Social support, depression, functional status, and gender differences in older adults undergoing first-time coronary artery bypass graft surgery

Background Older adults have more difficulty with coronary artery bypass graft (CABG) surgery than younger adults, partly because of depression and social isolation. During hospitalization, older adult patients undergoing CABG name nurses as their primary source of social support. Methods A secondar...

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Bibliographic Details
Published in:Heart & lung 2009-07, Vol.38 (4), p.306-317
Main Authors: Sorensen, Elizabeth A., PhD, RN, CNOR, Wang, Fan, BSN, RN
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Cardiovascular
Cardiovascular disease
Coronary Artery Bypass - adverse effects
Coronary Artery Bypass - nursing
Coronary Artery Bypass - psychology
Correlation analysis
Critical Care
Depression - etiology
Depression - prevention & control
Female
Gender differences
Health Status
Heart surgery
Humans
Length of Stay
Male
Mental depression
Midwestern United States
Nursing Assessment
Older people
Postoperative Care - nursing
Prospective Studies
Pulmonary/Respiratory
Sex Factors
Social Support
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Summary:Background Older adults have more difficulty with coronary artery bypass graft (CABG) surgery than younger adults, partly because of depression and social isolation. During hospitalization, older adult patients undergoing CABG name nurses as their primary source of social support. Methods A secondary analysis was used to investigate the relationships among social support, depression, functional status, and postoperative length of stay. Included were 70 patients undergoing first-time CABG. Patients had a mean age of 72 years and were primarily white (94%) and male (66%). Complete data were collected on 63 participants. Results Social support was not related to any other variable. Preoperative depression and low functional status persisted postoperatively. Female patients had greater depression and poorer functional status than male patients both preoperatively and postoperatively. No other gender differences were found. Conclusion Depression and functional status are amenable to intervention. The outcomes of older adult patients (especially female) undergoing CABG might improve if nurses preoperatively assess for and intervene to improve depression and functional status.
ISSN:0147-9563
1527-3288
DOI:10.1016/j.hrtlng.2008.10.009