Psychiatric Disturbances among Patients after Heart Surgery

Mostafa Saeed Abd-el Monem, Omayma Abu Baker, Hoda Sayed Mohamed
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Abstract

Background : Heart surgery is one of the most effective methods of treating cardiovascular diseases. Meanwhile, the anticipation of heart surgery is severely distressing for patients and may cause psychiatric disturbances. Aim: This study aimed to assess the psychiatric disturbances among patients after heart surgery. Design: A descriptive research design was utilized in this study. Setting: This study was carried out in cardiac departments in Ain-Shams specialized hospital. Subjects: Convenient sample of 108 patients immediately after transferring from the critical care unit to the cardiac ward. Data collection tools: 1) Interviewing Questionnaire to assess socio-demographic data and medical history of the patient after heart surgery. 2) Depression, Anxiety, and stress scale, and 3) Brief psychiatric rating scale. Results: Slightly more than half of the studied sample have mild depression, severe stress, and anxiety, and moderate psychiatric symptoms after heart surgery. Also, there were positive correlations between total stress, depression, and anxiety and the total levels of psychiatric symptoms. Conclusion: This study concluded that more than half of the studied patients have mild depression, severe anxiety, severe stress, and moderate psychiatric symptoms after heart surgery. Recommendations: Constructing and implementing a counseling program geared toward patients after heart surgery to support and guide them on how to avoid and/or deal with stress, depression, and anxiety after heart surgery.
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心脏手术后患者的精神障碍
背景:心脏手术是治疗心血管疾病最有效的方法之一。与此同时,心脏手术的预期会给患者带来严重的痛苦,并可能导致精神障碍。目的:本研究旨在评估心脏手术后患者的精神障碍。设计:本研究采用描述性研究设计。研究环境:本研究在艾因-沙姆斯专科医院的心脏科进行。研究对象:108名刚从重症监护室转入心脏科病房的患者。数据收集工具1) 访谈问卷,评估心脏手术后患者的社会人口学数据和病史。2) 抑郁、焦虑和压力量表,以及 3) 简要精神病评定量表。结果:略多于半数的研究样本在心脏手术后有轻度抑郁、重度压力和焦虑以及中度精神症状。此外,总压力、抑郁和焦虑与精神症状的总水平呈正相关。结论本研究得出结论,半数以上的研究对象在心脏手术后有轻度抑郁、重度焦虑、重度压力和中度精神症状。建议构建并实施针对心脏手术后患者的咨询计划,支持并指导他们如何避免和/或应对心脏手术后的压力、抑郁和焦虑。
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