiology patients than in the cardiovascular surgery group. Conclusion: Bypass surgery can be considered troublesome due to the risks of mortality, morbidity and the challenging postoperative recovery period. But the perception of “vessel change” makes the patients more comfortable and peaceful.
Keywords: anxiety, depression, coronary artery bypass surgery, coronary artery disease
Published online: 2019/03/01
Published print: 2019/03/01
