Influence of Social Support on Adaptation to Surgery.

Krohne, Heinz Walter; Slangen, K.

doi:10.1037/0278-6133.24.1.101

Cited by 71 publications

(49 citation statements)

References 20 publications

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“…Pre-and postoperative state anxiety were positively associated with trait anxiety, as reported previously [35]. Though frequently reported [31,36,37], no gender differences in anxiety were observed in the investigated sample. As trait and postoperative state anxiety were positively related to the perceived medical intervention load (PMIL), strategies to reduce patients' anxiety before surgery are important to prevent detrimental effects on health and subjective wellbeing and to achieve beneficial effects for perioperative compliance, adaptation (e.g.…”

Section: Discussionsupporting

confidence: 66%

Comparing cardiovascular load by heart rate variability (HRV) including pNNxx parameters with ratings of perceived medical intervention load (PMIL) in patients undergoing carotid endarterectomy or carotid artery stenting

Jahn¹,

Trimmel²

2017

Surg Rehabil

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Objective: The aim was to compare subjectively experienced load with cardiovascular load in patients undergoing a medical intervention by either carotid endarterectomy (CEA) or carotid artery stenting (CAS). Heart rate variability (HRV), including parameters of the pNNxx family, and perceived medical intervention load (PMIL) were investigated and compared in a prospective study.Methods: In a sample of 52 patients (CEA: n = 28; CAS: n = 24) aged 69 ± 10 years, electrocardiogram was recorded throughout the perioperative period and questionnaires on pre-and postoperative state (STAI X1) and trait anxiety (STAI X2) as well as the PMIL were filled in. Preoperative (15 minutes before surgery) HRV parameter values of time and frequency domain were compared to postoperative values (15 minutes lasting epoch 5 hours after surgery). Results:A 2 (Time: pre vs. post) × 2 (Intervention: CEA vs. CAS) repeated measures ANOVA revealed increased HRV after CAS compared to CEA, with the most pronounced effect size for SDNN. Effect sizes for the pNNxx family around 25ms namely pNN20, pNN25, and pNN30 were also pronounced and greater than the effect size for the traditional pNN50. In both groups state anxiety was preoperatively (M = 40.03 ± 11.00) higher than postoperatively (M = 32.74 ± 7.36) but no group differences were observed for anxiety or for the subjective measure of the PMIL.Conclusion: Cardiovascular load as indicated by HRV is less for CAS compared to CEA whereas subjective measures displayed no differences. In addition, HRV assessed by pNNxx (with xx 20 -30 ms) beside global parameters like SDNN and Total Power seems to be in particular sensitive for load.

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Section: Discussionsupporting

confidence: 66%

Comparing cardiovascular load by heart rate variability (HRV) including pNNxx parameters with ratings of perceived medical intervention load (PMIL) in patients undergoing carotid endarterectomy or carotid artery stenting

Jahn¹,

Trimmel²

2017

Surg Rehabil

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“…Essa concessão pode ocorrer por diversos meios, como, por exemplo, a acessibilidade a informações que aumentem a percepção do paciente em relação a sua capacidade de exercer algum controle sobre a situação vivenciada. Em alguns estudos, foi apontada a possibilidade de o paciente tomar suas pró-prias dicisões, a respeito do tratamento e de perceber--se mais ativo durante os eventos pré-cirúrgicos (Goodman et al, 2009;Krohne & Slangen, 2005;Nagraj, Clark, Talbot & Walker, 2006). Nesse sentido, foram encontradas evidências empíricas da preferência dos pacientes por se dirigirem à sala de cirurgia caminhando por conta própria, caso suas condições físicas lhes permitam, em vez de serem transportados em macas ou cadeiras-de-roda (Nagraj et al, 2006).…”

Section: Resultsunclassified

Preparação psicológica de pacientes submetidos a procedimentos cirúrgicos

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Araujo

et al. 2012

Estud. psicol. (Campinas)

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Estudos de Psicologia I Campinas I 29(2) I 271-284 I abril -junho 2012 ResumoEste trabalho tem por objetivo identificar, entre artigos publicados em periódicos indexados pelo PubMed/MedLine, informações sobre as principais modalidades e efeitos de intervenção psicossocial em procedimentos pré e pós-operatórios com pacientes adultos, bem como, apontar algumas lacunas na produção científica acerca do tema. Foram selecionados 32 artigos, sendo oito teórico-conceituais e 24 empíricos, dos quais um era estudo de caso, nove se referiam à avaliação específica de efeitos de preparação psicológica e 14 tratavam de temas associados ao contexto de preparação psicológica e cuidados cirúrgicos. As intervenções psicológicas foram divididas em oito categorias, baseadas em características funcionais das respectivas intervenções. Verificou-se uma deficiência de estudos na área de atuação específica da Psicologia, sendo os profissionais de enfermagem e medicina os que mais produziram estudos sobre o tema. Constatou-se, também, a ausência de protocolos sistematizados de intervenção psicológica relacionados a procedimentos cirúrgicos. Unitermos: Apoio psicológico. Cirurgia. Preparação psicológica. Procedimentos médicos invasivos. Embora os contínuos avanços nas práticas cirúr-gicas e anestésicas, creditadas ao desenvolvimento científico e tecnológico e às políticas de redução de custos e aumento de eficácia do tratamento médico, tenham resultado no declínio do tempo médio de internação hospitalar (Gilmartin & Wright, 2007;Mitchell, 2000b; Rankinen et al., 2007), a preparação psicológica dos indivíduos a serem submetidos a procedimentos cirúrgicos ainda é um tema recorrente em psicologia da saúde e em outras ciências. Isso se deve ao fato de que as formas de intervenção não se diversificaram na mesma proporção e os resultados ainda carecerem de maior consistência (Rankinen et al., 2007). Abstract This paper aims to identify information on the main types and effects of psychosocial intervention in pre-and post-operative adult patients in articles published in journals indexedConsiderando que, em geral, uma cirurgia implica grande impacto sobre o bem-estar físico, social e emocional do paciente, com aumento dos níveis de ansiedade e stress e pelo distanciamento, mesmo que temporário, da rede de apoio social e familiar, a análise funcional da preparação psicológica de pacientes para cirurgia consistiu um tema legítimo de pesquisa também pelos benefícios potenciais da sua utilização (Juan, 2005;Markovic et al., 2004).Relatos de pacientes expostos a procedimentos cirúrgicos apontam que os principais fatores desencadeantes de ansiedade incluem: a) percepção antecipada de dor e desconforto; b) espera passiva pelo início do procedimento; c) separação da família e sentimentos de abandono; d) possível perda, mesmo que temporária, de autonomia; e) medo da morte, de sequelas, do procedimento de anestesia e do risco de alta prematura; e f ) o procedimento cirúrgico como um todo (Bellani, 2008;Berg, Fleischer, Koller & Neubert, 2006;Garbee & Gen...

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“…Women with heart disease often show greater depression than men, and depression has prognostic value for cardiac outcomes (Wulsin et al, 2005). However, female heart patients also have reported higher levels of social support (e.g., Krohne & Slangen, 2005), which might counteract effects of depression (Frasure-Smith et al, 2000). Marriage can be a source of support, but its effects vary as a function of gender and relationship quality (Kiecolt-Glaser & Newton, 2001).…”

mentioning

confidence: 99%

Psychosocial factors in heart surgery: Presurgical vulnerability and postsurgical recovery.

et al. 2008

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Objective: Distress and low perceived social support were examined as indicators of psychosocial vulnerability in patients about to undergo heart surgery. Design: A total of 550 study patients underwent heart surgeries, including bypass grafting and valve procedures. Psychosocial interviews were conducted about five days before surgery, and biomedical data were obtained from hospital records. Main Outcome Measures: Sociodemographic, personality, religious, and biomedical factors were evaluated as predictors of psychosocial vulnerability, and all five sets of variables were evaluated as contributors to hospital length of stay (LOS). Results: Patients scoring higher on one or more indicator of presurgical psychosocial vulnerability were younger, more likely to be female, less likely to be married, less well educated, lower in dispositional optimism, higher in trait anger, and lower in religiousness. Older age, depression, low support, and low trait anger each showed an independent, prospective association with greater LOS, and several other predictors had prospective relationships with LOS that were statistically mediated by depression or perceived support. Conclusion: Evidence that multiple psychosocial factors may influence adaptation to heart surgery has implications for understanding and ameliorating presurgical distress and for improving postsurgical recovery.

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Influence of Social Support on Adaptation to Surgery.

Cited by 71 publications

References 20 publications

Comparing cardiovascular load by heart rate variability (HRV) including pNNxx parameters with ratings of perceived medical intervention load (PMIL) in patients undergoing carotid endarterectomy or carotid artery stenting

Comparing cardiovascular load by heart rate variability (HRV) including pNNxx parameters with ratings of perceived medical intervention load (PMIL) in patients undergoing carotid endarterectomy or carotid artery stenting

Preparação psicológica de pacientes submetidos a procedimentos cirúrgicos

Psychosocial factors in heart surgery: Presurgical vulnerability and postsurgical recovery.

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