Meffert H J, Dahme B, Flemming B, Götze P, Huse-Kleinstoll G, Rodewald G, Speidel H
Psychother Psychosom. 1979;32(1-4):148-56. doi: 10.1159/000287382.
A total of 168 patients underwent thorough psychological investigation before and after open-heart surgery. The pre-operative psychological status and the psychosocial situation of the patients were studied by means of questionnaires and semi-standardized interviews. The post-operative psychic status was documented daily on the first four post-operative days and once after discharge from the intensive care unit, by means of a slightly modified version of the AMP rating scale. We found significant correlations between psychosocial problems, the patients' ability to cope with their illness, the surgical stress and the environmental stress of the intense care unit, and post-operative psychic disturbances. The results lead to deliberations on therapeutic consequences.
共有168名患者在心脏直视手术前后接受了全面的心理调查。通过问卷调查和半标准化访谈研究了患者的术前心理状态和社会心理状况。术后心理状态通过对AMP评定量表稍作修改的版本，在术后头四天每天记录，并在重症监护病房出院后记录一次。我们发现社会心理问题、患者应对疾病的能力、手术应激以及重症监护病房的环境应激与术后心理障碍之间存在显著相关性。研究结果引发了对治疗后果的思考。
