Modification of the Coping and the Emotional Comorbidity in Patients Candidates to Cardiac Surgery — Oak Academic Publishing
Research ArticleOpen AccessGoogle Scholar indexed
Modification of the Coping and the Emotional Comorbidity in Patients Candidates to Cardiac Surgery
Psychology Faculty, FES Zaragoza UNAM, México
,
Psychology Faculty, FES Zaragoza UNAM, México
,
Psychology Faculty, FES Zaragoza UNAM, México
,
Psychology Faculty, FES Zaragoza UNAM, México
,
Psychology Faculty, FES Zaragoza UNAM, México
,
Division Cardiothoracic Surgery, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico
1 Psychology Faculty, FES Zaragoza UNAM, México
2 Psychology Faculty, FES Zaragoza UNAM, México
3 Psychology Faculty, FES Zaragoza UNAM, México
4 Psychology Faculty, FES Zaragoza UNAM, México
5 Psychology Faculty, FES Zaragoza UNAM, México
6 Division Cardiothoracic Surgery, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico
Objective : To evaluate the effectiveness of a program of psychological preparation for invasive procedures in patients with heart disease, candidates for cardiac surgery, to reduce emotional morbidity and improve perception of health related quality of life. Methods : A Quasi-experimental design was used. The study included a non-probabilistic randomized sample of 110 patients treated in the Division of Cardiac Surgery Centro Medico Nacional Siglo XXI Instituto Mexicano del Seguro Social IMSS. They were divided in two groups: Experimental group (n = 44) and Control group (n = 66). Instruments : CHIP Coping Questionnaire, HADS Anxiety and Depression Hospital Scale, Health Related Quality of Life Questionnaire and a Visual Analogue Scale (VAS) to measure postoperative pain. Results : The experimental group showed an increase in instrumental coping style compared to pre (M = 24.55) and post evaluation (M = 25.93); statistically significant differences were found in the variables of stress ( p = 0.042), anxiety ( p = 0.001), depression ( p = 0.056) and health related quality of life ( p = 0.000); while in the control group, the distraction coping style (pre M = 25.80, post M = 26.73) is the one that increased; there were no statistically significant differences in the variables stress ( p = 0.274), anxiety ( p = 0.671) and depression ( p = 0.850), except for the health related quality of life ( p = 0.000). This study is the first in Mexico to manage emotional comorbidity in this type of population.
Achury, D., Rodríguez, S. M., Agudelo, L. A., Hoyos, J. R., & Acuña, J. A. (2011). Quality of Life of the Patient with Cardiovascular Disease Attending the Cardiac Rehabilitation Program. Nursing Research: Image and Development, 13, 49-74.
Alcedo, J., & Angulo, J. (2015). Protective Factors, Healthy Lifestyles and Cardiovascular Risk. Psychology and Health, 25, 57-71.
Barrantes, M. (2010). Factors Associated with Quality of Life Related to Health in Patients with Coronary Heart Disease and Diabetes Mellitus. Medical Journal Herediana, 21.
Borregaard, B., Ekholm, O., Riber, L., Sørensen, J., Møller, J. E., Thrysoe, L., & Berg, S. K. (2018). Patient-Reported Outcomes after Aortic and Mitral Valve Surgery-Results from the DenHeart Study. European Journal of Cardiovascular Nursing, 17, 246-254. https://doi.org/10.1177/1474515117731391
Bradt, J., Dileo, C., & Shim, M. (2013). Interventions with Music for Preoperative Anxiety. Cochrane Database of Systematic Reviews, 6. https://doi.org/10.1002/14651858.CD006908.pub2
Bringas, S., Krikorian, A., Hernando, F., Rodríguez, O., Jarabo, J. R., Fernández, E., & Balibrea, J. L. (2006). Protocol of Psychosocial Intervention in Cancer Patients Undergoing Thoracic Surgery. Psycho-Oncology, 3, 407.
Cárdenas, A., Quiroga, C., Restrepo, M., & Cortés, D. (2005). Hysterectomy and Anxiety: Comparative Study between Two Types of Pre-Surgical Psychological Preparation. Colombian Journal of Obstetrics and Gynecology, 56, 209-215.
Carneiro, A., Telles, L., Rassi, A., Siquiera, N. et al. (2009). Evaluation of Preparatory Anxiety and Depression in Patients Undergoing Invasive Cardiac Procedures. Brazilian Journal of Anesthesiology, 59, 431-438. https://doi.org/10.1590/S0034-70942009000400005
Castillero, A. Y. (2007). Psychological Intervention in Heart Care Surgery. Advances in Latin American Psychology, 25, 52-63.
Crandall, W. V., Halterman, T. E., & Mckner, L. M. (2007). Anxiety and Pain Symptoms in Children with Inflammatory Bowel Disease and Functional Gastrointestinal Disorders Ornder Going Colonoscopy. Journal of Pediatric Gastroenterology and Nutrition, 44, 63-67. https://doi.org/10.1097/01.mpg.0000239733.79487.1e
De La Paz, C., Prego, C., & Barzaga, E. (2006). Fear and Anxiety at Anesthesia in Patients Undergoing Surgery. Anesthesiology Mexican Journal, 29, 159-162.
Endler, N. S., Parker, J. D., & Summerfeldt, L. J. (1998). Coping with Health Problems: Developing a Reliable and Valid Multidimensional Measure. Psychological Assessment Journal, 10, 195.
Escamilla, M. (2018). Preoperative Stress and Anxiety Can Delay Recovery. http://www.susmedicos.com/art_estres_preoperatorio.htm
Escudero, R. B. (2016). Psychological Profile of the Hospitalized Patient Who Is a Candidate for Coronary Revascularization Surgery. Bachelor Thesis, Mexico City: UNAM.
Fernández, J. A., Hernández, R., & Siegrist, J. (2001). The Quality of Life Profile for Chronic Patients (PECVEC): A Method to Assess Well-Being and Functionalism in Clinical Practice. Primary Care, 1, 680-689.
Figueroa-López, C., Alcocer Díaz-Barreiro, L., & Ramos Del Rio, B. (2016). Psychological Intervention to Modify Anxiety, Depression and Quality of Life in Patients with an Implantable Pacemaker. Psychology, 7, 373-381.
Figueroa-López, C., Mora-Osorio, R., & Ramos del Rio, B. (2017). Relationship between Preoperative Anxiety and Coping Strategies in Hospitalized Patients with Ischemic Heart Disease Candidates for Cardiac Bypass Slopes. Specialized Magazine in Health Sciences, 20, 5-9.
Gallardo, J. (2010). Postoperative Pain: Past, Present and Future. Revista Chilena de Anestesia, 39, 69-75.
García-Tornel, M. J., Cañas, A. C., Hernández, T. C., Ayala, J. M. C., Romero, J. M. C., Castillo, J. J. C., & Lucio, C. A. M. (2012). Cardiovascular Surgery. Definition, Organization, Activity, Standards and Recommendations. Cardiovascular Surgery, 19, 15-38.
Garrido, J. M., Canovas, S., Cuenca, J., Barquero, J. M., Silva, J., Araji, O. et al. (2017). Comprehensive Approach to Aortic Valve Disease. Transcatheter Aortic Valve Implant. Position and Recommendations of the Spanish Society of Thoracic and Cardiovascular Surgery. Cardiovascular Surgery, 25, 102-111.
Gómez, P. M., Gómez, P. C., & Mirabete, R. I. (2016). Creation and Validation of an Instrument for the Assessment of Cardiac Ischemic Pain. Nursing in Cardiology, 23, 45-52.
Gómez, P., Monsalve, V., Soriano, J. F., & De Andrés, J. (2007). Emotional Alterations and Psychological Needs of Patients in an Intensive Care Unit. Intensive Care Medicine, 31, 318-325.
Hernández, A. I., López, A. J., & Guzmán, J. A. (2016). Level of Anxiety and Preoperative Information in Patients Scheduled for Surgery. A Descriptive Cross-Sectional Study. Medical Record Group Angeles, 14, 6-11.
Hweidi, I. M., Gharaibeh, B. A., Al-Obeisat, S. M., & Al-Smadi, A. M. (2017). Prevalence of Depression and Its Associated Factors in Patients Post-Coronary Artery Bypass Graft Surgery. Journal of Research in Nursing, 23, 76-88. https://doi.org/10.1177/1744987117728314
Larringa, V., & Hernández, E. (2016). Psychosocial Factors Related to Cardiovascular Diseases and Cardiac Surgery. Missing Magazine, 22.
Lazarus, R. S., & Folkman, S. (1986). Stress and Cognitive Processes. Barcelona: Martínez Roca.
Lemos, M., Agudelo, D., Arango, J., & Rogers, H. (2013). Quality of Life in Patients with Cardiovascular Disease: Analysis of Trajectory by Sex and Depressive Symptoms. National Journal of Public Health, 31, 110-116.
Leventhal, H., Nerenz, D. R., & Steel, D. S. (1984). Illness Representations and Coping with Health Threats. In A. Baum, S. E. Taylor, & J. E. Singer (Eds.), Handbook of Psychology and Health, Volume IV: Social Psychological Aspects of Health (pp. 219-252). Hillsdale, NJ: Erlbaum.
Londoño, C., & Velasco, M. (2015). Coping Style, Dispositional Optimism, Depression, Body Image, BMI and Risk of Eating Disorders as Predictors of Quality of Life Related to Health. Psychology: Advances in the Discipline, 9, 35-47.
López, J. M. (2016). Intervention Problem Solving to Reduce Emotional Comorbidity in Post-Operated Patients of Coronary Revascularization. Bachelor Thesis, Mexico City: UNAM.
Miguel, J. (2016). Efficacy of Psychoeducation to Modify Anxiety, Depression and Perception of Control in Hospitalized Patients with Ischemic Heart Disease. Bachelor Thesis, Mexico City: UNAM.
Montero, I., & León, O. (2005). Classification System of the Method in the Research Reports in Psychology. International Journal of Clinical and Health Psychology, 5, 115-127.
Muñoz, F., Salmerón, J., Santiago, J., & Marcote, C. (2001). Complications of Postoperative Pain. Revista de la Sociedad Española del Dolor, 8, 194-211.
Nekouei, Z. K., Yousefy, A., Doost, H. T. N., Manshaee, G., & Sadeghei, M. (2014). Structural Model of Psychological Risk and Protective Factors Affecting Quality of Life in Patients with Coronary Heart Disease: A Psychocardiology Model. Journal of Research in Medical Sciences, 19, 90.
Norlund, F., Lissåker, C., Wallert, J., Held, C., & Olsson, E. M. (2018). Factors Associated with Emotional Distress in Patients with Myocardial Infarction: Results from the SWEDEHEART Registry. European Journal of Preventive Cardiology, 25, 910-920. https://doi.org/10.1177/2047487318770510
Patron, E., Messerotti, S., & Palomba, D. (2014). Persistent Depression after Cardiac Surgery: A Three Months Follow-Up Study. Psychosomatics, 55, 261-271. https://doi.org/10.1016/j.psym.2013.12.011
Pérez, H. (2007). Anxiety and Concerns of the Child and Adolescent before Surgery. Specialty Thesis, Mexico City: UNAM.
Pirraglia, P., Peterson, J., Williams, P., Gorki, L., & Charlson, M. (1999). Depressive Symptomatology in Coronary Artery Bypass Graft Surgery Patients. International Journal of Geriatric Psychiatry, 14, 668-680. https://doi.org/10.1002/(SICI)1099-1166(199908)14:8 3.0.CO;2-9
Ramos, B., Figueroa, C., Alcocer, L., & Rincon, S. (2011). Validation of the Quality of Life Questionnaire Related to Health in Patients with Heart Failure. In-Keys of Thought, 5, 173-189.
Rodríguez, G. (2000). Preparation of Patients for Invasive and Surgical Medical Procedures. Cognitive and Behavioral Aspects. Mexico: Miguel ángel Porrúa.
Rothenhäusler, H., Ehrentraut, S., Kapfhammer, H., Lang, C., Zachoval, R., Bilzer, M., Schelling, G., & Gerbes, A. L. (2002). Psychiatric and Psychosocial Outcome of Orthotopic Liver Transplantation. Psychotherapy and Psychosomatics, 5, 285-297. https://doi.org/10.1159/000064811
Rozanski, A., Blumenthal, J. A., Davidson, K. W., Saab, P. G., & Kubzansky, L. (2005). The Epidemiology, Pathophysiology and Management of Psychosocial Risk Factors in Cardiac Practice: The Emerging Field of Behavioral Cardiology. Journal of the American College of Cardiology, 45, 637-651. https://doi.org/10.1016/j.jacc.2004.12.005
Sánchez-Román, S., Velasco-Furlong, L., Rodríguez-Carvajal, R., & Baranda-Sepúlveda, J. (2006). Efficacy of a Cognitive-Behavioral Program for the Reduction of Anxiety in Medically Ill Patients. Revista de Investigacion Clinica, 58, 540-546.
Sandrino, V. L., Meléndez, E. H., Mederosm, D. H., & Carracedo, I. C. (2016). Sociodemographic Characteristics and Negative Emotional States in Patients with Cardiovascular Disease with Surgical Indication. Revista de Enfermedades Cardiovasculares, 8, 164-172.
Snaith, R. P. (2003). The Hospital to Anxiety and Depression Scale. Health and Quality of Life Outcomes, 1, 1-4. https://doi.org/10.1186/1477-7525-1-29
Sobieralska, K., Rydygier, L., Copernicus, P., Copernicus, N., Michalak, M., Wielki, K. et al. (2015). Stress Associated with Orthopedic Surgery and Feeling Pain. In A. Rosiek, & K. Leksowski (Eds.), Organizational, Culture and Ethics in Modern Medicine (pp. 372-394). Poland: Medical Information Science.
Soler, E., Faus, M. T., Montaner, M. C., Faus, R., Morales, F., & Martínez-Pons, C. (1999). Postoperative Pain: Prevalence Characteristics and Pharmacotherapy during the First Day in a Hospital. Pharmacoepidemiology and Drug Safety, 8, 179-188.
Vallejos, J., & Obergorn, S. (2017). Resilience and Coping Styles in Cardiovascular Patients in a Hospital Es. Salud of Lima. Psyche Magazine, 6, 211-218.
Vilchis, A., Secín, R., López, A., & Córdova, V. (2010). Frequency of Anxiety and Depression in Adult Patients in the Emergency Room of a General Non-Governmental Hospital and Identification by the Emergency Doctor. Medical Internships in Mexico, 26, 5-10.
Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x