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Wunsch nach psychologischer Begleitung bei kardiochirurgischen Patienten

Wish for psychological support by cardiac surgical patients

  • Originalarbeit
  • Published:
Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Hintergrund

Ziel der Studie war die Untersuchung des Einflusses demographischer, psychosozialer und gesundheitsbezogener Faktoren auf den Wunsch nach psychologischen Interventionen bei kardiochirurgischen Patienten.

Patienten und Methode

Im Rahmen einer DFG-geförderten bizentrischen Studie (ISRCTN07297983) wurden Daten von 440 Bypasspatienten analysiert, von denen sich 215 eine zusätzliche psychologische Intervention während ihres stationären Aufenthalts wünschten und 225 Patienten, die eine Begleitung generell ablehnten. Die Patienten waren im Mittel 65 Jahre alt (SD=8,7; Spannweite: 39–83), 82% männlich. Demographische und psychosoziale Parameter wurden über standardisierte Fragebögen erfasst, somatische Daten wurden den Patientenakten entnommen. Zusätzlich wurde ein Gehtest zur Einschätzung der Mobilität durchgeführt. Einflussfaktoren auf den Wunsch nach psychologischer Begleitung wurde mittels logistischer Regressionsanalyse untersucht.

Ergebnisse

Als signifikante Prädiktoren für den Wunsch nach begleitenden psychologischen Interventionen erwiesen sich weibliches Geschlecht (OR=1,68; 95% CI: 1,01–2,83), vigilante Angstbewältigung (OR=1,21, 95% CI: 1,09–1,35) sowie präoperativ auffällige Angstwerte (OR=1,75; 95% CI: 1,12–2,74).

Schlussfolgerung

In der vorliegenden Studie konnte ein Funktionieren der Selbstselektion des Begleitungsangebots durch die Patienten gezeigt werden, da Patienten mit dem Wunsch nach psychologischer Begleitung signifikant auffälligere Angstwerte aufwiesen als Patienten, die eine Begleitung generell ablehnten.

Abstract

Background

The aim of the study was to investigate demographic, psychosocial and health-related characteristics of patients which are associated with the wish for additional psychological interventions added to standard surgical care.

Patients and methods

In a bicenter trial (ISRCTN07297983) data of 440 cardiac surgical patients were analyzed. Of the patients 215 stated a wish for additional psychological interventions and 225 patients refused supportive interventions. The mean age of the patients was 65 years (SD=±8.7 years, range 39–83 years) and 82% were male. Demographic and psychosocial variables were assessed by standardized questionnaires; health-related data were based on medical records and the walking test for assessing mobility. Factors associated with the wish for psychological interventions were analyzed using binary regression analysis.

Results

Female gender (OR=1.68, 95% CI: 1.01–2.83), vigilant coping with anxiety (OR=1.21, 95% CI: 1.09–1.35) and high scores for preoperative anxiety (OR=1.75, 95% CI: 1.12–2.74) were significantly associated with the wish for psychological interventions.

Conclusions

As anxiety has shown to be negatively associated with recovery, psychosocial interventions addressed to patients who explicitly prefer these interventions might be well directed, because in our study these patients showed significantly higher anxiety than patients who refused help.

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Authors and Affiliations

  1. Institut für Psychosoziale Medizin und Psychotherapie, Universitätsklinikum Jena, Stoystr. 3, 07740, Jena, Deutschland

    J. Rosendahl & B. Strauß

  2. Herz- und Diabeteszentrum Nordrhein-Westfalen, Bad Oeynhausen, Deutschland

    K. Tigges-Limmer & J. Gummert

  3. Evangelisch-Freikirchliches Krankenhaus und Herzzentrum Brandenburg, Bernau, Deutschland

    R. Dziewas & J.M. Albes

Authors
  1. J. Rosendahl
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  2. K. Tigges-Limmer
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  3. J. Gummert
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  4. R. Dziewas
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  5. J.M. Albes
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  6. B. Strauß
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Corresponding author

Correspondence to J. Rosendahl.

Additional information

Diese Arbeit wurde gefördert durch die Deutsche Forschungsgemeinschaft (Förderkennzeichen STR306/21–1, AL562/4–1).

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Rosendahl, J., Tigges-Limmer, K., Gummert, J. et al. Wunsch nach psychologischer Begleitung bei kardiochirurgischen Patienten. Z Herz- Thorax- Gefäßchir 25 (Suppl 1), 38–42 (2011). https://doi.org/10.1007/s00398-011-0837-y

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  • DOI: https://doi.org/10.1007/s00398-011-0837-y

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