心脏直视手术后 1 个月时的术前乐观与低焦虑相关。
Preoperative Optimism Related to Low Anxiety in Patients 1 Month After Open Heart Surgery.
机构信息
Institute of Longevity, Colleges of Social Work (CSW), Medicine (COM), and Nursing (CON), Florida State University, Tallahassee, Florida.
Department of Cardiology, The Gill Heart and Vascular Institute, University of Kentucky, Lexington, Kentucky.
出版信息
J Nerv Ment Dis. 2020 Dec;208(12):966-973. doi: 10.1097/NMD.0000000000001236.
Anxiety can contribute to poor prognosis in cardiac patients. Few studies have examined the role of optimism in anxiety after open heart surgery (OHS). This study investigated the influence of preoperative optimism on post-OHS anxiety, adjusting cardiac indices used by cardiac surgeons. Data were collected before and 1 month after OHS in 481 patients (58% men; age, 62.4 ± 11.94 years). Optimism was measured using the Life Orientation Test. Anxiety was measured using the Trait Anxiety Inventory. Medical and cardiac indices were retrieved from the Society of Thoracic Surgeon's national database. Multiple regression analyses showed that greater pre-OHS optimism was associated with lower levels of post-OHS anxiety (F[6, N = 306] = 50.18, p < 0.001, R = 0.502). No other factors showed similar protection. Pre-OHS anxiety, younger age, and minority status were associated with anxiety in the critical recovery month. The findings demonstrate the potential benefit of optimism against post-OHS anxiety, which may have clinical implications for improving disease management.
焦虑可导致心脏病人预后不良。少数研究探讨了乐观主义在心脏直视手术后（OHS）焦虑中的作用。本研究调查了术前乐观主义对 OHS 后焦虑的影响，调整了心脏外科医生使用的心脏指数。在 481 名患者（58%为男性；年龄 62.4 ± 11.94 岁）中，在 OHS 前和 OHS 后 1 个月收集数据。使用生活取向测试测量乐观主义，使用特质焦虑量表测量焦虑。从胸外科医师学会的国家数据库中检索医疗和心脏指数。多元回归分析显示，术前乐观主义越强，术后焦虑水平越低（F[6, N = 306] = 50.18，p < 0.001，R = 0.502）。没有其他因素显示出类似的保护作用。术前焦虑、年龄较小和少数族裔身份与关键恢复期的焦虑有关。研究结果表明，乐观主义对 OHS 后焦虑有潜在的益处，这可能对改善疾病管理具有临床意义。
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