Quality of life after coronary artery bypass grafting: evaluating the influence of preoperative physical and psychosocial functioning

J Psychosom Res. 2006 Jun;60(6):639-44. doi: 10.1016/j.jpsychores.2005.11.004.

Abstract

Objective: The aim of this study was to determine the influence of preoperative physical and psychosocial functioning on quality of life 1 and 6 months after coronary artery bypass grafting (CABG).

Methodology: The study used a prospective design. A total of 157 patients admitted for elective CABG in a Greek city hospital participated in the study.

Results: Results showed significant improvements in the quality of life of the patients after CABG [F(2, 95)=36.337; P<.001]. Structural equation modeling analyses showed that preoperative psychological distress was the only preoperative predictor of quality of life at 1 month (beta=-.22; P<.01) and at 6 months (beta=-.28; P<.001) after the operation.

Conclusion: Results highlight preoperative distress as a screening criterion to identify patients likely to benefit less from cardiac surgery.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Anxiety / diagnosis
  • Anxiety / psychology
  • Coronary Artery Bypass / psychology*
  • Depression / diagnosis
  • Depression / psychology
  • Female
  • Follow-Up Studies
  • Greece
  • Health Status Indicators*
  • Humans
  • Male
  • Middle Aged
  • Personality Inventory / statistics & numerical data
  • Prognosis
  • Psychometrics
  • Quality of Life / psychology*
  • Sick Role*
  • Stress, Psychological / complications*
  • Stress, Psychological / diagnosis