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ABSTRACT Introduction: In this study, it was aimed to compare the clinical results and complications of rigid titanium plate reinforcement and only conventional wire methods for sternum fixation in morbidly obese patients who underwent sternotomy for open-heart surgery. Methods: The study was planned as a retrospective case-control study. Morbidly obese patients who underwent open-heart surgery with median sternotomy between 2011 and 2021 were analyzed retrospectively. Results: There was no statistically significant difference between the two groups in terms of characteristics of the patients (P≥0.05). Sternal dehiscence, sternum revision, wound drainage, and mediastinitis were significantly less common in the titanium plate group (P≤0.05). There was no statistically significant difference between the groups in terms of 30-day mortality (P≥0.05). Conclusion: Rigid titanium plate reinforcement application produced more positive clinical results than only conventional wire application. In addition, it was determined that although the rigid titanium plate application prolonged the operation time, it did not make a significant difference in terms of mortality and morbidity compared to the conventional wire applied group.
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Background: Acute coronary syndrome (ACS) is one of the diseases in which psychiatric complications develop, with initiation of treatment, and having cardiac, patient-specific behavioral problems. The aim of this study was to investigate symptoms of posttraumatic stress disorder (PTSD) and anxiety in patients that experience ACS. The relationship between PTSD symptoms and anxiety and the relationship between these psychological conditions and certain personal characteristics were reviewed. Methods: In this study, which was prospective and descriptive, 215 patients who experienced ACS were evaluated in the first month after ACS. The data in the research was collected using the Patient Identification Form, Posttraumatic Stress Disorder Symptoms Scale Self-Report (PSS-SR) and Spielberg State-Trait Anxiety Inventory (STAI-T). Results: 70.2% of the patients were male and 31.2% were retired. The PSS-SR mean score was 28.40 ± 10.42 and the mean STAI-T score was 57.65 ± 12:37. Between the STAI and PSS-SR there was a statistically significant positive correlation. In women, workers, grade 1 obese patients, those using alcohol, and those with chronic disease the average PSS-SR scores were significantly higher. Housewives, illiterate individuals and 1st degree obese patients had a higher average score of anxiety, as well as patients with chronic diseases and higher alcohol use.
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Background: The problems and complications experienced by the patients who underwent a CAG due to their pain and anxiety can be minimized through a care plan prepared to meet their needs and a coordinated teamwork. In this prospective and descriptive study we aimed at determining the effect of coronary angiography results and perceived pain on anxiety level in patients who undergoing coronary angiography. Methods: The study was carried out with patients who were implemented coronary angiography for the first time at the cardiology clinic of Osmaniye private new life hospital between May 2014 and August 2014. The study data were collected using the State-Trait Anxiety Inventory (STAI), a verbal pain rating scale and a questionnaire that was prepared by the investigators. The descriptive data are given in the form of arithmetic mean Standard Deviation (SD), numbers and percentage distribution. The correlations between the variables were assessed using crosstabs, one-way ANOVA and the Pearson's correlation analysis. The data were evaluated in 95% confidence interval and at a significance level of P <0.05. Results: 35.9% of the patients stated that they felt severe pain. The mean anxiety score was 36.746.81 and those who felt very severe and unbearable pain had higher mean anxiety scores (P <0.01). Those who had three coronary diseases had higher anxiety levels (41.149.30) than those who had an atherosclerotic stenosis and #8805;50% (normal) (35.945.49) (P <0.01). Gender had an influence on pain levels (P <0.01). Conclusion: Coronary angiography results and pain perception were determined to be statistically significant effects on anxiety level. A statistically significant correlation was found between pain and anxiety. In general, pain and anxiety affect each other positively; an increase in one results in an increase in the other.