EXPLORING THE EMOTIONS AND CHALLENGES ENCOUNTERED BY PATIENTS BEFORE CABG SURGERY

Abstract

Background: One such cardiac procedure is Coronary Artery Bypass Grafting (CABG), and patients may experience extreme emotional responses to this procedure before surgery. These usual feelings of anxiety, fear, uncertainty, and sadness could influence preoperative preparedness and the postoperative outcomes. Although of clinical significance, the psychological events and experiences occurring in patients before CABG are not fully investigated in the domestic medical environment. Aim: This study aimed to explore the emotional responses and challenges experienced by patients before undergoing CABG surgery in selected hospitals in Peshawar. Methods: A quantitative cross-sectional design was used. The data were gathered among 106 patients due to receive CABG in five large hospitals during four months (September-December 2023). The questionnaire, consisting of seven blocks (each consisting of some Likert points and multiple-choice options) was created to assess the demographic data, medical history, emotional states, communication, challenges, coping strategies, and expectations and has been validated. To analyses the data, descriptive statistics (frequency, percentage, mean, and standard deviations) were applied. Results: Findings indicated that mild to moderate anxiety and uncertainty were the most common emotions among participants. Challenges such as understanding the procedure, arranging home care, managing emotional stress, and financial concerns were reported as moderately to severely difficult by many respondents. Communication with healthcare providers was largely perceived as manageable, while limited emotional and psychological support emerged as a concern. Conclusion: Preoperative CABG patients experience significant emotional and logistical challenges. Addressing these concerns through patient-centered education, psychological support, and discharge planning may improve surgical outcomes.