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PSYCHOLOGICAL RECOVERY AFTER CORONARY BYPASS SURGERY
Psychological problems, usually best recognized as a change in mood, are extremely common after bypass surgery, and you need to understand them.
Concern and Anxiety
Worrying about your health and the trauma of the operation may interfere with your sleep, and this in turn makes it difficult to concentrate. So you might find it hard to read a book, watch television or have a normal conversation without your mind wandering from the topic being discussed.
Your mind may drift back to your concerns about the future. You may also find you’re forgetful and your memory is poor. These responses are usually normal and recovery is the rule. Some people, however, find that some aspects of memory do not fully recover. This loss is usually minor and does not interfere with working or normal functioning in the future.
Depression
After going home, it is not uncommon to feel somewhat depressed. This feeling is quite reasonable because you have faced death and disability and you have faced the possibilities of what might happen to your family or to yourself should anything go wrong. It takes time to recover from these normal thoughts. It is common to feel tired, restless and irritable. Irritability is more likely to be noted by your partner and family than by you. If you are very irritable, it often leads to feeling guilty and unhappy, even to tears. Tears are also reasonable, given what you have been through.
You may also feel sentimental when you think of the concern your family and others have shown your since your operation.
Sleeplessness
Sleeping difficulties are common during this period. Many patients wake up during the night and cannon get back to sleep again. You may be alert, thinking about all the concerns that have accumulated in the past few weeks, including worries about the future and how problems may be handled. This is likely to leave u feeling tired and ready for sleep in the morning when it is time to get up. This pattern of shallow sleeping and easy waking gradually improves as your confidence returns; however it may continue for some weeks after the operation and it may be aggravated by soreness of the chest, which can be provoked by turning in bed during sleep. Difficulty with sleeping after the operation is commonly not helped by taking sedatives. It is better to reduce pain and discomfort with paracetamol. If troubled with your sleep, discuss it with your health professional. You may be helped by learning relaxation methods.
Denial
Some patients may seem to be totally unaffected by the operation. They appear to have no anxious or depressed feelings. But many such patients have achieved this state by a psychological trick called denial.
It is possible to pretend to yourself that you are essentially indestructible; that there is no cause for anxiety and no possible reason for unhappiness. It’s good if you can do that. However, this same method, denial, can lead you to deny that you are likely to have any problems in the future. If you feel like that, you are perhaps at greater risk than others of slipping back into your old habits.
Delayed Reactions
Some patients only become anxious or depressed after some time. Thus, weeks or months after the operation, you may suddenly become panicky and insecure for no apparent reason. Or you may develop a sense of restlessness, unhappiness, lack of energy, loss of concentration and difficulty with sleeping.
It is important to know that these things can occur for no apparent reason. They do not mean that things are going wrong; instead they are a normal, but delayed reaction to your operation.
*7/160/5*