A study to assess neuro-cognitive performance and coping styles among patients undergoing Coronary Artery Bypass Graft (CABG) surgery
Background: Neuropsychological impairment is another common complication of coronary artery bypass graft (CABG) surgery, and the incidence of these deficits ranges from 25% - 80%. Emotional states such as depression and anxiety can influence neuro-psychological test performance. Postoperative cognit...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2016-01-01
|
| Series: | Archives of Mental Health |
| Subjects: | |
| Online Access: | http://www.amhonline.org/article.asp?issn=2589-9171;year=2016;volume=17;issue=1;spage=78;epage=82;aulast=Lakshmi;type=0 |
| _version_ | 1828840597148925952 |
|---|---|
| author | Bhagya M Lakshmi Lokeswara P Reddy B V Ramana Abha Chandra B Vengamma |
| author_facet | Bhagya M Lakshmi Lokeswara P Reddy B V Ramana Abha Chandra B Vengamma |
| author_sort | Bhagya M Lakshmi |
| collection | DOAJ |
| description | Background: Neuropsychological impairment is another common complication of coronary artery bypass graft (CABG) surgery, and the incidence of these deficits ranges from 25% - 80%. Emotional states such as depression and anxiety can influence neuro-psychological test performance. Postoperative cognitive dysfunction has been linked to the presence of delirium and occurs transiently in the majority of cardiac surgical patients. Coping is perceived as a cognitive approach, and the coping strategy is a product of the individual's appraisal.
Aims: To assess the neuro cognitive performance and coping styles among patients undergoing coronary artery bypass graft (CABG) surgery. The tools used in this study were Addenbrook's Cognitive Performance Scale and Briefs Coping Inventory.
Results: The average of 95 (96%) of patients had mild cognitive impairment and only 4 (4%) had normal cognitive performance preoperatively. 80 (80.8%) were shown mild cognitive impairment and only 19 (19.1%) were shown normal cognitive performance post operatively. 52 (52.5%) of the patients with coronary bypass graft surgery used moderate adaptive coping styles, 40 (40.4%) were used maladaptive coping styles and 7 (7.1%) of patients used adaptive coping styles preoperatively. 30(30.3%) of the patients showed maladaptive coping styles, 55(55.5%) of the patients showed moderate adaptive coping styles, and only 14 (14.1%) showed adaptive coping styles postoperatively. There was statistically significant association between the coping styles of CABG patients with their comorbid conditions ( P=0.042 at P=0.05 level) and there was no statistically significant association with other demographic variables.
Conclusion: The present study indicated that patients with mild cognitive impairment could be at risk for sustained feelings of depression after surgery. Most of the patients need psychological support and understanding of the procedure and life style modifications after surgery. |
| first_indexed | 2024-12-12T19:44:53Z |
| format | Article |
| id | doaj.art-39993d5b893e4fbd95a63622064b78cf |
| institution | Directory Open Access Journal |
| issn | 2589-9171 2589-918X |
| language | English |
| last_indexed | 2024-12-12T19:44:53Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Archives of Mental Health |
| spelling | doaj.art-39993d5b893e4fbd95a63622064b78cf2022-12-22T00:14:06ZengWolters Kluwer Medknow PublicationsArchives of Mental Health2589-91712589-918X2016-01-011717882A study to assess neuro-cognitive performance and coping styles among patients undergoing Coronary Artery Bypass Graft (CABG) surgeryBhagya M LakshmiLokeswara P ReddyB V RamanaAbha ChandraB VengammaBackground: Neuropsychological impairment is another common complication of coronary artery bypass graft (CABG) surgery, and the incidence of these deficits ranges from 25% - 80%. Emotional states such as depression and anxiety can influence neuro-psychological test performance. Postoperative cognitive dysfunction has been linked to the presence of delirium and occurs transiently in the majority of cardiac surgical patients. Coping is perceived as a cognitive approach, and the coping strategy is a product of the individual's appraisal. Aims: To assess the neuro cognitive performance and coping styles among patients undergoing coronary artery bypass graft (CABG) surgery. The tools used in this study were Addenbrook's Cognitive Performance Scale and Briefs Coping Inventory. Results: The average of 95 (96%) of patients had mild cognitive impairment and only 4 (4%) had normal cognitive performance preoperatively. 80 (80.8%) were shown mild cognitive impairment and only 19 (19.1%) were shown normal cognitive performance post operatively. 52 (52.5%) of the patients with coronary bypass graft surgery used moderate adaptive coping styles, 40 (40.4%) were used maladaptive coping styles and 7 (7.1%) of patients used adaptive coping styles preoperatively. 30(30.3%) of the patients showed maladaptive coping styles, 55(55.5%) of the patients showed moderate adaptive coping styles, and only 14 (14.1%) showed adaptive coping styles postoperatively. There was statistically significant association between the coping styles of CABG patients with their comorbid conditions ( P=0.042 at P=0.05 level) and there was no statistically significant association with other demographic variables. Conclusion: The present study indicated that patients with mild cognitive impairment could be at risk for sustained feelings of depression after surgery. Most of the patients need psychological support and understanding of the procedure and life style modifications after surgery.http://www.amhonline.org/article.asp?issn=2589-9171;year=2016;volume=17;issue=1;spage=78;epage=82;aulast=Lakshmi;type=0neuro cognitive performancecoping stylescabg |
| spellingShingle | Bhagya M Lakshmi Lokeswara P Reddy B V Ramana Abha Chandra B Vengamma A study to assess neuro-cognitive performance and coping styles among patients undergoing Coronary Artery Bypass Graft (CABG) surgery Archives of Mental Health neuro cognitive performance coping styles cabg |
| title | A study to assess neuro-cognitive performance and coping styles among patients undergoing Coronary Artery Bypass Graft (CABG) surgery |
| title_full | A study to assess neuro-cognitive performance and coping styles among patients undergoing Coronary Artery Bypass Graft (CABG) surgery |
| title_fullStr | A study to assess neuro-cognitive performance and coping styles among patients undergoing Coronary Artery Bypass Graft (CABG) surgery |
| title_full_unstemmed | A study to assess neuro-cognitive performance and coping styles among patients undergoing Coronary Artery Bypass Graft (CABG) surgery |
| title_short | A study to assess neuro-cognitive performance and coping styles among patients undergoing Coronary Artery Bypass Graft (CABG) surgery |
| title_sort | study to assess neuro cognitive performance and coping styles among patients undergoing coronary artery bypass graft cabg surgery |
| topic | neuro cognitive performance coping styles cabg |
| url | http://www.amhonline.org/article.asp?issn=2589-9171;year=2016;volume=17;issue=1;spage=78;epage=82;aulast=Lakshmi;type=0 |
| work_keys_str_mv | AT bhagyamlakshmi astudytoassessneurocognitiveperformanceandcopingstylesamongpatientsundergoingcoronaryarterybypassgraftcabgsurgery AT lokeswarapreddy astudytoassessneurocognitiveperformanceandcopingstylesamongpatientsundergoingcoronaryarterybypassgraftcabgsurgery AT bvramana astudytoassessneurocognitiveperformanceandcopingstylesamongpatientsundergoingcoronaryarterybypassgraftcabgsurgery AT abhachandra astudytoassessneurocognitiveperformanceandcopingstylesamongpatientsundergoingcoronaryarterybypassgraftcabgsurgery AT bvengamma astudytoassessneurocognitiveperformanceandcopingstylesamongpatientsundergoingcoronaryarterybypassgraftcabgsurgery AT bhagyamlakshmi studytoassessneurocognitiveperformanceandcopingstylesamongpatientsundergoingcoronaryarterybypassgraftcabgsurgery AT lokeswarapreddy studytoassessneurocognitiveperformanceandcopingstylesamongpatientsundergoingcoronaryarterybypassgraftcabgsurgery AT bvramana studytoassessneurocognitiveperformanceandcopingstylesamongpatientsundergoingcoronaryarterybypassgraftcabgsurgery AT abhachandra studytoassessneurocognitiveperformanceandcopingstylesamongpatientsundergoingcoronaryarterybypassgraftcabgsurgery AT bvengamma studytoassessneurocognitiveperformanceandcopingstylesamongpatientsundergoingcoronaryarterybypassgraftcabgsurgery |