The Korean Journal of Rehabilitation Nursing (재활간호학회지)

Korean Academic Society of Rehabilitation Nursing (한국재활간호학회)
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Influential Factors on Quality of Recovery of Patients Undergone Cardiac Surgery

심장수술 환자의 회복의 질 영향 요인

  • Received : 2014.09.03
  • Accepted : 2014.11.26
  • Published : 2014.12.31
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Abstract

Purpose: The purpose of this study was to identify the quality of recovery and influential factors on the quality of recovery after cardiac surgery. Methods: 198 patients undergone cardiac surgery were asked to fill in a self-reported questionnaire about the quality of recovery, anxiety, depression including social support at discharge. The collected data were analyzed with mean, standard deviation, correlation and stepwised multiple regression. Results: The mean scores of quality of recovery at discharge after cardiac surgery was 2.04 on a 3 point scale. Influential factors on the quality of recovery after cardiac surgery were depression(p=.001) and anxiety(p=.027), which disclosed 44.2% of explanation. Depression was the most influential factor. Conclusion: The influential factors on the quality of recovery at discharge after cardiac surgery were depression and anxiety. More studies will be required to reduce depression and anxiety in patients undergone cardiac surgery.

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References

  1. Ajuzieogu, O. V., Amucheazi, A. O., Ezike, H. A., & Chinedu., N. (2011). Gender difference and quality of recovery after general anaesthesia. Internet Journal of Anesthesiology, 28(2), 1.
  2. Aldrich, K. M., Carrieri-Kohlman, V., Stotts, N., & Rollins, M.(2010). Quality of recovery in older adults following cardiac surgery. Communicating Nursing Research, 43, 327.
  3. Allvin, R., Ehnfors, M., Rawal N., Svenson, E., & Idvall, E.(2009). Development of a questionnaire to measure patient-reported postoperative recovery: Content validity and intra-patient reliability. Journal of Evaluation in Clinical Practice, 15, 411-419. https://doi.org/10.1111/j.1365-2753.2008.01027.x
  4. Burton, C., Simpson, C., & Anderson, N.(2013). Diagnosis and treatment of depression following routine screening in patients with coronary heart disease or diabetes: A database cohort study. Psychological Medicine, 43(3), 529-37. https://doi.org/10.1017/S0033291712001481
  5. Cohen, J.(1992). A power primer. Psychological Bulletin, 112, 155-159. https://doi.org/10.1037/0033-2909.112.1.155
  6. Hodgson, N. A., & Given, C. W.(2004). Determinants of functional recovery in older adult surgically treated for cancer. Cancer Nursing, 27(1), 10-16. https://doi.org/10.1097/00002820-200401000-00002
  7. Jeon, G. G., & Lee, M. G.(1992). Study on Korean CES-D development. Korean Journal of Psychology, 11(1), 65-76.
  8. Kelly, M. A., & McKinley, S.(2010). Patients' recovery after critical illness at early follow-up. Journal of Clinical Nursing, 19, 691-700. https://doi.org/10.1111/j.1365-2702.2009.03117.x
  9. Kim, J. T., & Sin, D. G.(1978). A study on Korean standadization of STAI. Latest Medicine, 21(11), 69-75.
  10. Lee, B. S.(2009). A study on self-esteem and social support and quality of life in ostomates. Unpublished master's thesis, Ewha Womans University, Seoul.
  11. Lee, S. S., Kim, Y. T., Moon, S. M., Hyun, K. Y., Kim, D. S., & Choi, S. C.(2008). Influencing factors on patient recovery after cardiac surgery used cardio-pulmonary bypass. Korean Journal of Life Science, 18(11), 1493-1498. https://doi.org/10.5352/JLS.2008.18.11.1493
  12. Locke, B. A., & Putman, P.(1971). Center for epidemiological studies depression scale(CE S-D). Washington, DC: Epidemiology and Psychopathology Research Branch, Public Health Service, National Institutes of Mental Health.
  13. McIntosh, S., & Adams, J.(2011). Anxiety and quality of recovery in day surgery: A questionnaire study using hospital anxiety and depression scale and quality of recovery score. International Journal of Nursing Practice, 17, 85-92. https://doi.org/10.1111/j.1440-172X.2010.01910.x
  14. Morris, S. M.(1998). Recovering from coronary artery bypass graft surgery: do depression, optimism, and coping predict quality of recovery? Unpublished doctoral dissertation, University of California, San Francisco, USA.
  15. Mottram, A.(2010). "Like a trip to McDonalds": A grounded theory study of patient experiences of day surgery. International Journal of Nursing Studies, 48(2), 165-174
  16. Oh, S. S.(2011). Cardiac surgery: Artificial heart valve. Seoul: Korea Medical Book.
  17. Ottenbacher, M. E.(2008). Relationship of psychological wellbeing and activities of daily living in older adults following hospitalization: A secondary analysis. University of Texas Medical Branch Graduate School of Biomedical Sciences.
  18. Park, G. Y.(2008). Post cardiac surgery management for residents and nurses. Seoul: Korea Medical Book Publisher.
  19. Pitak-Arnnop, P., & Pausch, N. C.(2011). Female and older adult patients (age$\succeq$21years) had slower recovery after third-molar surgery compared with males and younger adults in a US Study. Journal of Evidence-Based Dental Practice, 11(4), 196-199. https://doi.org/10.1016/j.jebdp.2011.09.014
  20. Radloff, L. S.(1977). A self report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306
  21. Spielberger, C. D.(1972). Anxiety as an emotional state: Current trend in inventory. Palo Alto, California: Consulting Psycologist Press.
  22. Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E.(1983). Manual for the state-trait anxiety inventory. Palo Alto, California: Consulting Psychologist Press
  23. Szczepanska-Gieracha, J., Morka, J., Kowalska, J., Kustrzycki, W., & Rymaszewska, J.(2012). The role of depressive and anxiety symptoms in the evaluation of cardiac rehabilitation efficacy after coronary artery bypass grafting surgery. European Journal of Cardio-Thoracic Surgery, 42(5), e108-114. https://doi.org/10.1093/ejcts/ezs463
  24. The Korean Doctor's Association for Thoracic and Cardiovascular Surgery.(2011). 2011 AHD Total. Retrieved November 11, 2014, from http://www.ktcvs.or.kr
  25. Vaghadia, H., Lennox, P., & Lee, P.(2011). Relevance of the postoperative quality recovery score to discharge readiness. Anesthesiology, 114, 1243-55.
  26. Vila, V. S., Rossi, L. A., & Costa, M. C.(2008). Heart disease experience of adults undergoing coronary artery bypass grafting surgery. Revista Portuguesa de Saude Publica, 42(4), 750-756. https://doi.org/10.1590/S0034-89102008000400023
  27. Welke, K. F., Stevens, J. P., Schults, W. C., Nelson, E. C., Beggs, V. L., & Nugent, W. C.(2003). Patient characteristics can predict improvement in functional health after elective coronary artery bypass grafting. Annals of Thoracic Surgery, 75(6), 1849-1855. https://doi.org/10.1016/S0003-4975(03)00019-5
  28. World Health Organization.(2000). The Asia-Pacific perspective: redefining obesity and its treatment. The International Association for the Study of Obesity, and The International Obesity Task Force. Sydney: Health Communications Australia Pty Limited.
  29. Zalon, M. L.(2004). Correlates of recovery among older adults after major abdominal surgery. Nursing Research, 53(2), 99-106. https://doi.org/10.1097/00006199-200403000-00005
  30. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K.(1988) The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30-41. https://doi.org/10.1207/s15327752jpa5201_2

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