Farag Peter, Behzadi Abdollah
Mississauga Academy of Medicine, University of Toronto, Toronto, Canada.
Department of Surgery, Trillium Health Partners, Mississauga, Canada.
J Relig Health. 2018 Feb;57(1):291-310. doi: 10.1007/s10943-017-0459-0.
Psychological distress may hinder recovery following surgery. Studies examining the relationship between psychological distress and religiosity in the acute post-operative setting are lacking. The present study investigated this relationship, evaluated protocol design, and explored coping mechanisms. Psychological distress of surgical inpatients was assessed using the Hospital Anxiety and Depression Scale (HADS) and Rotterdam Symptom Checklist (RSCL). Religiosity was assessed using the Santa Clara Strength of Religious Faith Questionnaire. Correlations were obtained using Minitab software. Qualitative analysis identified coping mechanisms. Of eligible inpatients, 13/54 were recruited. No significant correlation was found between religiosity and psychological distress. The RSCL had a strong correlation with HADS (R = 0.82, p = 0.001). Assessment of distress was >2 min faster using RSCL compared to HADS. Relationships with pets, friends or family, and God emerged as the most common coping mechanism. Given study limitations, no conclusion was drawn regarding the relationship between religiosity and psychological distress. Weaknesses in study protocol were identified, and recommendations were outlined to facilitate the definitive study. This includes use of RSCL instead of HADS. Further study is warranted to explore how to strengthen relationships for inpatients.
心理困扰可能会阻碍术后康复。目前缺乏关于急性术后环境中心理困扰与宗教信仰之间关系的研究。本研究调查了这种关系,评估了方案设计,并探索了应对机制。使用医院焦虑抑郁量表(HADS)和鹿特丹症状清单(RSCL)评估手术患者的心理困扰。使用圣克拉拉宗教信仰强度问卷评估宗教信仰。使用Minitab软件进行相关性分析。定性分析确定了应对机制。在符合条件的住院患者中,招募了13/54例。未发现宗教信仰与心理困扰之间存在显著相关性。RSCL与HADS有很强的相关性(R = 0.82,p = 0.001)。与HADS相比,使用RSCL评估困扰的时间快2分钟以上。与宠物、朋友或家人以及上帝的关系是最常见的应对机制。鉴于研究的局限性,未得出关于宗教信仰与心理困扰之间关系的结论。确定了研究方案中的弱点,并概述了相关建议以促进确定性研究。这包括使用RSCL而不是HADS。有必要进一步研究如何加强住院患者的人际关系。