title: Fear and anxiety in patients at different time-points in the coronary artery bypass process.
abstract: The purpose of this study was to examine fear and anxiety of coronary artery bypass patients at different time-points in the coronary artery bypass process and changes between different time-points. Patients (n = 171) from one university hospital completed questionnaires while awaiting surgery at home, in hospital the evening before surgery and 3 months later. The Bypass Grafting Fear scale was developed to measure fear. Anxiety was measured using state-trait-anxiety inventory and HAD. The highest levels of fear and anxiety were measured in the waiting period to coronary artery bypass grafting (CABG). Compared with the waiting period, fear and anxiety levels dropped in hospital and 3 months later. Female gender was related to change in fear and HAD anxiety. Marital status and vocational education were related to changes in STATE-A. Age under 55 years was related to higher TRAIT-A especially in the recovery period. These findings warrant concern for fear and anxiety in patients awaiting CABG, especially women and patients who do not have partner relationship.
authors.affiliation: Department of Nursing Science, University of Tampere, FIN-33014, Tampere, Finland. numeko@uta.fi
authors.forename: Meeri
authors.initials: M
authors.lastname: Koivula
authors.forename: Marja-Terttu
authors.initials: MT
authors.lastname: Tarkka
authors.forename: Matti
authors.initials: M
authors.lastname: Tarkka
authors.forename: Pekka
authors.initials: P
authors.lastname: Laippala
authors.forename: Marita
authors.initials: M
authors.lastname: Paunonen-Ilmonen
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology* / Q000523:psychology; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000523:psychology* / Q000706:statistics & numerical data; D005239:Fear; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007297:Inpatients / Q000523:psychology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014850:Waiting Lists