[Predictors of anxiety and depression in patients undergoing coronary artery bypass surgery]

Introduction: Anxiety and depression are the most common psychological outcomes in patients undergoing coronary artery bypass surgery [CABG]. Determining the predictors of anxiety and reduction of cardiac events resulting from the outcome of psychological symptoms depression can be useful in ability of patients and therefore, this study was conducted to determine predictors of hospital anxiety and depression in patients undergoing coronary artery bypass surgery

Methods: This study is a cross-sectional study in which 170 patients undergoing coronary artery bypass surgery hospitalized in cardiac hospitals of Guilan University of Medical Sciences were selected by Convenience sampling method. Tools for data collection included demographic and social, Standardized questionnaire, Hospital Anxiety and Depression Scale and the stressors questionnaire. The data were analyzed by SPSS software, version 17, and descriptive and inferential statistic tests were used

Results: The findings showed 33/75% and 17/83%of patients had anxiety and depression at discharge. Based on logistic regression test predictors of hospital anxiety at "discharge pain or discomfort following surgery" sex and education level and depression at discharge "Lack of support from family and friends "age and sex were determined

Conclusion: Results of this study showed an occurrence of anxiety and depression in patients with coronary artery bypass surgery. Recommendations for further assessment of the mental status of the patients at discharge and considering predictors for planning appropriate interventions is recommended

[Relationship between critical thinking and clinical decision making in nursing students]

Critical thinking is an index of cognitive ability. The nurses' cognitive ability, specifically their ability for information processing and decision making, is the key component of nursing practice. The aim of this study was to determine the relationship between critical thinking and clinical decision making in nursing students of Guilan University of Medical Sciences. Fifty senior nursing students from Guilan University of Medical Sciences participated in this descriptive -correlational study by census. Data was collected using California Critical Thinking Questionnaire and clinical decision making cards by Q-Sort and analyzed by Chi- Square and Fischer Exact tests using SPSS- Pc [v.14]. Findings did not show a significant relationship between critical thinking and clinical decision making. Chi square test showed a significant relationship between critical thinking and educational average score [p=0.001] and between decision making and history of exposing to patients undergoing Billrut 2 surgery [p=0.008]. Conducting the same research with a larger sample using multiple tools is recommended. The findings could be used as a guide to nursing educational planning