The effect of cardiac rehabilitation on anxiety and depression in patients undergoing cardiac bypass graft surgery in Iran
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  • 作者：Farkhondeh Sharif (1) (6)
    Alireza Shoul (2)
    Mansour Janati (3)
    Javad Kojuri (4)
    Najaf Zare (5)
  • 关键词：Coronary artery bypass graft ; Anxiety ; Depression ; Rehabilitation
  • 刊名：BMC Cardiovascular Disorders
  • 出版年：2012
  • 出版时间：December 2012
  • 年：2012
  • 卷：12
  • 期：1
  • 全文大小：181KB
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    34. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2261/12/40/prepub
  • 作者单位：Farkhondeh Sharif (1) (6)
    Alireza Shoul (2)
    Mansour Janati (3)
    Javad Kojuri (4)
    Najaf Zare (5)

    1. Mental Health Nursing Department, Community Based Nursing & Midwifery Research Center, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
    6. Department of Psychiatric& Mental Health Nursing, Shiraz University of Medical Sciences, Shiraz, Iran
    2. Faghihi Hospital, Cardiac Surgery Unit, Shiraz University of Medical Sciences, Shiraz, Iran
    3. Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
    4. Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
    5. Department of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran
文摘
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--.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--.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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