Heart & Lung: The Journal of Acute and Critical Care
Volume 32, Issue 1 , Pages 23-31 , January 2003

Patient anxiety while on a waiting list for coronary artery bypass surgery: A qualitative and quantitative analysis

  • Donna Fitzsimons, RGN, BSc, PhD

      Affiliations

    • The Centre for Nursing Research, University of Ulster, Jordanstown Belfast, Northern Ireland
    • The Regional Cardiac Unit, Belfast City Hospital, Belfast, Northern Ireland
    • ,
  • K. Parahoo, RMN, BA, PGDip, Adv Diploma in Education, PhD

      Affiliations

    • The Centre for Nursing Research, University of Ulster, Jordanstown Belfast, Northern Ireland
    • ,
  • S.G. Richardson, MD, FRCP

      Affiliations

    • The Regional Cardiac Unit, Belfast City Hospital, Belfast, Northern Ireland
    • ,
  • M. Stringer, BSc, DPhil, ABPsS, CPsychol

      Affiliations

    • The Centre for Nursing Research, University of Ulster, Jordanstown Belfast, Northern Ireland

References 

  1. American College of Cardiology/American Heart Association Task Force . Guidelines and indications for coronary artery bypass. J Am Coll Card. 1991;17:543–589
  2. Suttorp MJ, Kingma JH, Vos J. et al. Determinants for early mortality in patients awaiting coronary artery bypass grafting: a case control study. Eur Heart J. 1992;13:238–242
  3. King KM, Jensen L. Preserving the self: women having cardiac surgery. Heart Lung. 1994;23:99–105
  4. Crisp AH. Uncertainty is an important symptom in patients awaiting revascularization procedures. Heart. 1996;75:221
  5. Agnew TM, Whitlock RML, Neutze JM, Kerr AR. Waiting lists for coronary artery surgery: can they be better organized?. N Z Med J. 1994;107:211–215
  6. Bengston A, Herlitz J, Karlsson T, Hjalmarso A. Distress correlates with the degree of chest pain: a description of patients awaiting revascularisation. Heart. 1996;75:257–260
  7. Jondsottir H, Baldursdottir L. The experience of people awaiting coronary artery bypass graft surgery : the Icelandic experience. J Adv Nurs. 1998;27:68–74
  8. Lindsay P, Sherrard H, Bickerton L, et al.  Educational and support needs of patients and their families awaiting cardiac surgery. Heart Lung. 1997;26:458–465
  9. Underwood MJ, Firmin RK, Jehu D. Aspects of psychological and social morbidity in patients awaiting coronary artery bypass grafting. Br Heart J. 1993;69:382–384
  10. Mulgan R, Logan RL. The coronary artery bypass waiting list: a social evaluation. N Z Med J. 1990;103:371–372
  11. Kee F, Mc Donald Kirwan JR, Patterson CC, Love AGH. Urgency and priority for cardiac surgery: a clinical judgement analysis. Br Med J. 1998;316:925–929
  12. Austin C, O'Kane H, Cleland J, Gladstone D. Cardiac surgery waiting list deaths [abstract]. Br Heart J. 1993;69:86
  13. McHugh , Lindsay GM, Hanlon P, Hutton I, Brown MR, Morrison C, et al. Nurse led shared care for patients on the waiting list for coronary artery bypass surgery: a randomized controlled trial. Heart. 2001;86:317–323
  14. Bresser PJ, Sexton DL, Foell DW. Patients' responses to postponement of coronary artery bypass graft surgery. IMAGE: J Nurs Scholar. 1993;25:5–10
  15. Blumenthal JA, Bradley W, Dimsdale JE, et al.  Task force II: assessment of psychological status in patients with ischaemic heart disease. J Am Coll Cardiol. 1989;14:1034–1042
  16. Cassem NH, Hackett TP, Wishnie HA. The coronary care unit: an appraisal of its psychological hazards. N Engl J Med. 1968;312:737–741
  17. Thompson DR, Ersser SJ, Webster RA. The experiences of patients and their partners 1 month after a heart attack. J Adv Nurs. 1995;22:707–714
  18. Bengston A, Herlitz J, Karlsson T, Hjalmarso A. The epidemiology of a coronary waiting list. A description of all the patients. J Intern Med. 1994;235:263–269
  19. Staples P, Jeffrey J. Quality of life, hope, and uncertainty of cardiac patients and their spouses before coronary artery bypass surgery. Can J Cardiovasc Nurs. 1997;8:7–16
  20. Tofler GH, Stone PH, Maclure M, et al.  Analysis of possible triggers of acute myocardial infarction (The MILIS Study). Am J Cardiol. 1990;66:22–27
  21. Tenenbaum G, Furst D, Weingarten G. A statistical re-evaluation of the STAI anxiety questionnaire. J Clin Psychol. 1985;41:239–244
  22. Spielberger CD, Gorsuch RL, Lushene RE, et al.  State trait anxiety inventory. Palo Alto (CA): Consulting Psychologists Press; 1983;
  23. Taylor S, Koch WJ, Crockett DJ. Anxiety sensitivity, trait anxiety, and the anxiety disorders. J Anxiety Disord. 1991;5:293–311
  24. Oei TPS, Evans L, Crook GM. Utility and validity of the STAI with anxiety disorder patients. Br J Clin Psychol. 1990;29:429–432
  25. Denollet J. Sensitivity of outcome measurement in cardiac rehabilitation. J Consult Clin Psychol. 1993;61:686–695
  26. Stern MJ, Cleary P. The national exercise and heart disease project : long-term psychosocial outcome. Arch Intern Med. 1992;142:1093–1097
  27. Langeluddecke P, Fulcher G, Baird D, et al.  A prospective evaluation of the psychosocial effects of coronary artery bypass surgery. J Psychosom Res. 1989;33:37–45
  28. Fitzsimons D. Waiting for coronary artery bypass surgery in Northern Ireland: a qualitative and quantitative study [dissertation]. Northern Ireland: Univ. of Ulster; 1998;
  29. Parahoo AK. Nursing research: principles, process, and issues. London: Macmillan; 1997;
  30. Morse JM, Field PA. Nursing research: the application of qualitative approaches. 2nd ed. London: Chapman and Hall; 1996;
  31. Collaizzi P. Psychological research as the phenomenologist views it. In:  Valle RS,  King M editor. Existential phenomenology: alternatives for psychology. New York: Oxford Univ. Press; 1978;
  32. Sandelowski M. Rigor or rigor mortis: The problem of rigor in qualitative research revisited. Adv Nurs Sci. 1993;16:1–8
  33. Campeau L. Grading of angina pectoris. Circulation. 1976;52:522–523
  34. Fitzsimons D, Parahoo K, Stringer M. Waiting for coronary artery bypass surgery: a qualitative analysis. J Adv Nurs. 2000;32:1243–1252
  35. Mishel MH, Murdaugh CL. Family adjustment to heart transplant: redesigning the dream. Nurs Res. 1987;36:332–338

☆ Reprint requests: Donna Fitzsimons, RGN, BSc, Dphil, Nursing Research, A Floor, Belfast City Hospital, Belfast BT9 7AB, Northern Ireland. E-mail: donna.fitzsimons@bch.n-i.nhs.uk

☆☆ 0147-9563/2003/$30.00 + 0

PII: S0147-9563(02)70203-3

doi: 10.1067/mhl.2003.3

Heart & Lung: The Journal of Acute and Critical Care
Volume 32, Issue 1 , Pages 23-31 , January 2003

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