■冠状动脉旁路移植术(CABG)是一种非常有效的冠状动脉疾病治疗方法,提供即时救济和有希望的长期利益。然而,这是一个具有重大风险的主要程序,包括潜在的抑郁症。许多患者在CABG后出现抑郁,这会对他们的整体复苏产生负面影响,影响身心健康。
■本研究旨在确定预测CABG术后患者抑郁的因素。
■这项横断面研究是在2024年1月至4月之间收集的数据进行的。共有272名来自曼谷两家超级三级医院的CABG后患者,泰国,是通过目的性抽样招募的。所有研究仪器都经过验证和可靠性测试。数据采用多元回归分析。
■研究发现,乐观,疾病感知,社会支持,焦虑与抑郁相关(调整后的R²=0.381),但这些变量仅解释了38.1%的方差(p<0.05)。在这些因素中,焦虑(β=0.311),乐观(β=0.203),社会支持(β=-0.117),和疾病感知(β=-0.143)是显著的预测因子(p<0.05),而希望并不是一个重要的预测因素。因此,焦虑是CABG患者抑郁的最关键预测因子.
■护士在预防和管理CABG后患者的抑郁症中起着至关重要的作用。筛查焦虑并解决它可以预防抑郁症,加强社会支持,并改善结果。制定有效的护理策略,护士必须评估焦虑并实施促进社会支持的干预措施,乐观,和疾病感知。这些措施可以提高护理质量,降低再入院率,提高患者的整体生活质量。
UNASSIGNED: Coronary artery bypass graft (CABG) surgery is a highly effective coronary artery disease treatment, providing immediate relief and promising long-term benefits. However, it is a major procedure with significant risks, including the potential for depression. Many patients experience depression following CABG, which can negatively impact their overall recovery, affecting both physical and mental health.
UNASSIGNED: This study aimed to determine factors predicting depression in patients following CABG surgery.
UNASSIGNED: This cross-sectional study was conducted with data collected between January and April 2024. A total of 272 post-CABG patients from two super tertiary care hospitals in Bangkok, Thailand, were recruited through purposive sampling. All research instruments were validated and tested for reliability. Data were analyzed using multiple regression analysis.
UNASSIGNED: The study found that
hope, optimism, illness perception, social support, and anxiety were correlated with depression (adjusted R² = 0.381), but these variables explained only 38.1% of the variance (p <0.05). Among these factors, anxiety (β = 0.311), optimism (β = 0.203), social support (β = -0.117), and illness perception (β = -0.143) were significant predictors (p <0.05), while
hope was not a significant predictor. Thus, anxiety emerged as the most crucial predictor of depression in patients who have undergone CABG.
UNASSIGNED: Nurses play a vital role in preventing and managing depression in post-CABG patients. Screening for anxiety and addressing it can prevent depression, enhance social support, and improve outcomes. To develop effective nursing strategies, it is essential for nurses to assess anxiety and implement interventions that promote social support, optimism, and illness perception. These measures can improve care quality, reduce readmission rates, and enhance patients\' overall quality of life.