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پیش بینی میزان موفقیت جراحی پیوند دورزننده عروق تاج مانند قلب بر اساس اضطراب، افسردگی، عوامل طبی و جمعیت شناختی | ||
| روانشناسی سلامت | ||
| مقاله 3، دوره 6، شماره 21، خرداد 1396، صفحه 29-51 اصل مقاله (828.11 K) | ||
| نوع مقاله: علمی- پژوهشی | ||
| نویسندگان | ||
| ناصر گودرزی1؛ وحید صادقی فیروزآبادی* 2؛ رضا رستمی3؛ عباس رحیمی نژاد4؛ محمد علی بشارت5؛ زهرا جهانگیری6؛ علی واشقانی فراهانی7؛ علیرضا علیزاده قویدل8؛ سعید ایمانی9 | ||
| 1استادیار دانشگاه علوم پزشکی آجا تهران | ||
| 2دکتری تخصصی روان شناسی سلامت، استادیار دانشگاه شهید بهشتی | ||
| 3دانشیار دانشگاه تهران | ||
| 4استادیار دانشگاه تهران | ||
| 5استاد تمام دانشگاه تهران | ||
| 6کارشناس ارشد روانشناسی بالینی، دانشگاه شاهد | ||
| 7دانشیار دانشگاه علوم پزشکی تهران، متخصص داخلی قلب و عروق مرکز آموزشی تحقیقاتی و درمانی قلب و عروق شهید رجایی | ||
| 8فوق تخصص جراحی قلب و عروق، مرکز آموزشی تحقیقاتی و درمانی قلب و عروق شهید رجایی، دانشگاه علوم پزشکی ایران | ||
| 9دکتری تخصصی روان شناسی بالینی، استادیار دانشگاه شهید بهشتی | ||
| چکیده | ||
| از بین بیماریهای قلبی، بیماری عروق کرونر قلب (CAD) علت اصلی مرگ و میر جوامع انسانی می باشد و جراحی پیوند دورزننده عروق تاج مانند قلب (CABG) متداولترین مداخله درمانی است. دوره بستری بیمارستانی پس از جراحی، تخمینی از میزان موفقیت جراحی به حساب می آید که کاملا توسط عوامل طبی و جمعیت شناختی قابل توضیح نمی‌باشد. بلکه عوامل روانشناختی نیز در این میان مهم می باشند. بنابراین هدف پژوهش حاضر این بود تا علاوه بر این عوامل، به بررسی تاثیر عوامل روان شناختی بر طول دوره بستری بیمارستانی پس از این جراحی بپردازد. از بین بیماران مراجعه کننده به مرکز قلب بیمارستان شهید رجایی تهران که کاندیدای این جراحی بودند، 150 بیمار (30 نفر زن و 120 نفر مرد) به روش نمونه گیری در دسترس انتخاب شدند. از بیماران خواسته شد پرسشنامه 21 سوالی DASS-21 را تکمیل کنند. تحلیل رگرسیون گام به گام متغیرهای روانشناختی، طبی و جمعیت شناختی نشان داد مهمترین متغیرها برای پیش بینی طول مدت بستری بیمارستانی پس از جراحی، اضطراب و افسردگی، دیابت و فشار خون بالا و سن و جنسیت هستند. نتایج نشان دادند که می توان با ارزیابی پیش از جراحی این متغیرها، به شناسایی بیمارانی نایل شد که ممکن است این نوع جراحی برای آنها موفقیت آمیز نباشد. | ||
| کلیدواژه‌ها | ||
| پیش بینی؛ موفقیت درمان؛ جراحی قلب؛ بستری بیمارستانی | ||
| عنوان مقاله [English] | ||
| Success rate prediction of coronary artery bypass graft surgery based on the anxiety, depression, medical and demographic factors | ||
| نویسندگان [English] | ||
| Naser Goodarzi1؛ Vahid Sadeghi-Firoozabadi2؛ Reza Rostami3؛ Abbas Rahiminezhad4؛ Mohammad ALi Besharat5؛ Ali Vasheghani-Farahani7؛ Alireza Alizadeh Ghavidel8؛ Saeed Imani9؛ | ||
| 1Assistant professor, Aja University of Medical Science, Tehran, Iran | ||
| 2PhD in Health Psychology, Assistant Professor, Department of Psychology, Faculty of Education & Psychology, Shahid Beheshti University, Tehran, Iran | ||
| 3Associate professor, University of Tehran, Tehran, Iran | ||
| 4Assistant professor, University of Tehran, Tehran, Iran | ||
| 5Full professor, University of Tehran, Tehran, Iran | ||
| 6MA in Clinical Psychology, Department of Clinical Psychology, Faculty of Human Sciences, Shahed University of Tehran, Tehran, Iran | ||
| 7Associate Professor, Department of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran | ||
| 8MD Professor of cardiac surgery, Heart valve disease research Center, Rajaei cardiovascular medical and research Center, Iran university of medical science, Tehran, Iran | ||
| 9PhD in Clinical Psychology, Assistant Professor, Department of Psychology, Faculty of Education & Psychology, Shahid Beheshti University, Tehran, Iran | ||
| چکیده [English] | ||
| Abstract: Of cardiovascular disease, coronary artery disease (CAD) is the main cause of death in human societies leads to coronary artery bypass graft surgery (CABG) as the most common intervention. The length of hospital stay after surgery is an estimate of the success rate of surgery that cannot be completely explained by demographic and medical factors. Therefore, the objective of this study was to investigate the impact of psychological factors along with medical and demographic factors on the length of hospital stay after CABG surgery. In this study, 150 patients (30 females and 120 males) were selected from the convenience sampling method, among patients referred to Tehran Heart Center of Shahid Rajaie Hospital who were candidates for CABG surgery. Patients were asked to complete the questionnaire of 21 questions for anxiety- depression- stress (DASS-21). Stepwise regression analysis for psychological, medical and demographic variables showed that the most important variables to predict the length of hospital stay after surgery were anxiety and depression, diabetes and high blood pressure, age and gender. Thus, the results showed that the use of pre-operative assessment of these variables in the clinical setting, we can identify those patients for whom surgery may not be successful. | ||
| کلیدواژه‌ها [English] | ||
| prediction, surgery success, heart surgery, hospital stay | ||
| مراجع | ||
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