Relationship Between Preoperative Anxiety and Atrial Fibrillation After Coronary Artery Bypass Graft Surgery

Semiha ALKAN KAYHAN ； Ebru GÜNER ； Muhammet Onur HANEDAN ； Esengül TOPAL ÇOLAK ； İlker MATARACI

《The Journal of Nursing Research》 30卷1期 (2022/02) Pp. 1-8

https://doi.org/10.1097/jnr.0000000000000473

摘要

Background: Atrial fibrillation is a form of arrhythmia that frequently occurs after coronary artery bypass graft surgery. Psychological factors may be involved in the development of atrial fibrillation, although the specific effect of anxiety remains unclear. Purpose: This study was designed to evaluate the relationship between preoperative anxiety levels and atrial fibrillation after coronary artery bypass graft surgery. Methods: This descriptive design study recruited a sample of 126 patients. The data were collected by the researcher using a patient information form and the State-Trait Anxiety Scale. Results: Atrial fibrillation developed in 26.5% of the sample. Those who developed atrial fibrillation had a mean trait anxiety scale score of 40.2 ± 7.8, which is statistically significant. According to the results of logistic regression, it was observed that increased trait anxiety score, increased age, presence of comorbid disease, and noncompliance with respiratory physiotherapy increased the risk of developing atrial fibrillation. Conclusion/Implications for Practice: Preoperative anxiety levels were shown to be a significant factor promoting the development of atrial fibrillation after coronary artery bypass graft surgery. The results support measuring anxiety levels in patients as a standard procedure before performing this surgical procedure.

關鍵字

atrial fibrillation ； anxiety ； coronary artery bypass

參考文獻

Patel, D., Mc Conkey, N. D., Sohaney, R., Mc Neil, A., Jedrzejczyk, A., & Armaganijan, L. (2013). A systematic review of depression and anxiety in patients with atrial fibrillation: The mindheart link. Cardiovascular Psychiatry and Neurology, 2013, Article ID 159850. https://doi.org/10.1155/2013/159850

Tsai, Y. T., Lai, C. H., Loh, S. H., Lin, C. Y., Lin, Y. C., Lee, C. Y., Ke, H. Y., & Tsai, C. S. (2015). Assessment of the risk factors and outcomes for postoperative atrial fibrillation patients undergoing isolated coronary artery bypass grafting. Acta Cardiologica Sinica, 31(5), 436–443. https://doi.org/10.6515/ACS20150609A

Dave, S., Nirgude, A., Gujjar, P., & Sharma, R. (2018). Incidence and risk factors for development of atrial fibrillation after cardiac surgery under cardiopulmonary bypass. Indian Journal of Anaesthesia, 62(11), 887–891. https://doi.org/10.4103/ija.IJA_6_18

Feng, T., Malmo, V., Laugsand, L. E., Strand, L. B., Gustad, L. T., Ellekjær, H., Loennechen, J. P., Mukamal, K., & Janszky, I. (2020). Symptoms of anxiety and depression and risk of atrial fibrillation—The HUNT study. International Journal of Cardiology, 306, 95–100. https://doi.org/10.1016/j.ijcard.2019.11.107

Folla, C. O., Melo, C. C., & Silva, R. C. (2016). Predictive factors of atrial fibrillation after coronary artery bypass grafting. Einstein (São Paulo), 14(4), 480–485. https://doi.org/10.1590/S1679-45082016AO3673