Sansone Fabrizio, Bellini Erika, Ghersi Sabrina, Zingarelli Edoardo, Flocco Roberto, Actis Dato Guglielmo Mario, Forsennati Pier Giuseppe, Parisi Francesco, Punta Giuseppe, Bardi Gian Luca, Del Ponte Stefano, Casabona Riccardo
Division of Cardiac Surgery;
Department of Psychology, Mauriziano Hospital Umberto I, Turin, Italy.
Clin Pract. 2011 Nov 7;1(4):e100. doi: 10.4081/cp.2011.e100. eCollection 2011 Sep 28.
The scientific literature has pointed out several predictors of negative outcome after surgery such as pain and depression, negatively affecting the postoperative outcome in cardiac surgery. From January 2009 until June 2010, 15 patients scheduled for cardiac surgery were enrolled. The patients were assessed by psychological evaluation either in the hospital stay either in the rehabilitation period with the aim of identifying their emotional condition (sentiments about the onset of the disease, support received from family and friends) even by means of preformed tests for anxiety and depression (tests of Stay and Back). Thus, in our preliminary experience, the psychological evaluation failed to detect the occurrence of postoperative complications. Conversely, the psychological evaluation is very effective in detecting a poor emotional state and the psychological support decreases the degree of anxiety and depression with positive effects on postoperative outcome. In conclusion, a standardize test for anxiety and depression should be used for patients at hospital admission to detect who may benefits by psychological support.
科学文献指出了手术后不良结局的几个预测因素，如疼痛和抑郁，它们对心脏手术的术后结局有负面影响。从2009年1月到2010年6月，15名计划进行心脏手术的患者被纳入研究。通过心理评估对患者在住院期间和康复期进行评估，目的是确定他们的情绪状况（对疾病发作的感受、从家人和朋友那里得到的支持），甚至通过预先进行的焦虑和抑郁测试（斯丹福量表和贝克抑郁量表测试）。因此，在我们的初步经验中，心理评估未能检测到术后并发症的发生。相反，心理评估在检测不良情绪状态方面非常有效，并且心理支持可以降低焦虑和抑郁程度，对术后结局有积极影响。总之，在患者入院时应使用标准化的焦虑和抑郁测试，以检测哪些患者可能从心理支持中受益。
