Investigation of depression and anxiety state after coronary artery bypass grafting and analysis of influential factors correlated

Abstract

Objective To investigate the incidence of depression and anxiety post-operation of coronary artery bypass grafting(CABG)and analysis the correlated factor.Methods 91 patients underwent scheduled CABG in the first hospital of Peking University from July 2005 to June 2006.The patients were interviewed to assess depression and anxiety symptoms using self-rating depression scale(SDS)and self-rating anxiety scale(SAS)before operation and before discharge.The patients were divided into depression and anxiety group and no depression and anxiety group according to with or without depression and anxiety.Demography characteristic,medical,surgical risk factors were assessed during suery.Results 89 patients completed evaluation.41 patients (46.1%)had depression and/or anxiety symptoms after CABG.Hyperlipemia(OR 3.958,95%CI 1.016～7.689),heart blood vesse]event(OR4.285,95%CI 1.051～6.175),depression and anxiety(OR 3.095,95%CI 0.783～2.426),cerebral infarction(OR 13.775,95%CI 2.805～8.207)before operation ale risk factors for depression and anxiety post surgery.Conclusion The incidence rate of depression and anxiety post CABG is hish and should be paid more attention.Hyperlipemia,heart blood vessel event,depression and anxiety,cerebral infarction before operation ale possible risk factors for depression and anxiety post smgery. Key words: Coronary artery bypass grafting; Depression; Anxiety