Curcio Nicholas, Turner Emma D, Leonard Kiara, Bennett Monica M, Warren Ann Marie, Edgerton James R
Division of Trauma, Critical Care, and Acute Care Surgery, Baylor University Medical Center, Dallas, Texas.
University of Texas Southwestern Medical Center, Dallas, Texas.
Proc (Bayl Univ Med Cent). 2022 Mar 17;35(4):420-427. doi: 10.1080/08998280.2022.2043985. eCollection 2022.
Higher levels of resilience and spirituality are independently linked to better physical and mental health outcomes, within both general and cardiac populations. We investigated the long-term associations of such psychological factors following cardiac surgery. A total of 402 patients undergoing routine cardiac surgery at two large urban hospitals in the Dallas, Texas, area were prospectively enrolled in this study, with completed follow-up data for 364 (90.5%). Data were collected from August 2013 to January 2017. Resilience, spirituality, and secondary measures were assessed at baseline, 1 month, and 1 year via the Connor-Davidson Resilience Scale-10 and Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale. Linear regression and correlational analyses assessed associations between resilience and spirituality, as well as other demographic and psychosocial factors. Resilience was significantly associated with every construct except posttraumatic growth. Spirituality was associated with increasing resilience over the ensuing year, whereas never being married was associated with a decrease in resilience. Our findings identify a population that is vulnerable to a decrease in resilience following cardiac surgery, as well as an avenue (i.e., spirituality) for potentially bolstering resilience. Improving resilience via spirituality postoperatively may foster better overall recovery and better mental and physical health outcomes.
在普通人群和心脏疾病患者群体中，较高水平的心理韧性和精神性都与更好的身心健康结果独立相关。我们研究了心脏手术后这些心理因素的长期关联。在德克萨斯州达拉斯地区的两家大型城市医院，共有402例接受常规心脏手术的患者被前瞻性纳入本研究，其中364例（90.5%）有完整的随访数据。数据收集时间为2013年8月至2017年1月。通过Connor-Davidson心理韧性量表-10和慢性病治疗功能评估-精神健康量表，在基线、1个月和1年时评估心理韧性、精神性及其他相关指标。线性回归和相关性分析评估了心理韧性与精神性之间的关联，以及其他人口统计学和社会心理因素。除创伤后成长外，心理韧性与其他各项指标均显著相关。精神性与随后一年心理韧性的增强相关，而未婚则与心理韧性的下降相关。我们的研究结果确定了一个在心脏手术后心理韧性易下降的人群，以及一条可能增强心理韧性的途径（即精神性）。术后通过精神性提高心理韧性可能促进更好的整体恢复以及更好的身心健康结果。
