Demographic and psychological predictors of recovery from coronary artery bypass graft

نویسندگان

1 Departments of Psychiatry and Behavioural Sciences Research Center, School of Medicine, Isfahan University of Medical Sciences

2 Behavioural Sciences Research Center, Isfahan University of Medical Sciences

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4 Department of Epidemiology and Biostatistics, School of Public Health, Isfahan University of Medical Sciences,

5 Department of Cardiology, Sina Heart Hospital, Isfahan, Iran

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doi
چکیده

OBJECTIVES: Worldwide, i.e. in Iran, coronary artery bypass grafting (CABG) is one of the mostcommon and expensive surgeries. This study was designed to explore the demographic andpsychological factors which predict the recovery process in CABG patients.MATERIALS AND METHODS: During a prospective correlational study, 250 CABG patients, in twopublic and private hospitals, investigated for indexes of recovery during hospital stay and 4 weeksafter discharge. Demographic and psychological variables were collected through checklist and Farsivalidated and reliable versions of type D personality, the multidimensional scale of perceived socialsupport, revised illness perception questionnaire (IPQ‑R). Data were analyzed through statisticaltests through SPSS version 20.RESULTS: Considering the total recovery index, 91.2% of CABG patients have not been recovered4 weeks after surgery. Furthermore, 99% of them reported high scores of depression and anxiety.Marital and insurance status, and perceived personal control, showed significant difference betweenrecovered and unrecovered patients based on total recovery index (P < 0.05); however, in regressionanalysis, they did not identify as predictor variables. Age, gender, insurance status, and perceivedpersonal control were the most frequent variables identified as predictors of recovery indexes,separately.CONCLUSION: The correlation between depression, anxiety, perceived personal control, andrecovery status among our patients reveals the importance of considering psychological and moodassessment in developing guidelines for CABG patients. Our findings will assist clinicians fordesigning of psychological interventions for promotion of perceived personal and illness control andbetter recovery post‑CABG.