Nursing staff assistance to patients with depression in the preoperative period of cardiovascular surgery
Keywords:
depression, preoperative, cardiovascular surgeryAbstract
Introduction: Proper nursing intervention can improve postoperative results by diminishing depression.
Objective: To develop a personalized nursing intervention in the preoperative of cardiovascular surgery.
Method: A pre-experimental study was conducted, including 88 people. The State Trait Depression Inventory test was applied to measure depression. A personalized nursing intervention was performed. The initial and final results were compared and expressed in absolute numbers, percentages and mean. The chi-square test (χ2) was applied to the qualitative variables and the student test for independent means to the quantitative variables (95 % confidence interval).
Results: Men were more common (57.9 % of all cases) with mean age of 57 years. After the intervention, depression was reduced by 27.3 % (p<0.001). No association was found between postoperative depression and hospital stay, although it significantly reduced postoperative complications (p=0.008).
Conclusions: The nursing intervention reduced depression and it was significantly associated with fewer complications.
References
1. Falk A, Kåhlin J, Nymark C, Hultgren R, Stenman M. Depression as a predictor of postoperative delirium after cardiac surgery: a systematic review and meta-analysis. Interact Cardiovasc Thorac Surg [Internet]. 2021 [acceso: 13/03/2023]; 32(3): 371-79. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8906754/pdf/ivaa277.pdf
2. Rodríguez T. Pautas del intervencionismo psicológico en el proceso de rehabilitación cardiovascular de pacientes con enfermedades coronarias. Psicología de la Salud [Internet]. 2020 [acceso: 13/03/2023]; 17 (5): [aprox. 15 p.]. Disponible en: http://www.psicologiacientifica.com/intervencionismo-psicologico-rehabilitacion-cardiovascular
3. Bianco F, Bucciarelli V, Gallina S. The association between cardiovascular diseases and depressive symptoms in adults: the classic "chicken or egg" causality. Pol Arch Intern Med [Internet]. 2021 [acceso: 13/03/2023]; 131 (6): 497-498. Disponible en: http://pamw.pl/en/node/16038/pdf
4. Castillo DE, Campos VNA, Moreno MT, et al. Estilos de afrontamiento, depresión, ansiedad, niveles de autoestima y riesgo cardiovascular en adolescentes obesos. Rev Cubana Cardiol Cir Cardiovasc [Internet]. 2019 [acceso: 13/03/2023]; 25 (1) [aprox 20 p]. Disponible en: https://www.medigraphic.com/pdfs/cubcar/ccc-2019/ccc191c.pdf
5. Júnior RF, Ramadan, ZBA, Pereira ANE, Wajngarten M. Depression with irritability in patients undergoing coronary artery bypass graft surgery: The cardiologist’s role [abstract]. General Hospital Psychiatry [Internet]. 2000 [acceso: 09/06/2021]; 22(5): 365–374. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0163834300000943
6. Francine H, Kiyoma R, Spadoti RA, Rodrigues AJ, Marosti CA. Asociaciones de los síntomas de ansiedad y depresión preoperatorios con complicaciones postoperatorias de cirugías cardiacas Rev. Latino-Am. Enfermagem [Internet]. 2018 [acceso:13/03/2023]; 26: e3107 Disponible en: https://www.scielo.br/j/rlae/a/4N4wSRTxdvTbrYSkyLLddDd/?format=pdf&lang=es
7. Stenman M, Holzmann MJ, Sartipy U. Association between preoperative depression and long-term survival following coronary artery bypass surgery – A systematic review and meta-analysis [Abstract]. Int J Cardiol [Internet]. 2016 [acceso: 13/03/2023]; 222: 462-466. Disponible en: https://www.internationaljournalofcardiology.com/article/S0167-5273(16)31611-4/fulltext
8. Blumenthal JA, Lett HS, Babyak MA, White W, Smith PK, Mark DB, Jones R, Mathew JP, Newman MF; NORG Investigators. Depression as a risk factor for mortality after coronary artery bypass surgery [Abstract]. Lancet [Internet]. 2003 [acceso: 13/03/2023]; 362 (9384): 604-9. Disponible en: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(03)14190-6/fulltext
9. Tigges-Limmer K, Sitzer M, Gummert J. Perioperative Psychological Interventions in Heart Surgery–Opportunities and Clinical Benefit. Dtsch Arzteb lInt [Internet]. 2021 [acceso:13/03/2023]; 118 (19): 339-345. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336642/pdf/Dtsch_Arztebl_Int-118_0339.pdf
10. Albus C, Waller C, Fritzsche K, Gunold H, Haass M, Hamann B, et al. Bedeutung von psychosozialenFaktoren in der Kardiologie–Update 2018. Positionspapier der Deutschen Gesellschaft für Kardiologie. Kardiologie [Internet]. 2018 [acceso: 13/03/2023]; 12: 312–31. Disponible en: https://leitlinien.dgk.org/files/2018_Positionspapier_Bedeutung_Psychosoziale_Faktoren_Kardiologie_Druckfassung_oWerbung.pdf
11. Loghmani L, Monfared MB. The effect of preoperative training on postoperative training on postoperative depression in patients undergoing open heart surgery. Electron J Gen Med [Internet]. 2018 [acceso: 13/03/2023]; 15 (3): 2-7. Disponible en: https://pdfs.semanticscholar.org/aaa6/4bf7225966f99d608198326ba69e6c1a30f7.pdf
12. WMA. Declaración de Helsinki de la Asociación Médica Mundial. Principios éticos para las investigaciones médicas en seres humanos. 64ª Asamblea General; 2013 octubre; Fortaleza, Brasil [acceso: 13/03/2023]. Disponible en: http://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
13. Piwoński J, Piwońska A, Zdrojewski T, Cicha-Mikołajczyk A, Rutkowski M, Bandosz P, et al. Association between cardiovascular diseases and depressive symptoms in adults. A pooled analysis of population-based surveys: WOBASZ, NATPOL 2011, and WOBASZ II. Pol Arch Intern Med [Internet]. 2021 [acceso: 13/03/2023]; 131 (6): 503-511.Disponible en: https://www.mp.pl/paim/issue/article/15945/
14. Caspi Avissar N, Grosman Rimon L, Gohari J, Arazi M, Granot D, Ghanim D, et al. Clinical, Surgical, and Sociopsychological Factors and Depression After Cardiothoracic Surgery. Ann Thorac Surg [Internet]. 2021 [acceso: 13/03/2023]; 111 (3): 1064-1070. Disponible en: https://www.annalsthoracicsurgery.org/action/showPdf?pii=S0003-4975%2820%2931185-1
15. Talavera AK, Vargas BI, Figueroa CG, García M, Meda RM. Intervención psicoeducativa para modificar ansiedad, depresión y calidad de vida en candidatos de revascularización coronaria. Psicología y Salud [Internet]. 2020 [acceso: 13/03/2023]; 30 (1): 59-71. Disponible en: https://psicologiaysalud.uv.mx/index.php/psicysalud/article/download/2618
16. Curcio N, Philpot L, Bennett M, Felius J, Powers MB, Edgerton J, et al. Anxiety, depression, and healthcare utilization 1 year after cardiac surgery. Am J Surg [Internet]. 2019 [acceso:13/03/2023]; 218 (2): 335-341. Disponible en: https://www.americanjournalofsurgery.com/article/S0002-9610(18)31389-8/fulltext
17. Richards SH, Anderson L, Jenkinson CE, Whalley B, Rees K, Davies P, et al. Psychological interventions for coronary heart disease. Cochrane Database Syst Rev [Internet] 2017 [acceso:13/03/2023]; 4(4): 1-165. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6478177/pdf/CD002902.pdf
18. Xue X, Wang P, Wang J, Li X, Peng F, Wang Z. Preoperative individualized education intervention reduces delirium after cardiac surgery: a randomized controlled study. J Thorac Dis [Internet]. 2020 [acceso: 13/03/2023]; 12 (5): 2188-2196. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330376/pdf/jtd-12-05-2188.pdf
19. Tavares E, da Costa PC, Vieira K, Muniz da Silva SM. Factores de riesgo para ansiedad y depresión en el periodo preoperatorio de cirugía cardiaca. Enf Global [Internet]. 2019 [acceso:13/03/2023]; 54: 426-440. Disponible en: https://revistas.um.es/eglobal/article/view/322041/258581
20. Flaherty LB, Wood T, Cheng A, Khan AR. Pre-existing psychological depression confers increased risk of adverse cardiovascular outcomes following cardiac surgery: A systematic review and meta-analysis. J Thorac Cardiovasc Surg [Internet]. 2017 [acceso: 13/03/2023]; 154 (5): 1578-1586. Disponible en: https://www.jtcvs.org/action/showPdf?pii=S0022-5223%2817%2931371-5
21. Salzmann S, Salzmann-Djufri M, Wilhelm M, Euteneuer F. Psychological Preparation for Cardiac Surgery. Curr Cardiol Rep [Internet]. 2020 [acceso: 13/03/2023]; 22 (12): 172. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7547964/pdf/11886_2020_Article_1424.pdf
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