Expectations, Anxiety, Depression, and Physical Health Status as Predictors of Recovery in Open-Heart Surgery Patients

Chunta, Kristy S.

doi:10.1097/jcn.0b013e3181ac8a3c

Cited by 36 publications

(45 citation statements)

References 39 publications

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“…We identified 19 studies (5,209 patients) that examined the effect of patient expectations on postoperative quality of life (QOL) 23,26,28,32,58,61-74 . Thirteen studies assessed QOL using the Short Form-36 (SF-36) questionnaire, a generic health status survey that captures pain, disability, and psychosocial outcomes.…”

Section: Resultsmentioning

confidence: 99%

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Patient expectations and patient-reported outcomes in surgery: A systematic review

Waljee

McGlinn

Sears

et al. 2014

Surgery

189

154

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Background Recent events in healthcare reform have brought national attention to integrating patient experiences and expectations into quality metrics. Few studies have comprehensively evaluated the effect of patient expectations on patient-reported outcomes (PROs) following surgery. The purpose of this study is to systematically review the available literature describing the relationship between patient expectations and postoperative PROs. Methods We performed a search of the literature published prior to November 1, 2012. Articles were included in the review if 1) primary data were presented 2) patient expectations regarding a surgical procedure were measured 3) PROs were measured, and 4) the relationship between patient expectations and PROs was specifically examined. PROs were categorized into five subgroups: satisfaction, quality of life (QOL), disability, mood disorder, and pain. We examined each study to determine the relationship between patient expectations and PROs as well as study quality. Results From the initial literature search yielding 1,708 studies, 60 articles were included. Fulfillment of expectations was associated with improved PROs among 24 studies. Positive expectations were correlated with improved PROs for 28 (47%) studies, and poorer PROs for 9 (15%) studies. Eighteen studies reported that fulfillment of expectations was correlated with improved patient satisfaction, and 10 studies identified that positive expectations were correlated with improved postoperative QOL. Finally, patients with positive preoperative expectations reported less pain (8 studies) and disability (15 studies) compared with patients with negative preoperative expectations. Conclusions Patient expectations are inconsistently correlated with PROs following surgery, and there is no accepted method to capture perioperative expectations. Future efforts to rigorously measure expectations and explore their influence on postoperative outcomes can inform clinicians and policy-makers seeking to integrate PROs into measures of surgical quality.

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Section: Resultsmentioning

confidence: 99%

“…Five studies (702 patients) measured postoperative mood disorders including depression, anxiety, anger, and mental distress 39,61,69,70,84 . Three of these studies used validated questionnaires.…”

Section: Resultsmentioning

confidence: 99%

Patient expectations and patient-reported outcomes in surgery: A systematic review

Waljee

McGlinn

Sears

et al. 2014

Surgery

189

154

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“…There was no indication that their questionnaire had been validated. Chunta 79 described studies that indicated that patients develop specific expectations about surgery and recovery, and experience negative feelings when their expectations are inconsistent with their expected recovery. They conducted a small convenience study of 54 largely male patients (average age of 63.46 years) from two hospital sites and reported that preoperative expectations, anxiety, depression and physical health were predictive of postoperative physical health status.…”

Section: Expectancy Itemsmentioning

confidence: 99%

The measurement of patients’ expectations for health care: a review and psychometric testing of a measure of patients’ expectations.

Bowling

Rowe²,

Lambert³

et al. 2012

Health Technol Assess

254

251

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“…1 PCIs require the placement of femoral arterial sheaths via catheterization for access of the cardiovascular system. 2 After the procedure, the femoral sheath is removed.…”

mentioning

confidence: 99%

Comparison of Manual Compression Alone Versus With Hemostatic Patch in Achieving Hemostasis After Femoral Catheter Removal

Tjiong¹,

Cyr²,

Fox³

2012

Journal of PeriAnesthesia Nursing

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Expectations, Anxiety, Depression, and Physical Health Status as Predictors of Recovery in Open-Heart Surgery Patients

Cited by 36 publications

References 39 publications

Patient expectations and patient-reported outcomes in surgery: A systematic review

Patient expectations and patient-reported outcomes in surgery: A systematic review

The measurement of patients’ expectations for health care: a review and psychometric testing of a measure of patients’ expectations.

Comparison of Manual Compression Alone Versus With Hemostatic Patch in Achieving Hemostasis After Femoral Catheter Removal

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