Factors predicting depression among persons post-coronary artery bypass graft surgery: A cross-sectional study in Thailand.

IF 1.1 Q3 NURSING Belitung Nursing Journal Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI:10.33546/bnj.3474

Kritphummarin Chongopklang, Rapin Polsook

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Abstract

Background: Coronary artery bypass graft (CABG) surgery is a highly effective coronary artery disease treatment, providing immediate relief and promising long-term benefits. However, it is a major procedure with significant risks, including the potential for depression. Many patients experience depression following CABG, which can negatively impact their overall recovery, affecting both physical and mental health.

Objective: This study aimed to determine factors predicting depression in patients following CABG surgery.

Methods: This cross-sectional study was conducted with data collected between January and April 2024. A total of 272 post-CABG patients from two super tertiary care hospitals in Bangkok, Thailand, were recruited through purposive sampling. All research instruments were validated and tested for reliability. Data were analyzed using multiple regression analysis.

Results: The study found that hope, optimism, illness perception, social support, and anxiety were correlated with depression (adjusted R² = 0.381), but these variables explained only 38.1% of the variance (p <0.05). Among these factors, anxiety (β = 0.311), optimism (β = 0.203), social support (β = -0.117), and illness perception (β = -0.143) were significant predictors (p <0.05), while hope was not a significant predictor. Thus, anxiety emerged as the most crucial predictor of depression in patients who have undergone CABG.

Conclusion: Nurses play a vital role in preventing and managing depression in post-CABG patients. Screening for anxiety and addressing it can prevent depression, enhance social support, and improve outcomes. To develop effective nursing strategies, it is essential for nurses to assess anxiety and implement interventions that promote social support, optimism, and illness perception. These measures can improve care quality, reduce readmission rates, and enhance patients' overall quality of life.

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预测冠状动脉旁路移植术后患者抑郁的因素：泰国横断面研究。

背景：冠状动脉旁路移植手术（CABG）是一种非常有效的冠状动脉疾病治疗方法，可立即缓解病情，并有望带来长期益处。然而，这是一项具有重大风险的重大手术，包括可能导致抑郁。许多患者在接受 CABG 手术后会出现抑郁，这可能会对他们的整体康复产生负面影响，影响身心健康：本研究旨在确定预测 CABG 术后患者抑郁的因素：这项横断面研究的数据收集时间为 2024 年 1 月至 4 月。通过有目的的抽样，从泰国曼谷的两家超级三甲医院共招募了 272 名 CABG 术后患者。所有研究工具均经过验证和可靠性测试。数据采用多元回归分析法进行分析：研究发现，希望、乐观、疾病感知、社会支持和焦虑与抑郁症相关（调整后 R² = 0.381），但这些变量仅解释了 38.1% 的方差（p β = 0.311），乐观（β = 0.203）、社会支持（β = -0.117）和疾病感知（β = -0.143）是显著的预测因素（p 结论：护士在抑郁症患者中发挥着重要作用：护士在预防和管理心血管造影术后患者抑郁方面发挥着重要作用。筛查焦虑并解决焦虑问题可预防抑郁、增强社会支持并改善预后。为了制定有效的护理策略，护士必须评估焦虑并实施干预措施，以促进社会支持、乐观情绪和疾病认知。这些措施可以提高护理质量，降低再入院率，并提高患者的整体生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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