Despite good physiologic outcomes, coronary artery surgery was associated with poor psychosocial adaptation at 1-2 years, with 83% of patients unemployed and 57% sexually impaired.
Cohort (n=30)
What are the psychosocial outcomes and preoperative factors associated with adaptation 1-2 years after coronary artery surgery?
Despite good physiologic outcomes, patients undergoing coronary artery surgery may experience poor psychosocial adaptation, particularly if preoperative symptoms lasted 8 months or longer.
To describe psychosocial adaptation after coronary artery surgery and to identify preoperative factors associated with good outcome, the authors interviewed 30 patients before and 1--2 years after surgery. Despite good physiologic outcome (as measured by treadmill and cardiac function) this sample was found to be functioning poorly. Eighty-three percent were unemployed, and 57% were sexually impaired. A preoperative duration of symptoms of eight months or more was associated with significantly worse postoperative overall adaptation. Most patients who had suffered angina eight months or longer evidenced a damaged self-concept, which was reinforced rather than repaired by the experience of surgery.
Gundle et al. (Mon,) conducted a cohort in Coronary artery disease requiring surgery (n=30). Coronary artery surgery was evaluated on Psychosocial adaptation. Despite good physiologic outcomes, coronary artery surgery was associated with poor psychosocial adaptation at 1-2 years, with 83% of patients unemployed and 57% sexually impaired.
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