Perkütan Koroner Girişim (PCI) ve Koroner Arter Bypass Greftleme (CABG) Hastalarında Kardiyak Rehabilitasyonun Anksiyete ve Depresyon Üzerine Etkisi

Öz

Amaç: Bu çalışmada, Kardiyak Rehabilitasyon (CR) programının Perkütan Koroner Girişim (PKG) ve Koroner Arter Bypass Greftleme (KABG) uygulanan hastalarda anksiyete ve depresyon üzerindeki etkilerini ve anksiyete ve depresyon belirtilerinin değişimini araştırmayı amaçladık. Yöntemler: Bu retrospektif takip çalışmasında, PKG uygulanan 27 hasta ve KABG uygulanan 16 hasta CR programına kabul edildi. Hastalarda, depresyon belirtilerinin şiddetini belirlemek için Beck Depresyon Envanteri (BDE) kullanıldı; Durumsal ve Sürekli Kaygı Envanteri (STAI I-II) kullanıldı. Bulgular: Hem PKG hem de KABG hastalarında BDE ve STAI I-II skorları arasında istatistiksel anlamlılık bulundu (PKG için sırasıyla <0.001, 0.002 ve 0.006, KABG için <0.001, 0.001 ve 0.015). İki hasta grubunda BDE skorları ile STAI I-II skorları arasında istatistiksel olarak anlamlı fark vardı (p = 0,033). Ancak, STAI I ve STAI II skorları arasında istatistiksel olarak anlamlı bir fark yoktu (p = 0,378 ve 0,361). Sonuç: Bu çalışmanın sonuçları, KABG ve PKG uygulanan hastalarda CR'nin depresyon ve anksiyete belirtilerinde faydalı olduğunu göstermektedir. Öte yandan, KABG hastaları depresif belirtiler açısından görece daha fazla fayda görmektedir. Bulgularımızı desteklemek için daha büyük örneklem büyüklüğüne sahip ileriye dönük ve kontrollü çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• Anksiyete
• depresyon
• kardiyak rehabilitasyon
• koroner arter baypas greftleme
• perkütan koroner girişim

The effect of cardiac rehabilitation on anxiety and depression in percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) patients

Abstract

Background/Aim: It is well-known that Cardiac Rehabilitation (CR) brings about a marked improvement in depression and anxiety. As far as we know, there are no studies that research the effect of CR, Percutaneous Coronary Intervention (PCI), and Coronary Artery Bypass Grafting (CABG) on anxiety and depression. This study aimed to investigate the effects of the CR program on anxiety and depression and the change of anxiety and depression symptoms in patients who underwent PCI and CABG. Methods: This cross-sectional study included 27 patients with PCI and 16 patients who had undergone CABG admitted to the CR program. The Beck Depression Inventory (BDI) was used to determine the severity of depression symptoms, and the Situational and Trait Anxiety Inventory (STAI I-II) were used. Results: After CR, the BDI, STAI-1, and STAI-2 significantly decreased in both the PCI (P<0.001, P=0.002, and P=0.006, respectively) and CABG groups (P<0.001, P=0.001, and P=0.015, respectively) compared to before CR. The change in BDI was higher in the CABG group (P=0.033), while there were no significant differences between the changes in STAI-1 and STAI-2 scores (P=0.378 and P=0.361). Conclusion: The results of this study demonstrate the CR benefits for depression and anxiety in patients undergoing CABG and PCI. On the other hand, CABG patients show relatively more benefit in terms of depressive symptoms. Prospective and controlled studies with larger sample sizes are needed to support our findings.

Keywords

• Anxiety
• Depression
• Cardiac rehabilitation
• Coronary artery bypass grafting
• Percutaneous coronary intervention

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