A Longitudinal Study of Functional Status and Correlates Following Coronary Artery Bypass Graft Surgery in Women

DiMattio, Mary Jane K.; Tulman, Lorraine

doi:10.1097/00006199-200303000-00006

Cited by 37 publications

(47 citation statements)

References 22 publications

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“…Other studies have noted an improvement in PHS postoperatively, but the measurement scales and time frames have varied. 17,38,39 Scores for the Role Physical subscale also showed a significant decrease postoperatively. Although one would expect that patients would have improved physical health after surgery, the timing of data collection may have affected these results.…”

Section: Depressionmentioning

confidence: 83%

Expectations, Anxiety, Depression, and Physical Health Status as Predictors of Recovery in Open-Heart Surgery Patients

Chunta

2009

Journal of Cardiovascular Nursing

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Statistical analysis revealed that anxiety (P = .002) and depression (P = .026) scores decreased postoperatively. Significant relationships were found among the preoperative and postoperative variables: expectations, anxiety, depression, and PHS. Analyses also found that preoperative expectations, anxiety, depression, and PHS contributed 38% of the variance of postoperative PHS (P < .001). However, the postoperative variables were not significant predictors of postoperative PHS (P = .075). The findings support the need for interventions to assist patients in developing realistic expectations and for clinicians to screen patients for anxiety and depression before and after surgery. Future research needs to measure PHS at various times postoperatively to identify continued limitations after surgery.

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Section: Depressionmentioning

confidence: 83%

Expectations, Anxiety, Depression, and Physical Health Status as Predictors of Recovery in Open-Heart Surgery Patients

Chunta

2009

Journal of Cardiovascular Nursing

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“…[2][3][4][5][6][7][8] The CSS was developed to meet the need for an instrument to measure the symptom experience in the postoperative CABG population. CABG surgery has evolved to a point in which individuals of any age and with other severe comorbidities are candidates for surgery, even at a time of decreased hospital stays.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Symptoms can continue to persist for even weeks after discharge. [2][3][4][5][6][7][8] Some symptoms (eg, incisional pain, fatigue, and poor appetite) are generally considered normal after CABG surgery. However, if these symptoms do not dissipate over time as expected, they may be indicative of actual or impending problems.…”

mentioning

confidence: 99%

Development and content validity testing of the Cardiac Symptom Survey in patients after coronary artery bypass grafting

et al. 2008

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“…Patterns of disability using this newer disability definition, difficulty with ADL and IADL, during the first 6 weeks of recovery after a cardiac event have found that 43% of older MI participants had substantial disability (van Jaarsveld, Sanderman, Miedema, Ranchor, & Kempen, 2001) and women after CABS do not completely recover their baseline function in personal care, household activity, volunteer work, and taking care of another (DiMattio & Tulman, 2003). Measurement of disability as difficulty has challenged previous findings.…”

Section: Patterns Of Disability After a Cardiac Eventmentioning

confidence: 99%

Older Adults' Early Disability Following a Cardiac Event

Dolansky

Moore

2007

West J Nurs Res

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Using the disablement model, the authors examined the following questions in adults 70 years of age and older during the 6 weeks following hospitalization for a cardiac event: (a) What are the patterns in physical performance, self-report of functional limitations, and disability, and (b) to what extent does physical performance in the hospital and self-report of functional limitations pre-event predict 6-week disability? Data were collected before discharge and 3 and 6 weeks later on a sample of 60 older adults after a cardiac event. Results show that although the majority of participants improved in their objective physical performance, 70% self-reported no improvement or worsening. Physical performance during hospitalization is a better predictor of disability than a pre-event self-report of functional limitations, even when controlling for depression, gender, and comorbidity. Assessment of objective physical performance prior to discharge will help to identify older adults at risk for progressive disability.

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A Longitudinal Study of Functional Status and Correlates Following Coronary Artery Bypass Graft Surgery in Women

Abstract: Information about recovery following coronary artery bypass graft, and particularly the finding that recovery is incomplete by 6 weeks, should be incorporated into discharge planning and follow-up for this patient population.

Cited by 37 publications

References 22 publications

Expectations, Anxiety, Depression, and Physical Health Status as Predictors of Recovery in Open-Heart Surgery Patients

Expectations, Anxiety, Depression, and Physical Health Status as Predictors of Recovery in Open-Heart Surgery Patients

Development and content validity testing of the Cardiac Symptom Survey in patients after coronary artery bypass grafting

Older Adults' Early Disability Following a Cardiac Event

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