Development and evaluation of a video program for presentation prior to elective cardiac surgery

Roth-Isigkeit, Angela; Ocklitz, Evelyn; Brückner, S; Ros, Anne Marie; Dibbelt, L.; Friedrich, H.-J.; Gehring, Hartmut; Schmucker, P.

doi:10.1034/j.1399-6576.2002.460415.x

Cited by 19 publications

(13 citation statements)

References 23 publications

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“…There was no statistically significant difference found between pre-operative and post-operative state-trait anxiety scores (p < 0.05). In the study of Roth-Isıgkeit and his friends, named Development and evaluation of a video program for presentation prior to elective cardiac surgery, it is concluded that The findings obtained in this study are consistent with the results of the studies indicating that training with visual tools is more effective than with other types of material [37]. Doering S. Behensky and his friends stated that "Preoperative presentation of videotapes is used as an adjunct method for the preparation of patients prior to surgery" in their study named.…”

Section: Discussionsupporting

confidence: 82%

The Impact on the Level of Anxiety and Pain of the Training before Operation Given to Adult Patients

Karabulut¹,

Çetinkaya²

2011

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Section: Discussionsupporting

confidence: 82%

The Impact on the Level of Anxiety and Pain of the Training before Operation Given to Adult Patients

Karabulut¹,

Çetinkaya²

2011

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“…Black, overall total stress score; vertical lines, cognitive-emotional stress total subscore; gray, physiological stress total subscore; horizontal lines, overall mean anxiety score; checkerboard, separation anxiety mean subscore; white, panic disorder anxiety mean subscore; dashed lines, generalized anxiety mean subscore. surgery (Roth-Isigkeit et al, 2002). In children, outcomes of sensory-perceptual preprocedural education are less well known.…”

Section: Discussionmentioning

confidence: 98%

Does a Photo Diary Decrease Stress and Anxiety in Children Undergoing Magnetic Resonance Imaging? A Randomized, Controlled Study

Hartman

Bena²,

McIntyre³

et al. 2009

Journal of Radiology Nursing

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“…A significant rise of postoperative serum cortisol in cardiac surgery patients has been described in several studies over the last decades [30-34]. The rise of endocrine stress markers seems not to depend on the individual, anticipatory stress of the patient awaiting surgery, the type of postoperative respiratory weaning, perioperative beta blockade or sufentanil or fentanyl doses [35-39]. …”

Section: Discussionmentioning

confidence: 99%

Genetic variation of TLR4 influences immunoendocrine stress response: an observational study in cardiac surgical patients

et al. 2011

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IntroductionSystemic inflammation (for example, following surgery) involves Toll-like receptor (TLR) signaling and leads to an endocrine stress response. This study aims to investigate a possible influence of TLR2 and TLR4 single nucleotide polymorphisms (SNPs) on perioperative adrenocorticotropic hormone (ACTH) and cortisol regulation in serum of cardiac surgical patients. To investigate the link to systemic inflammation in this context, we additionally measured 10 different cytokines in the serum.MethodsA total of 338 patients admitted for elective cardiac surgery were included in this prospective observational clinical cohort study. Genomic DNA of patients was screened for TLR2 and TLR4 SNPs. Serum concentrations of ACTH, cortisol, interferon (IFN)-γ, interleukin (IL)-1β, IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, tumor necrosis factor (TNF)-α and granulocyte macrophage-colony stimulating factor (GM-CSF) were determined before surgery, immediately post surgery and on the first postoperative day.ResultsThirteen patients were identified as TLR2 SNP carriers, 51 as TLR4 SNP carriers and 274 patients as non-carriers. Basal levels of ACTH, cortisol and cytokines did not differ among groups. In all three groups a significant, transient perioperative rise of cortisol could be observed. However, only in the non-carrier group this was accompanied by a significant ACTH rise. TLR4 SNP carriers had significant lower ACTH levels compared to non-carriers (mean (95% confidence intervals)) non-carriers: 201.9 (187.7 to 216.1) pg/ml; TLR4 SNP carriers: 149.9 (118.4 to 181.5) pg/ml; TLR2 SNP carriers: 176.4 ((110.5 to 242.3) pg/ml). Compared to non-carriers, TLR4 SNP carriers showed significant lower serum IL-8, IL-10 and GM-CSF peaks (mean (95% confidence intervals)): IL-8: non-carriers: 42.6 (36.7 to 48.5) pg/ml, TLR4 SNP carriers: 23.7 (10.7 to 36.8) pg/ml; IL-10: non-carriers: 83.8 (70.3 to 97.4) pg/ml, TLR4 SNP carriers: 54.2 (24.1 to 84.2) pg/ml; GM-CSF: non-carriers: 33.0 (27.8 to 38.3) pg/ml, TLR4 SNP carriers: 20.2 (8.6 to 31.8) pg/ml). No significant changes over time or between the groups were found for the other cytokines.ConclusionsRegulation of the immunoendocrine stress response during systemic inflammation is influenced by the presence of a TLR4 SNP. Cardiac surgical patients carrying this genotype showed decreased serum concentrations of ACTH, IL-8, IL-10 and GM-CSF. This finding might have impact on interpreting previous and designing future trials on diagnosing and modulating immunoendocrine dysregulation (for example, adrenal insufficiency) during systemic inflammation and sepsis.

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Development and evaluation of a video program for presentation prior to elective cardiac surgery

Cited by 19 publications

References 23 publications

The Impact on the Level of Anxiety and Pain of the Training before Operation Given to Adult Patients

The Impact on the Level of Anxiety and Pain of the Training before Operation Given to Adult Patients

Does a Photo Diary Decrease Stress and Anxiety in Children Undergoing Magnetic Resonance Imaging? A Randomized, Controlled Study

Genetic variation of TLR4 influences immunoendocrine stress response: an observational study in cardiac surgical patients

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