Psychosocial outcome after coronary artery surgery.
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.
D000787:Angina Pectoris / Q000523:psychology; D001007:Anxiety / Q000523:psychology; D001026:Coronary Artery Bypass / Q000523:psychology*; D003327:Coronary Disease / Q000523:psychology; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010551:Personality; D012649:Self Concept; D012917:Social Adjustment