Quality of Life in Patients Undergoing Cardiac Surgery: Role of Coping Strategies

Iqbal, Khizra; Irshad, Yusra; Gilani, Syed Rafay Ali; Hussain, Shafqat; Ahmad, Mubashar; Choudhry, Varda S; Khakwani, Aemen S

doi:10.7759/cureus.16435

Cited by 6 publications

(3 citation statements)

References 15 publications

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“…As is known to all, cardiac surgery is characterized by complex operation, long duration, and great trauma, which will undoubtedly cause adverse emotions in patients, compromising their treatment compliance and even affecting the smooth treatment in serious cases [40,41]. Therefore, appropriate care for patients is critical.…”

Section: Discussionmentioning

confidence: 99%

Effect of the Kanghuier Transparent Hydrocolloid Dressing in Preventing Central Venous Catheter Infection and Phlebitis after Cardiac Surgery

Han

Zeng

et al. 2022

Computational and Mathematical Methods in Medicine

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Background. As cardiac surgery is complicated, time-consuming, and traumatic, it may cause great damage to the patient’s body. Therefore, postoperative indwelling venous catheters are required for hemodynamic monitoring and rapid fluid replenishment. Intravenous catheterization infection can easily lead to phlebitis, which not only affects the success of the operation and patient recovery but may also lead to death in severe cases. Good perioperative care is key to reducing postoperative infection in patients, and the choice of dressings for patients with catheterization plays an important role in reducing catheter infection. Objective. The Kanghuier transparent hydrocolloid dressing is known to effectively prevent and treat wound infections. This study is aimed at exploring whether it can reduce the incidence of postoperative catheter infection and phlebitis in patients undergoing cardiac surgery. Methods. A total of 196 patients undergoing cardiac surgery in the Department of Cardiothoracic Surgery of Zhuhai People’s Hospital (Zhuhai Hospital Affiliated with Jinan University) from January 2020 to June 2020 were selected. Among them, 98 patients receiving Kanghuier transparent dressing intervention were selected as group A, and the remaining 98 patients receiving traditional sterile gauze intervention were selected as group B. The incidence of infection and related complications, phlebitis, inflammatory factors, pain at the infusion site, nursing comfort and satisfaction, and quality of life were analyzed and compared between the two groups. Results. It was found that compared with group B, the postoperative central venous catheter infection rate and the incidence of phlebitis were significantly lower in group A. In addition, the inflammatory response of patients in group A was better relieved. Moreover, the nursing comfort and satisfaction and the quality of life of patients in group A were significantly improved. Conclusion. This study suggests that the Kanghuier transparent hydrocolloid dressing is effective in the prevention and treatment of central venous catheter infection and phlebitis in patients after heart surgery.

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Section: Discussionmentioning

confidence: 99%

Effect of the Kanghuier Transparent Hydrocolloid Dressing in Preventing Central Venous Catheter Infection and Phlebitis after Cardiac Surgery

Han

Zeng

et al. 2022

Computational and Mathematical Methods in Medicine

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“…O período pré-operatório é caracterizado por um somatório de sentimentos e preocupações no qual os pacientes que são submetidos à intervenção cirúrgica experimentam, muitas vezes, uma angústia, que pode ser influenciada também por transtornos psiquiátricos, como ansiedade e depressão (1) . Quando submetidos a situações estressantes de maneira intermitente ou contínua, os indivíduos desenvolvem formas de adaptação ou manejo à situação aflingente, com mecanismos que podem ser positivos ou negativos (2) .…”

Section: Introductionunclassified

Coping religioso-espiritual de pacientes no período pré-operatório de cirurgia cardíaca

Galvão,

Gomes,

Bezerra

2023

Rev. baiana enferm.

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Objetivo: avaliar o coping religioso-espiritual em pacientes no período pré-operatório de cirurgia cardíaca. Método: estudo transversal, analítico, no qual foram avaliados 62 pacientes internados no período pré-operatório de cirurgia cardíaca, entre os meses setembro e dezembro de 2020, em dois hospitais de referência em cirurgia cardíaca no Nordeste do Brasil. Resultados: os pacientes apresentaram um alto uso do coping religioso-espiritual total, com predominância para o positivo. Os principais fatores utilizados para o coping religioso-espiritual positivo foram Posição positiva frente a Deus e Afastamento através Deus/Religião/Espiritualidade. Conclusão: os enfermeiros podem considerar e investir em intervenções que favoreçam o coping positivo, visando repercutir melhor experiência do paciente diante de estressores importantes, como a cirurgia cardíaca.

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“…У пацієнтів із серцево-судинними захворюваннями та КХВ фіксують психічні розлади, такі, як тривога, депресія, а також неконструктивні моделі мислення, що суттєво впливають на ЯЖ хворого. Водночас застосування конструктивних копінг-стратегій, орієнтованих на дезактуалізацію стресу через подолання стресу і негативних емоцій, сприяє відновленню і збереженню фізичного і психологічного здоров'я, поліпшенню міжособистісних відносин, фінансовому благополуччю, безпеці та покращенню ЯЖ у повсякденному функціонуванні [26][27][28].…”

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Quality of Life and Social Functioning of Patients After Cardiosurgical Interventions

Mankovskyi

2022

FMEP

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The objective: to study the quality of life (QOL) and social functioning of patients who underwent cardiosurgery intervention (CSI) with the use of artificial circulation (AR) in the postoperative period, to determine and improve the system for further medical, psychological and social rehabilitation. Materials and methods. 700 patients who underwent CSI with the use of AR were treated at the Heart Institute of the Ministry of Health of Ukraine. 86 patients had cerebral infarction (CI), 217 patients with signs of postoperative encephalopathy, and 504 patients with signs of cognitive dysfunction. The level of QOL and social functioning in patients with this pathology was analyzed. Statistical analysis of differences in the quantitative values of indicators was performed using the nonparametric Mann-Whitney test. Results. It was found that patients after CSI had generally low levels of QOL in all fields, namely in the indicators of psychological (emotional) well-being, general perception of life, ability to work, physical well-being, personal realization, selfcare and independence; interpersonal interaction. The presence of ischemic and neurological complications in patients after CSI significantly reduces the QOL indicators in all areas, with differences in the quantitative values of such patients statistically significant (p<0,01) compared to the groups of patients without such complications. The most significant deterioration of QOL is found in patients with cerebral infarction in the postoperative period, slightly less significant – in patients with signs of postoperative encephalopathy, and the smallest changes – in patients with signs of cognitive dysfunction. Conclusions. The main task of modern cardiac surgery is not only to save the patient from death, but also to improve the quality of life (QOL). At the same time, patients after cardiac surgery are at risk of developing ischemic, neurological complications that significantly reduce QOL in all areas of life. That is why it is necessary to take into account the findings of the study in the development of treatment and rehabilitation programs and preventive measures for such patients.

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Quality of Life in Patients Undergoing Cardiac Surgery: Role of Coping Strategies

Cited by 6 publications

References 15 publications

Effect of the Kanghuier Transparent Hydrocolloid Dressing in Preventing Central Venous Catheter Infection and Phlebitis after Cardiac Surgery

Effect of the Kanghuier Transparent Hydrocolloid Dressing in Preventing Central Venous Catheter Infection and Phlebitis after Cardiac Surgery

Coping religioso-espiritual de pacientes no período pré-operatório de cirurgia cardíaca

Quality of Life and Social Functioning of Patients After Cardiosurgical Interventions

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