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The effect of cardiac rehabilitation on anxiety and depression in patients undergoing cardiac bypass graft surgery in Iran.

Sharif F, Shoul A, Janati M, Kojuri J, Zare N - BMC Cardiovasc Disord (2012)

Bottom Line: The control group received only the routine follow-up care.However, no significant difference was seen in anxiety scores between the groups (Mean score from 37 to 28 in the intervention group and from 38 to 32 in the control group, P = 0.079).IRCTN201203262812N8.

View Article: PubMed Central - HTML - PubMed

Affiliation: Mental Health Nursing Department, Community Based Nursing & Midwifery Research Center, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. fsharif@sums.ac.ir

ABSTRACT

Background: Many patients experience anxiety and depression after cardiac bypass surgery.The aim of this study was to examine the effect of cardiac rehabilitation on anxiety and depression in patients undergoing coronary artery bypass grafting in hospitals affiliated to Shiraz University of Medical Sciences in southern Iran.

Methods: For this randomized controlled trial, 80 patients who met the inclusion criteria were recruited and randomly assigned to case and control groups. Anxiety was measured with the Spielberger Anxiety Scale and depression was measured using Beck's Depression Inventory at three points in time: on discharge from the hospital, immediately after the intervention, and 2 months after cardiac rehabilitation. After measuring anxiety and depression in both groups upon discharge, the experimental group participated in 8 cardiac rehabilitation sessions over a 4-week period. The control group received only the routine follow-up care.

Results: There was a statistically significant difference in depression scores between groups at all three time-points (Mean score from 19.6 to 10 in the intervention group and from 19.5 to 14 in the control group, P = 0.0014). However, no significant difference was seen in anxiety scores between the groups (Mean score from 37 to 28 in the intervention group and from 38 to 32 in the control group, P = 0.079).

Conclusions: Cardiac rehabilitation was effective in reducing depression 2 months after surgery in patients undergoing coronary artery bypass grafting.

Trial registration: IRCTN201203262812N8.

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Related in: MedlinePlus

Patients’ flowchart.
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Figure 1: Patients’ flowchart.

Mentions: The exclusion criteria were: history of mental illness, previous participation in cardiac rehabilitation programs, death or recurrence of illness and hospitalization, disorder or disability that interfered with the patient’s ability to do the rehabilitation exercises, history of cardiac surgery, urgent need for surgery, history of coronary artery transplant along with other operations such as valve replacement, history of severe depression or anxiety and use of antianxiety and antidepressant drugs, history of participating in yoga and meditation programs, severe depression or anxiety, inability to perform exercise and refusal to participate in rehabilitation sessions. The patients’ flow diagram is shown in Figure 1.


The effect of cardiac rehabilitation on anxiety and depression in patients undergoing cardiac bypass graft surgery in Iran.

Sharif F, Shoul A, Janati M, Kojuri J, Zare N - BMC Cardiovasc Disord (2012)

Patients’ flowchart.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3420238&req=5

Figure 1: Patients’ flowchart.
Mentions: The exclusion criteria were: history of mental illness, previous participation in cardiac rehabilitation programs, death or recurrence of illness and hospitalization, disorder or disability that interfered with the patient’s ability to do the rehabilitation exercises, history of cardiac surgery, urgent need for surgery, history of coronary artery transplant along with other operations such as valve replacement, history of severe depression or anxiety and use of antianxiety and antidepressant drugs, history of participating in yoga and meditation programs, severe depression or anxiety, inability to perform exercise and refusal to participate in rehabilitation sessions. The patients’ flow diagram is shown in Figure 1.

Bottom Line: The control group received only the routine follow-up care.However, no significant difference was seen in anxiety scores between the groups (Mean score from 37 to 28 in the intervention group and from 38 to 32 in the control group, P = 0.079).IRCTN201203262812N8.

View Article: PubMed Central - HTML - PubMed

Affiliation: Mental Health Nursing Department, Community Based Nursing & Midwifery Research Center, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. fsharif@sums.ac.ir

ABSTRACT

Background: Many patients experience anxiety and depression after cardiac bypass surgery.The aim of this study was to examine the effect of cardiac rehabilitation on anxiety and depression in patients undergoing coronary artery bypass grafting in hospitals affiliated to Shiraz University of Medical Sciences in southern Iran.

Methods: For this randomized controlled trial, 80 patients who met the inclusion criteria were recruited and randomly assigned to case and control groups. Anxiety was measured with the Spielberger Anxiety Scale and depression was measured using Beck's Depression Inventory at three points in time: on discharge from the hospital, immediately after the intervention, and 2 months after cardiac rehabilitation. After measuring anxiety and depression in both groups upon discharge, the experimental group participated in 8 cardiac rehabilitation sessions over a 4-week period. The control group received only the routine follow-up care.

Results: There was a statistically significant difference in depression scores between groups at all three time-points (Mean score from 19.6 to 10 in the intervention group and from 19.5 to 14 in the control group, P = 0.0014). However, no significant difference was seen in anxiety scores between the groups (Mean score from 37 to 28 in the intervention group and from 38 to 32 in the control group, P = 0.079).

Conclusions: Cardiac rehabilitation was effective in reducing depression 2 months after surgery in patients undergoing coronary artery bypass grafting.

Trial registration: IRCTN201203262812N8.

Show MeSH
Related in: MedlinePlus