ASSESSMENT OF ANXIETY AND DEPRESSION LEVEL AMONG PATIENTS OF OPEN-HEART SURGERY (CABG) IN PUNJAB INSTITUTE OF CARDIOLOGY, LAHORE

Background: Patients are found to suffer from diverse emotional and psychiatric problems after open-heart surgery. However, no clear cut statistics and evidence has been brought to light regarding the incidence and the course of symptoms, cognitive changes, and quality of life among the patients. This study is envisioned to outline the pre- and postoperative psychiatric portfolio, of patients undergoing open heart surgery. Methods: 100 otherwise stable patients prepared for open heart surgery meeting our inclusion criteria were inducted in this study during January 2019 and September 2019. Each patient was assessed on the Mini-Mental State Examination, and the self-structured questionnaire to assess psychiatric symptoms. Patients were assessed before and after 1 months and 6 months interval after the surgery. Results: The level of anxiety and depression was found to be less at 6 months preoperative than the preoperative stage. Conclusions: A gradual symptomatic recovery was noted in the emotional and psychiatric profile over time at follow visits in majority of patients undergoing open heart surgery. Since psychiatric symptoms have a negative impact on patients prognosis and quality of life therefore proper psychiatric consultation before and after cardiac surgeries important to hasten the recovery. Keywords: Open Heart Surgery, Anxiety, Depression, Mini-Mental State Examinatio