Balaafkandeh A R, Paryad E, Ghanbari khanghah A, Kazemnezhad Leili E. Patients’ Cognitive Status and Its Related Factors Before Coronary Artery Bypasses Grafting. JHNM 2019; 29 (4) :184-191
URL:
http://hnmj.gums.ac.ir/article-1-831-en.html
1- Nursing (MSN), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
2- Instructor, GI Cancer Screening and Prevention Research Center (GCSPRC), Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. , eparyad@gmail.com
3- Associate Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
4- Associate Professor, Bio-Statistics, Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran.
Abstract: (2784 Views)
Introduction: Cognitive status of patients before Coronary Artery Bypass Grafting (CABG) affects their activities of daily living. Evaluation of cognition status and its related factors can help caregivers to plan suitable care programs.
Objective: This study aimed to evaluate the patient’s cognition status and its related factors before CABG.
Materials and Methods: This cross-sectional study was done in 2016 on 139 patients before CABG who were selected by convenience sampling method. The study data were collected by Cognition Failure Questionnaire (CFQ), Hospital Anxiety and Depression Scale (HADS), and a sociodemographic questionnaire. CFQ scores range from 0-100, and higher score shows the weaker status of cognition. The obtained data were analyzed by descriptive and inferential statistics of the Man-Whitney U test, the Chi-squared test, and logistic regression.
Results: The Mean±SD score of cognitive status of the samples was 12.92±12.73. The findings showed significant relationship between cognitive status and age (P=0.002) and anxiety (P<0.05). The results of logistic regression showed that age (P=0.020, OR =1.070, 95%CI=1.011-1.133), moderate anxiety (P=0.007, OR =6.067, 95%CI=1.62-22.60), and case of anxiety (P=0.001, OR=14.331, 95%CI=2.82-72.72) are the patients’ cognitive status predictors before CABG.
Conclusion: Based on the findings, age and preoperative anxiety are related to the cognitive status before CABG. These variables should be emphasized in preoperative nursing care in cardiac surgery wards.
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Highlights
● Coronary artery disease is one of the most common non-communicable diseases in the world.
● An ineffective circulatory system increases the likelihood of impaired cerebral blood supply.
● Patients undergoing coronary artery bypass graft surgery may have some degree of cognitive impairment.
● According to the results of this study, age was the most critical factor related to cognitive impairment in patients with coronary artery disease who were candidates for coronary artery bypass grafting.
Plain Language Summary
Coronary artery disease is one of the most common diseases in the world. When the ability of the heart to supply blood to the body’s tissues decreases due to coronary artery disease, blood flow to the brain also reduces. These conditions may affect the patient’s brain function and hence, his or her cognitive ability. In this study, we attempted to identify the cognitive status of patients with coronary artery disease who were admitted for coronary artery bypass graft surgery. Given that many of these patients have other underlying conditions besides heart disease, each of these diseases may affect the occurrence of cognitive impairment. For this reason, this study intends to identify factors related to the patient’s current cognitive status in addition to determining their cognitive status. According to the results of this study, age and then the anxiety were the most critical factors related to cognitive status of these patients. According to this study results, more attention to elderly and anxious patients can help bring more successful treatment in these patients.
Article Type :
Research |
Subject:
Special Received: 2019/07/22 | Accepted: 2019/08/15 | Published: 2019/10/1