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dc.contributor.authorSveinsdóttir, Herdís
dc.contributor.authorIngadóttir, Brynja
dc.date.accessioned2013-09-16T15:19:21Z
dc.date.available2013-09-16T15:19:21Z
dc.date.issued2012-09
dc.date.submitted2013-09-16
dc.identifier.citationEur J Cardiovasc Nurs 2012, 11(3):339-48en_GB
dc.identifier.issn1873-1953
dc.identifier.pmid21763204
dc.identifier.doi10.1016/j.ejcnurse.2011.06.004
dc.identifier.urihttp://hdl.handle.net/2336/301636
dc.descriptionTo access publisher's full text version of this article. Please click on the hyperlink in Additional Links field.en_GB
dc.description.abstractKnowledge is lacking on what predicts psychological distress in cardiac surgery patients. Aim: To describe the post-operative symptoms of anxiety and depression in cardiac surgery patients; to detect associations between those symptoms and patient's experiences of illness and hospitalisation and also their family and social situations; and identify experiences and situations that predict symptoms of anxiety and depression at home when measured at least four weeks after hospital discharge. In this prospective explorative panel study all eligible cardiac surgery patients over a six month period in 2007 were invited to participate. Data was collected at the hospital and at home. Two questionnaires were developed and included the hospital anxiety and depression scale (HADS), questions on family and social issues, patient's experience of illness, hospitalisation and family and social situations. Of the 66 participants few had symptoms of anxiety and depression at hospital or at home. Significant associations were found between symptoms of anxiety and depression measured at home and the same symptoms at hospital; pain and general post-operative symptoms; satisfaction with discharge education; self-assessed post-operative recovery and quality of sleep at home. Post-operative anxiety was predicted by depression at the hospital, not feeling rested upon awakening and presence of pain at home. Post-operative depression was predicted by depression at the hospital and not feeling rested upon awakening. Signs of patients' anxiety and depression should be assessed before surgery and appropriate intervention planned accordingly in order to support patients at risk of post-operative psychological distress.
dc.language.isoenen
dc.publisherSAGE Publicationsen_GB
dc.relation.urlhttp://dx.doi.org/10.1016/j.ejcnurse.2011.06.004en_GB
dc.relation.urlhttp://cnu.sagepub.com/content/11/3/339en_GB
dc.rightsArchived with thanks to European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiologyen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAnxietyen_GB
dc.subject.meshCardiac Surgical Proceduresen_GB
dc.subject.meshConvalescenceen_GB
dc.subject.meshDepressionen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshLinear Modelsen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPatient Dischargeen_GB
dc.subject.meshPostoperative Complicationsen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshQuestionnairesen_GB
dc.subject.meshSocial Supporten_GB
dc.subject.meshStatistics, Nonparametricen_GB
dc.titlePredictors of psychological distress in patients at home following cardiac surgery: an explorative panel study.en
dc.typeArticleen
dc.contributor.departmentFaculty of Nursing, University of Iceland, Eirberg Eiríksgötu 34, 101 Reykjavík, Iceland.en_GB
dc.identifier.journalEuropean journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiologyen_GB
dc.rights.accessNational Consortium - Landsaðganguren
html.description.abstractKnowledge is lacking on what predicts psychological distress in cardiac surgery patients. Aim: To describe the post-operative symptoms of anxiety and depression in cardiac surgery patients; to detect associations between those symptoms and patient's experiences of illness and hospitalisation and also their family and social situations; and identify experiences and situations that predict symptoms of anxiety and depression at home when measured at least four weeks after hospital discharge. In this prospective explorative panel study all eligible cardiac surgery patients over a six month period in 2007 were invited to participate. Data was collected at the hospital and at home. Two questionnaires were developed and included the hospital anxiety and depression scale (HADS), questions on family and social issues, patient's experience of illness, hospitalisation and family and social situations. Of the 66 participants few had symptoms of anxiety and depression at hospital or at home. Significant associations were found between symptoms of anxiety and depression measured at home and the same symptoms at hospital; pain and general post-operative symptoms; satisfaction with discharge education; self-assessed post-operative recovery and quality of sleep at home. Post-operative anxiety was predicted by depression at the hospital, not feeling rested upon awakening and presence of pain at home. Post-operative depression was predicted by depression at the hospital and not feeling rested upon awakening. Signs of patients' anxiety and depression should be assessed before surgery and appropriate intervention planned accordingly in order to support patients at risk of post-operative psychological distress.


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