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Wish for Psychological Support in Cardiac Surgical Patients
Katharina Tigges-Limmer1, Jenny Rosendahl2, Bernhard Strauss2, Johannes Albes3, Ralf Dziewas3, Jan F. Gummert1.
1Clinic for Thoracic and Cardiovascular Surgery Heart Center North Rhine-Westphalia, Bad Oeynhausen, Germany, 2Institute of Psychosocial Medicine and Psychotherapy, University Hospital, Jena, Germany, 3Department of Cardiovascular Surgery, Heart Center Brandenburg, Bernau, Germany.
OBJECTIVE: Aim of the study was to investigate demographic, psychosocial, and health-related characteristics of patients that are associated with the wish for additional psychological interventions added to standard surgical care.
METHODS:
In a bicenter trial (ISRCTN07297983) data of 440 cardiac surgical patients were analysed. 215 patients stated a wish for additional psychological interventions, 225 patients refused supportive interventions, respectively. Mean age of the patients was 65 years (SD = 8.7; range: 39-83), 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 analysed 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 of preoperative anxiety (OR = 1.75, 95% CI: 1.12-2.74) were significantly associated with the wish for psychological interventions (R2=.098).
CONCLUSIONS: Since 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.
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