Prevalence of Anxiety, Depression and Stress in Cabg Candidate Patients and Factors Affecting It at Farshchian Cardiovascular Hospital in Hamadan Publisher



Goli B¹ ; Jaafaripooyan EP² ; Moradi A³ ; Safiarian RP¹ ; Moradi M⁴ ; Darabi F⁵ Show Affiliations
Source: Iranian Journal of Health Education and Health Promotion Published:2021

Abstract

Background and Objective: Introduction: Among the heart diseases, coronary heart disease (CAD) is the leading cause of mortality in human societies and coronary artery bypass graft (CABG) is the most common therapeutic intervention. Postsurgical hospitalization is an estimate of the success rate of surgery that cannot be fully explained by medical and demographic factors. Rather, psychological factors are important. The purpose of this study was to investigate the prevalence of anxiety, depression and stress which are one of the most important psychological factors related to the length of hospital stay after this surgery. Materials and Methods: In this cross-sectional study, the target population was all CABG patients referred to Farshchian heart Hospital, Hamadan, in 2019. The DASS-21 Questionnaire was used to determine the status of studied patients in terms of anxiety, depression and stress. Data were analyzed using SPSS-22 and Stata software. Chi-square, Fisher's exact test and OR index and binary logistic regression were used for determine relationship between variables. Results: A total of 210 patients participated in this study. 152 (74.2%) of them were male and 58 (27.6%) were female. The mean and standard deviation of age were 62.99 and 8.89 years, respectively. According to the results of principal components analysis, 81 (38.6%), 81 (38.6%) and 86 (41.0%) patients had symptoms of anxiety, depression and stress, respectively. The final logistic regression models showed. Relationship between sex, history of hypertension and high cholesterol with anxiety, relationship between maternal statuses with depression was significant. There was no significant relationship between any of the underlying variables with stress in the studied patients. Conclusion: This study showed that the prevalence of anxiety, stress and depression in CABG patients is relatively high. Therefore, it is necessary to check the mental status of these patients before performing this surgery. © 2019 Universidad de Alicante. All rights reserved.