Division of Clinical Psychology and Psychotherapy, Philipps University of Marburg, Gutenbergstraße 18, 35032, Marburg, Germany.
Department of Cardiovascular Surgery, University Hospital Giessen, Giessen, Germany.
Curr Cardiol Rep. 2020 Oct 10;22(12):172. doi: 10.1007/s11886-020-01424-9.
To review the current state of preoperative psychological preparation to improve outcomes after cardiac surgery.
Preoperative psychosocial factors are associated with short- and long-term outcomes after cardiac surgery. There are several approaches to optimize patients' preoperative psychological status with promising effects on postoperative outcomes (e.g., less complications, improved quality of life). Preoperative psychological preparation often aims to improve patients' knowledge or social support and to modify and optimize expectations and illness beliefs. Preoperative psychological preparation is gaining importance for cardiac surgery. However, patients' psychological status still does not get as much attention as it deserves. Preoperative psychological preparation seems to have positive effects on postoperative outcomes. Since overall evidence is still weak, further studies are warranted to understand which intervention works best for whom and why.
探讨心脏手术后改善结局的术前心理准备现状。
心脏手术后，术前心理社会因素与短期和长期结局相关。有多种方法可优化患者的术前心理状态，从而改善术后结局（如并发症减少、生活质量提高）。术前心理准备通常旨在提高患者的知识或社会支持，改变和优化预期及疾病信念。术前心理准备对于心脏手术越来越重要。然而，患者的心理状态仍未得到应有的重视。术前心理准备似乎对术后结局有积极影响。由于总体证据仍然较弱，需要进一步的研究来了解哪种干预措施对谁最有效，以及为什么。
