Health Psychology

In collaboration with Payame Noor University and Iranian Health Psychology Association

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

About Journal

Aims and Scope

Editorial Board

Publication Ethics

Indexing and Abstracting

Related Links

FAQ

Peer Review Process

Journal Metrics

News

The impact of Medical Counseling on Stress and Physiological Factors of Coronary Heart Patients After Coronary Artery Bypass Graft surgery (CABG) and Percutaneous Transluminal Coronary Angioplasty (PTCA)

Document Type : Scientific Research

Authors

1 Associate Professor, Faculty of Psychology, Tehran University, Tehran, Iran.

2 Master’s Student, General Psychology, Tehran University, Tehran, Iran

3 Professor, Baghiat-Al-llah University, Tehran, Iran.

4 Associate Professor, Baghiat-Al-llah University, Tehran, Iran.

Abstract

Objective: Stress and other emotional distress are prevalent among cardiovascular patients. This study is performed to investigate the effect of medical counseling on stress and physiological factors of patients after coronary artery bypass graft surgery (CABG) and Percutaneous Transluminal Coronary Angioplasty (PTCA). Methods: This study is of experimental type with pre-test, post-test and control group. Our sample consisted of 60 patients selected by a randomly accessible method and placed either into the experimental group or the control group. Stress was measured by Perceived Stress Scale (PSS) and physical factors data were obtained from patients’ files twice, before and after medical intervention. Findings: Findings showed that post-test stress in experimental group was less than that of PCI patients, though not significant. Data were analyzed using SPSS and MANCOVA. Conclusion: Medical counseling lacked any significant effect on stress and physiological factors of these patients. The experience of stress in cardiac patients seems to be unique and different from other people, thus its measurement requires a scale specifically designed for these patients.

Keywords

References
American Heart Association (2012). High Blood Pressure.
Besharat M.A.  , Pourang P.  , Sadeghpour Tabaee A.  , Pournaghash Tehrani S. (2008). The relationship between coping styles and psychological adaptation in the recovery process: patients with coronary heart disease. Tehran University Medicine, 66(8): 573-579.
Bahramnezhad Fatemeh (2012). Comparative study on quality of life in patients after Percutaneous Transluminal Coronary Angioplasty and Coronary Artery Bypass Graft surgery. Cardiovascular Nursing Journal, 1(2). 
Cohen, Sheldon (1994). Perceived Stress Scale.
Cohen, Sheldon; Kamarck, Tom; Mermelstein. (1983). A Global Measure of Perceived Stress. Journal of Health and Social Behavior, Vol. 24, N. 4    (Dec. 1983), 385-396.
Cohen, Sheldon; Williamson, Gail M. (1988). Perceived Stress in a Probability Sample of the United States. The Social Psychology of Health, Newbury Park, PP: 31-67.
 Holmes Sari D., Krantz David S., Rogers Heather, Gottdiener John, & Contrada Richard J. (2006). Mental Stress and Coronary Artery Disease: A Multidisciplinary Guide. Progress in Cardiovascular Disease, Vol 49, No 2 (September/October),  2006: pp 106-122.
Kaviany, H. ; Pournaseh, M. ; Sayadlou, S. ; Mohamadi, M. (1386). Effectiveness of Stress Management Training on Anxiety and Depression Reduction of Participants in the University Exam. Advances in Cognitive Science, 9(2): 61-68.
Khodayarifard, M. ; Parand, A. (1385). Stress and Coping Styles. Tehran: University of Tehran Press, first published.
Massimo F. Piepoli*, Ugo Corra `, Werner Benzer, Birna Bjarnason-Wehrens, Paul Dendale, Dan Gaita, Hannah McGee, Miguel Mendes, Josef Niebauer, Ann-Dorthe Olsen Zwisler, and Jean-Paul Schmid (2010). Secondary prevention through cardiac rehabilitation: physical activity counselling and exercise training. European Heart Journal, 31, 1967-1976.
 Miller, Gregory E.  & Blackwell, Ekin. (2006). Turning up the Heat: Inflammation as a Mechanism Linking Chronic Stress, Depression and Heart Disease. Current Directions in Psychological Science, 15, 269–272.
Radahmadi, Mariam; Shadan, Farokh; Sadr, Shahabdin S. ; Karimian, Morteza S. (2004) The effect of psychical stress on cause and exacerbation of diabetes mellitus, serum glucose and cortisol levels, and body weight in rats. Journal of Shahrekord University of Medical Sciences, 6(1): 14-25.
Safavi, M. ; Mahmodi, M. ; Sadrdini, M. (1384). The effect of Pre-operative Education and awareness on the Amount of Mechanical Ventilation and Separation from Machine of the patients undergoing CABG in Selected Hospitals in Tabriz. Journal of Pejouhandeh, 10(5): 9-15.
Moser Dougherty, Bengt Fridlund, Donald D. Kautz, Jan Mårtensson, Victoria Mosack and Debra K. Elaine E. Steinke, Tiny Jaarsma, Susan A. Barnason, Molly Byrne, Sally Doherty, Cynthia M. (2013) Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners. Circulation, July 2013.
Taelman J., Vandeput S., Spaepen A., Van Huffel S. (2009).   Influence of Mental Stress on Heart Rate and Heart Rate Variability. Springer-Verlag Berlin Heidelberg: 1366-1369.
Weiting Ng, Diener Ed., Aurora Raksha, Harter James (2008). Affluence, Feelings of Stress, and Well-being. Springer science Business Media.  
Zarani, Fariba (1386). Effectiveness of the IMB Model on the Adherence of Cardiovascular Patients Underwent Coronary Artery Bypass Graft Surgery (CABG). A Thesis Submitted for the Degree of PhD in Psychology, University of Tehran.
Health Psychology
Volume 5, Issue 17 - Serial Number 17
July 2016
Pages 39-50
Files
Share
How to cite
Statistics