Fear and anxiety in patients at different time-points in the coronary artery bypass process

The purpose of this study was to examine fear and anxiety of coronary artery bypass patients at different time-points in the coronary artery bypass process and changes between different time-points. Patients ( n=171) from one university hospital completed questionnaires while awaiting surgery at hom...

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Bibliographic Details
Published in:International journal of nursing studies 2002-11, Vol.39 (8), p.811-822
Main Authors: Koivula, Meeri, Tarkka, Marja-Terttu, Tarkka, Matti, Laippala, Pekka, Paunonen-Ilmonen, Marita
Format: Article
Language:English
Subjects:
Adult
Aged
Anxiety
Anxiety - etiology
Anxiety - psychology
Biological and medical sciences
Coronary Artery Bypass - adverse effects
Coronary Artery Bypass - psychology
Coronary Artery Bypass - statistics & numerical data
Coronary artery bypass grafting
Coronary artery bypass surgery
Fear
Female
Finland
Follow-Up Studies
Humans
Inpatients - psychology
Logistic Models
Male
Medical sciences
Middle Aged
Nursing
Patients
Postoperative Period
Socioeconomic Factors
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Surveys and Questionnaires
Temporal aspects
Waiting Lists
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Summary:The purpose of this study was to examine fear and anxiety of coronary artery bypass patients at different time-points in the coronary artery bypass process and changes between different time-points. Patients ( n=171) from one university hospital completed questionnaires while awaiting surgery at home, in hospital the evening before surgery and 3 months later. The Bypass Grafting Fear scale was developed to measure fear. Anxiety was measured using state-trait-anxiety inventory and HAD. The highest levels of fear and anxiety were measured in the waiting period to coronary artery bypass grafting (CABG). Compared with the waiting period, fear and anxiety levels dropped in hospital and 3 months later. Female gender was related to change in fear and HAD anxiety. Marital status and vocational education were related to changes in STATE-A. Age under 55 years was related to higher TRAIT-A especially in the recovery period. These findings warrant concern for fear and anxiety in patients awaiting CABG, especially women and patients who do not have partner relationship.
ISSN:0020-7489
1873-491X
DOI:10.1016/S0020-7489(02)00022-6