Changes in Physical Function, Cognitive Function, Mental Health, and Sleep Quality After Cardiac Surgeries and Procedures
<b>Background</b>: Patients who undergo cardiac surgery and procedures often experience functional impairments. However, few studies have compared changes in physical function, cognitive function, mental health, and sleep quality before and after the interventions. <b>Methods</b...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-06-01
|
| Series: | Nursing Reports |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2039-4403/15/6/209 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849432251470708736 |
|---|---|
| author | Yoshimi Kawahara Nobuto Nakanishi Keiko Nomura Satoshi Doi Jun Oto |
| author_facet | Yoshimi Kawahara Nobuto Nakanishi Keiko Nomura Satoshi Doi Jun Oto |
| author_sort | Yoshimi Kawahara |
| collection | DOAJ |
| description | <b>Background</b>: Patients who undergo cardiac surgery and procedures often experience functional impairments. However, few studies have compared changes in physical function, cognitive function, mental health, and sleep quality before and after the interventions. <b>Methods</b>: Intensive care unit (ICU) nurses visited the ward and conducted the assessments. The Japanese version of the Cardiovascular Health Study (J-CHS) and the Barthel index for physical function, mini-mental state examination (MMSE) for cognitive function, hospital anxiety and depression scale for anxiety (HADS-A) and depression (HADS-D) for mental health, and a 5-point Likert scale for sleep quality were used. <b>Results</b>: Of the 210 cases, 156 were included. Cardiac surgeries and procedures included valve replacement or valvuloplasty (43%), coronary artery bypass graft (9%), and transcatheter aortic valve implantation (39%). At a median of 7 (4–9) days after ICU discharge, the J-CHS score worsened from 2 (1–3) to 3 (2–3) (<i>p</i> < 0.01), and the Barthel index worsened from 95 (85–100) to 75 (55–85) (<i>p</i> < 0.01). The HADS-A score improved from 3 (1–6) to 1 (0–4) (<i>p</i> < 0.01), and the HADS-D score improved from 4 (1–7) to 2 (1–6) (<i>p</i> < 0.01). The MMSE score remained unchanged at 26 (24–29; <i>p</i> = 0.91). Sleep quality worsened from 4 (3–5) to 3 (2–4) (<i>p</i> < 0.01). In the multivariate analysis, sleep quality deterioration was associated with open thoracotomy. <b>Conclusions</b>: After cardiac surgeries and procedures, physical function and sleep quality worsened, whereas anxiety and depression improved, and cognitive function remained unchanged. |
| format | Article |
| id | doaj-art-22d7c6b9535f449f9eb88db078c1fa5f |
| institution | Kabale University |
| issn | 2039-439X 2039-4403 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nursing Reports |
| spelling | doaj-art-22d7c6b9535f449f9eb88db078c1fa5f2025-08-20T03:27:25ZengMDPI AGNursing Reports2039-439X2039-44032025-06-0115620910.3390/nursrep15060209Changes in Physical Function, Cognitive Function, Mental Health, and Sleep Quality After Cardiac Surgeries and ProceduresYoshimi Kawahara0Nobuto Nakanishi1Keiko Nomura2Satoshi Doi3Jun Oto4Department of Nursing, Tokushima University Hospital, 2-50-1 Kuramoto, Tokushima 770-8503, JapanDivision of Disaster and Emergency Medicine, Department of Surgery Related, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki, Chuo-Ward, Kobe 650-0017, JapanDepartment of Nursing, Tokushima University Hospital, 2-50-1 Kuramoto, Tokushima 770-8503, JapanDepartment of Nursing, Tokushima University Hospital, 2-50-1 Kuramoto, Tokushima 770-8503, JapanEmergency and Critical Care Medicine, Tokushima University Hospital, 2-50-1 Kuramoto, Tokushima 770-8503, Japan<b>Background</b>: Patients who undergo cardiac surgery and procedures often experience functional impairments. However, few studies have compared changes in physical function, cognitive function, mental health, and sleep quality before and after the interventions. <b>Methods</b>: Intensive care unit (ICU) nurses visited the ward and conducted the assessments. The Japanese version of the Cardiovascular Health Study (J-CHS) and the Barthel index for physical function, mini-mental state examination (MMSE) for cognitive function, hospital anxiety and depression scale for anxiety (HADS-A) and depression (HADS-D) for mental health, and a 5-point Likert scale for sleep quality were used. <b>Results</b>: Of the 210 cases, 156 were included. Cardiac surgeries and procedures included valve replacement or valvuloplasty (43%), coronary artery bypass graft (9%), and transcatheter aortic valve implantation (39%). At a median of 7 (4–9) days after ICU discharge, the J-CHS score worsened from 2 (1–3) to 3 (2–3) (<i>p</i> < 0.01), and the Barthel index worsened from 95 (85–100) to 75 (55–85) (<i>p</i> < 0.01). The HADS-A score improved from 3 (1–6) to 1 (0–4) (<i>p</i> < 0.01), and the HADS-D score improved from 4 (1–7) to 2 (1–6) (<i>p</i> < 0.01). The MMSE score remained unchanged at 26 (24–29; <i>p</i> = 0.91). Sleep quality worsened from 4 (3–5) to 3 (2–4) (<i>p</i> < 0.01). In the multivariate analysis, sleep quality deterioration was associated with open thoracotomy. <b>Conclusions</b>: After cardiac surgeries and procedures, physical function and sleep quality worsened, whereas anxiety and depression improved, and cognitive function remained unchanged.https://www.mdpi.com/2039-4403/15/6/209nursecardiac surgeryphysical functioncognitive functionmental health problemsleep quality |
| spellingShingle | Yoshimi Kawahara Nobuto Nakanishi Keiko Nomura Satoshi Doi Jun Oto Changes in Physical Function, Cognitive Function, Mental Health, and Sleep Quality After Cardiac Surgeries and Procedures Nursing Reports nurse cardiac surgery physical function cognitive function mental health problem sleep quality |
| title | Changes in Physical Function, Cognitive Function, Mental Health, and Sleep Quality After Cardiac Surgeries and Procedures |
| title_full | Changes in Physical Function, Cognitive Function, Mental Health, and Sleep Quality After Cardiac Surgeries and Procedures |
| title_fullStr | Changes in Physical Function, Cognitive Function, Mental Health, and Sleep Quality After Cardiac Surgeries and Procedures |
| title_full_unstemmed | Changes in Physical Function, Cognitive Function, Mental Health, and Sleep Quality After Cardiac Surgeries and Procedures |
| title_short | Changes in Physical Function, Cognitive Function, Mental Health, and Sleep Quality After Cardiac Surgeries and Procedures |
| title_sort | changes in physical function cognitive function mental health and sleep quality after cardiac surgeries and procedures |
| topic | nurse cardiac surgery physical function cognitive function mental health problem sleep quality |
| url | https://www.mdpi.com/2039-4403/15/6/209 |
| work_keys_str_mv | AT yoshimikawahara changesinphysicalfunctioncognitivefunctionmentalhealthandsleepqualityaftercardiacsurgeriesandprocedures AT nobutonakanishi changesinphysicalfunctioncognitivefunctionmentalhealthandsleepqualityaftercardiacsurgeriesandprocedures AT keikonomura changesinphysicalfunctioncognitivefunctionmentalhealthandsleepqualityaftercardiacsurgeriesandprocedures AT satoshidoi changesinphysicalfunctioncognitivefunctionmentalhealthandsleepqualityaftercardiacsurgeriesandprocedures AT junoto changesinphysicalfunctioncognitivefunctionmentalhealthandsleepqualityaftercardiacsurgeriesandprocedures |