P02-284 - Screening for depression and anxiety in patients admitted for coronary artery bypass graft: comparison of nurses’ reports vs. hospital anxiety and depression scale

Aims To evaluate the validity of nurses’ reports as a screening tool for anxiety and depression in hospitalized patients admitted for Coronary Artery Bypass Graft. Methods Within 72 hours of admission, the patients were assessed using the Hospital Anxiety and Depression Scale (HADS). Simultaneously, the nurses who provided care for the patients were asked whether they believed the patients had significant levels of depression or anxiety. They were also asked to rate the degree of depression and anxiety of their patients in a 5 point Likert scale. Assessments were completed for 150 patients. Results According to HADS score, 67 (44.66%) patients had probable depressive disorders (HADS-D score > 7) and 57(38%) had probable anxiety disorders (HADS-A score>7). Nurses recognized 31(20.66%) patients had depressive disorder and 24(16%) had anxiety disorders. The correlation coefficient between nursing diagnosis and diagnosis according to HADS was small (phi = 0.24, P  Conclusion This study indicates nurses’ reports may have not enough validity and sensitivity to be used as the only way for screening anxiety and depression in patients admitted for cardiac surgery. A consultation-liaison psychiatry service that include an active case finding strategy by using standard instrument and educational program for nurses may be helpful.