Social Relationship Factors, Preoperative Depression, and Hospital Length of Stay in Surgical Patients

Krampe, Henning; Barth-Zoubairi, Anke; Schnell, Tatjana; Salz, Anna-Lena; Kerper, Léonie F.; Spies, Claudia

doi:10.1007/s12529-018-9738-8

Cited by 19 publications

(16 citation statements)

References 55 publications

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“…Respondents with history of poor social support, in our study were another significant factor to develop depression. This result was supported by other studies in Berlin [ 30 ] and Germany [ 39 ]. The possible explanation could be being scheduled for surgery is stressful condition in which they might think of morbidity and mortality so, patients need strong social support both in psychological makeup and resource.…”

Section: Discussionsupporting

confidence: 88%

Magnitude and factors associated with preoperative depression among elective surgical patients at University of Gondar comprehensive specialized hospital, North West Ethiopia: A cross-sectional study

Kebede

Denu

Aytolign

et al. 2022

Annals of Medicine &Amp; Surgery

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Section: Discussionsupporting

confidence: 88%

Magnitude and factors associated with preoperative depression among elective surgical patients at University of Gondar comprehensive specialized hospital, North West Ethiopia: A cross-sectional study

Kebede

Denu

Aytolign

et al. 2022

Annals of Medicine &Amp; Surgery

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“…Its scope was narrowed to behavioral health innovations within hospitals; “behavioral health,” “innovation,” and “hospital” were broadly defined (see Supplementary Table 3). The choice to focus on behavioral health resulted from its pervasiveness across healthcare units, 1 critical role in patient outcomes across presenting problems, 6,7 effect on hospital utilization, 2–4,8 and its broad literature base in implementation science. 17,19,26 Yet process models may be effectively utilized in other healthcare innovations not captured in this review.…”

Section: Discussionmentioning

confidence: 99%

“…Behavioral health problems are frequently encountered in general hospital settings. 1 Patients with comorbid behavioral health and medical problems are more likely to visit the emergency department 2,3 and be admitted, 4,5 experience longer length of stay, 5,6 and suffer inpatient complications. 5 The mental toll of hospitalization is also extraordinary with high rates of physical, cognitive, and mental health problems after intensive care.…”

Section: Introductionmentioning

confidence: 99%

Implementation stages in practice: A review of behavioral health innovation within hospitals

Domlyn

2021

Health Serv Manage Res

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Behavioral health influences patient health outcomes and healthcare utilization rates. Hospitals are promising settings for appropriate identification, treatment, and referral of behavioral health issues and may affect hospital admission rates and healthcare costs. Implementation frameworks are designed to aid successful adoption and scaling of health innovations. One type – process models – present staged frameworks for rolling out an innovation into routine practice. Process models are appealing for their pragmatism but are criticized for oversimplifying the complexity of implementation. This review investigates the empirical evidence for process models’ utility in hospitals, chosen for their uniquely complex structures, by determining whether their use impacts implementation outcomes. Using systematic search and selection criteria across six databases, ten peer-reviewed studies were identified. Each applied a process model for implementing behavioral health innovations within hospital systems. Studies were coded by type of stage framework and reported implementation outcomes. Studies reported mostly favorable or mixed outcomes. No one framework prevailed in use nor evidence. Due to the paucity of published literature and reported data, there is limited evidence that process model application propels implementation outcomes in hospital settings. Furthering the science requires creating and utilizing systematic guidelines to employ process models, measure and report implementation stage transition, and measure and report implementation outcomes. Management and practitioners can include such data collection in standard process evaluations of hospital implementation and scale-up activities, or adopt complexity-informed approaches that lack the simplicity of process models but may be more realistic for complex settings.

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“…Six months after preoperative assessment, we obtained medical data from the electronic patient data management system of the hospital, and determined six measures to assess essential medical parameters. All categories of these medical measures are shown in Table 1; more details are available in our previous publications [53,54]. The six parameters included:…”

Section: Data Collection and Eligibility Criteriamentioning

confidence: 99%

Sense of coherence, mental well-being and perceived preoperative hospital and surgery related stress in surgical patients with malignant, benign, and no neoplasms

et al. 2020

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Background This prospective, cross-sectional, observational study examined associations between sense of coherence (SOC), mental well-being, and perceived preoperative hospital and surgery related stress of surgical patients with malignant, benign, and no neoplasms. The objective was to assess a putative association between SOC and preoperative stress, and to test for a statistical mediation by mental well-being. Method The sample consisted of 4918 patients from diverse surgical fields, of which 945 had malignant neoplasms, 333 benign neoplasms, and 3640 no neoplasms. For each subsample, we conducted simple mediation analyses to test an indirect effect of SOC on preoperative stress mediated by mental well-being. The models were adjusted for age, gender, and essential medical factors. Results Patient groups did not differ significantly regarding degrees of SOC and mental well-being (SOC, M [SD]: 12.31 [2.59], 12.02 [2.62], 12.18 [2.57]; mental well-being M [SD]: 59.26 [24.05], 56.89 [22.67], 57.31 [22.87], in patients with malignant, benign, and without neoplasms, respectively). Patients without neoplasms reported significantly lower stress (4.19 [2.86], M [SD]) than those with benign (5.02 [3.03], M [SD]) and malignant neoplasms (4.99 [2.93], M [SD]). In all three mediation models, SOC had significant direct effects on stress, with higher SOC being associated with lower stress (− 0.3170 [0.0407], − 0.3484 [0.0752], − 0.2919 [0.0206]; c’ [SE], p < 0.001 in patients with malignant, benign, and without neoplasms, respectively). In patients with malignant neoplasms and without neoplasms, SOC showed small indirect effects on stress that were statistically mediated by well-being. Higher SOC was related to higher well-being, which in turn was related to lower stress. In patients with benign neoplasms, however, no significant indirect effects of SOC were found. Conclusions SOC was directly associated with lower perceived hospital and surgery related stress, over and above the direct and mediation effects of mental well-being. Because the data are cross-sectional, conclusions implying causality cannot be drawn. Nevertheless, they indicate important relationships that can inform treatment approaches to reduce elevated preoperative stress by specifically addressing low SOC. Trial registration clinicaltrials.gov Identifier: NCT01357694. Registered 18 May 2011

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Social Relationship Factors, Preoperative Depression, and Hospital Length of Stay in Surgical Patients

Abstract: NCT01357694.

Cited by 19 publications

References 55 publications

Magnitude and factors associated with preoperative depression among elective surgical patients at University of Gondar comprehensive specialized hospital, North West Ethiopia: A cross-sectional study

Magnitude and factors associated with preoperative depression among elective surgical patients at University of Gondar comprehensive specialized hospital, North West Ethiopia: A cross-sectional study

Implementation stages in practice: A review of behavioral health innovation within hospitals

Sense of coherence, mental well-being and perceived preoperative hospital and surgery related stress in surgical patients with malignant, benign, and no neoplasms

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