Emotional Processes in Patients Undergoing Coronary Artery Bypass Graft Surgeries with Extracorporeal Circulation in View of Selected Indicators of the Inflammatory Condition
Włodzimierz Płotek, Joanna Pielok, Marcin Cybulski, Regina Samborska
Department of Teaching Anaesthesiology and Intensive Therapy, Poznań University of Medical Sciences, Poznań, Poland
Med Sci Monit 2015; 21:105-117
The aim of this study was to describe positive and negative emotions in patients undergoing coronary artery bypass graft (CABG) surgeries with extracorporeal circulation and the correlations between emotions and basic indicators of the inflammatory condition: C-reactive protein (CRP) concentration, body temperature, and leukocyte count.
Material and Methods: Standardized tools were used to select 52 patients (aged 47–63 years, 6 women – 11.5% and 46 men – 88.5%) without dementia or depression. The Positive and Negative Affect Schedule (PANAS) was used to examine positive affect (PA) and negative affect (NA) and the State-Trait Anxiety Inventory (STAI X1 and X2) was used to examine the anxiety level. The patients underwent CABG surgery according to a common anesthesia protocol and for 5 consecutive days they were observed in the ward, where selected indicators of the inflammatory condition were monitored.
Results: A detailed description of the results of examinations of emotions was presented. The patients with low PA-trait level, high NA-trait level, and high anxiety-trait level (STAI X2) exhibited statistically significantly higher body temperatures than the other patients in the postoperative period. The patients with high NA-trait and anxiety-state levels (STAI X1) had statistically significantly lower CRP levels in the postoperative period than the patients with low NA-trait and anxiety-state levels (STAI X1).
Conclusions: Patients undergoing CABG operations express both positive and negative affects. The changes in the inflammatory markers are expressed mostly by CRP concentration. There exist relationships between the result of tests assessing emotions and the markers of the inflammatory condition.
Keywords: Body Temperature, Anxiety - diagnosis, Affect, C-Reactive Protein - chemistry, Coronary Artery Bypass - psychology, Coronary Disease - surgery, Emotions, Extracorporeal Circulation - psychology, Inflammation, Leukocyte Count, perioperative period, Postoperative Period, Quality of Life, Severity of Illness Index