The Monitoring of Psychosocial Factors During Hospitalization Before and After Cardiac Surgery Until Discharge From Cardiac Rehabilitation: A Research Protocol

Frontiers in Psychology

Alun Conrad Jackson¹  Edward Callus²  Enrico Giuseppe Bertoldo³  Silvana Pagliuca³  Valentina Fiolo³  Marianna Volpe⁴  Serenella Castelvecchio⁵  Lorenzo Menicanti⁵  Carlo De Vincentiis⁵  Sara Boveri⁶ 

[1] Australian Centre for Heart Health, Melbourne, VIC, Australia;Biomedical Sciences for Health, University of Milan, Milan, Italy;Clinical Psychology Service, IRCCS Policlinico San Donato, San Donato Milanese, Italy;Department of Cardiac Rehabilitation, IRCCS Policlinico San Donato, San Donato Milanese, Italy;Department of Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy;Scientific Directorate, IRCCS Policlinico San Donato, San Donato Milanese, Italy;

关键词: cardiac surgery;    cardiac rehabilitation;    psychosocial;    psychocardiology;    psychosocial risk factors;    clinical psychology, heart disease;   

DOI  :  10.3389/fpsyg.2020.02202

来源: DOAJ

【 摘 要 】

Introduction: There is considerable evidence that psychosocial factors contribute to the etiology and prognosis of cardiac illness. Currently, in Italy, psychologists are only obligatory in the cardiac rehabilitation setting, although there are indications that patients could be experiencing distress also during other moments of hospitalization, such as on admission for cardiac surgery.Objective and Methods: The objective of this protocol is to gain more information about cardiac patients, specifically during the various moments of hospitalization for cardiac surgery, by collecting data at admission before cardiac surgery (t0), at admission to cardiac rehabilitation (t1), and at discharge (t2) at the Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Policlinico San Donato hospital. A psychosocial questionnaire was constructed after consulting the relevant national and international guidelines. Patients admitted for cardiac surgery and attending a rehabilitation program will be evaluated by acquiring data about their civil status, religiosity, education and work capacity, social condition (including the presence and quality of intimate relationships and support received), previous psychological and psychiatric histories, psychological status, lifestyle (including questions on nutrition, smoking, alcohol, and substance abuse), adherence to therapy, quality of life (QoL), health perception, anxiety, and depression at t0. Health perception, anxiety, and depression are also measured at t1 and t2.Discussion and Conclusion: This study is an attempt to identify the recommended psychosocial variables which need to be monitored during cardiac patients’ hospitalization for cardiac surgery, through to the completion of cardiac rehabilitation. After implementing this study at the IRCCS Policlinico San Donato, attempts will be made to create studies on a national and international level to generate more evidence regarding these variables, in order to create tailor-made interventions for these patients during these specific and delicate moments.

【 授权许可】

Unknown