The effect of preoperative training on postoperative depression in patients undergoing open heart surgery (2017)
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PhD Nursing, Assistant Professor Bam Medical Science University, Bam, Iran
MD. Cardiovascular Surgeon Shahid Beheshti Medical Science University, Tehran, Iran
Submission date: 2018-02-01
Final revision date: 2018-02-21
Acceptance date: 2018-02-23
Online publication date: 2018-04-05
Publication date: 2018-04-05
Electron J Gen Med 2018;15(3):em44
The prevalence of cardiovascular diseases among people in industrialized and developing countries are increasing. A look at recent WHO statistics suggests that these diseases account for 23% of global mortality rates, which make up a significant proportion in comparison with other causes of mortality. It is sate to be said that cardiovascular diseases cause problems for people and cause worries in the community, including lack of presence at work, high cost of surgery and drugs, disability and other cases. Evidence suggests that coronary artery disease is associated with anxiety and depression, sleep disorders, severe fatigue, and emotional complaints, since the body and mind are not separate.

By providing the necessary knowledge to patients, to a great extent, their mental problems can be prevented.

Materials and Methods:
This is an analytical study that evaluates the effect of preoperative training on depression in patients undergoing cardiac surgery in Shahid Modares Hospital. This study was performed on 80 patients undergoing cardiac surgery who were randomly divided into two groups of control and test. Before operation (surgery), the depression of the two groups was measured by Beck’s standard test. Then, the necessary training was given to the case (test) group. Then one month after the operation (surgery), the depression of the two groups was again measured and compared. The data collection tool was Beck’s standard test, which grading scale indicates 7-0, mild depression, 8-14, moderate depression, and 15-26, severe depression.

The results of this study indicate that the training reduced the severe depression by 50% in the case group, but did not affect the mild to moderate depression. According to (p <0.001), there is a significant difference between depression two groups of control and case (test), and severe depression in the case group has been reduced by half. In addition, the research hypothesis was confirmed with 95% confidence. According to the above findings, it can be said that training not only reduces the physical problems of individuals, but also affects the mental and psychological problems of individuals.

By communicating with patients and giving the necessary training in special wards, especially cardiac surgery, they can be more hopeful for their lives and their depression can be reduced and their recovery facilitated.

Hartshon JC. Introduction critical care Nursing. Philadelphia: W. B. sanders Co; 1997.
Tawhidi F. Harrison, Principles of Internal Medicine, Common Psychological Disorders. Tehran: Chahr Publishing; 1998.
Smeltzer SC. and Baire B. Medical surgical Nursing. Philadelphia: Lippincott Raven Publisher; 1996. PMCid:PMC229026.
Broun WE. Heart disease. Cardiovas medicine. Philadelphia: W. B. Saunders Co; 1997. PMCid:PMC158213.
Jarsma T. “Problems of Cardiac Patients in early recovery”. Journal of advanced Nursing. 1995;21:21-27. https://doi.org/10.1046/j.1365....
A nurse- led intervention for patients on CABG waiting lists. Nurs-times. 2004 Feb 24 Mar 1;100(8):32-5.
Bronson. LM, Pozuelo MD, Franco NM. Depression can be hazardous to heart health, but treatment can help. Available from: www.elevatedclinic.org/healt/.2005.
Katon W. Editonal. The Impact of major Depression on choronic medical Illness. Journal of general Hospital psychiatry. 1996;1(8):215-19.
Dunstan JL. Rapid recovery management the effect on the patient who undergone heart surgery. Journal Heart and lung. 1996;26(4):289-98. https://doi.org/10.1016/S0147-....
Cupples SA. Effect of timing and rein forcement of preoperative education on knowledge and recovery of patients raving coronary artery by-pass graft surgery. Journal Heart and lung. 1997;20(3):654-60.
Akyüz A, Çolak S, Kılıçkap Z. Heart Rate Fluctuations and Late Ventricular Potentials in Depression Patients without Clinical Cardiovascular Disease. European Journal of General Medicine. 2009;6(3). https://doi.org/10.29333/ejgm/....
Carol T. Fundamental of Nursing. Philadelphia: J. B. Lippincott Co; 1995. PMCid:PMC1415128.
Kendell R, Zeally AK. Companion to psychiatric studies. Fifth edition Churchill. Toronto: livingston; 1995.
Durhan NC. Increase in heart surgery mortality from SSRIs or depression. Available from: https://corporate.dukehealth.o....
Rute R. Factors wich promot depression results from Infarction late potential study. Journal of psychasomatic research. 1992;36(8),723-732.
Shuldham CM, Fleming S, Goodman H. The impact 0of pre-operative education on recovery following coronary artery by-pass surgery. A randomized controlled clinical traial. Eur heart J. 2002;23(8):666-74. https://doi.org/10.1053/euhj.2... PMid:11969282.
Baker S. Emory research link depression to lower health status benefits after coronary artery Bypass surgery. URL: emoryheartnews@aol.com.2005.
Basampour shiva the effect of preoperative training on the amount of anxiety after open heart surgery in patients admitted to teaching hospitals in Tehran [Master’s thesis]. Tehran: Shahid Beheshti University of Medical Sciences; 1994.
Mahvash S. CCU Nursing, Coronary Artery Disease, and Special Care Principles. Tehran: Azadeh Publishing House; 1994.
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