Emotional reactions to cardiac surgery

Stress during mechanical ventilation: benefit of having concrete objective information before cardiac surgery

American Journal of Critical Care ◽

10.4037/ajcc1999.8.2.118 ◽

1999 ◽

Vol 8 (2) ◽

pp. 118-126 ◽

Cited By ~ 11

Author(s):

H Kim ◽

BJ Garvin ◽

DK Moser

Keyword(s):

Mechanical Ventilation ◽

Cardiac Surgery ◽

Negative Mood ◽

Emotional Reactions ◽

Control Group ◽

Nursing Interventions ◽

Objective Information ◽

Analgesic Medication ◽

Quasi Experimental ◽

Experimental Group

BACKGROUND: Negative emotional reactions and difficulty in communicating are common in patients receiving mechanical ventilation and may adversely affect recovery from cardiac surgery. OBJECTIVE: To determine the effect of providing concrete objective information about emotional stress and difficulty in communicating related to mechanical ventilation to Korean cardiac surgery patients. METHODS: A quasi-experimental 2-group design was used. The 22 subjects in the control group received the usual information; the 21 in the experimental group received concrete objective information in addition to the usual information. State anxiety, negative affect, use of sedative and analgesic medications, and difficulty communicating were compared between the 2 groups after surgery. RESULTS: Patients who received concrete objective information experienced less anxiety and negative mood during mechanical ventilation, less difficulty in communicating, and a shorter intubation time than did patients in the control group. The 2 groups did not differ in the amount of sedative or analgesic medication used per hour during mechanical ventilation. CONCLUSIONS: Nursing interventions that include concrete objective information help cardiac patients cope with the stresses associated with surgery and mechanical ventilation.

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CONGENITAL HEART DISEASE IN CHILDREN AND ADULTS The emotional reactions of parents to the hospitalization and conservative treatment of children after cardiac surgery in comparison to the parents of children treated for acute infection

Polish Journal of Cardio-Thoracic Surgery ◽

10.5114/kitp.2013.34300 ◽

2013 ◽

Vol 1 ◽

pp. 27-30

Author(s):

Anna Stochel-Gaudyn ◽

Tomasz Składzień ◽

Janusz Hieronim Skalski ◽

Krzysztof Fyderek

Keyword(s):

Congenital Heart Disease ◽

Cardiac Surgery ◽

Heart Disease ◽

Conservative Treatment ◽

Congenital Heart ◽

Acute Infection ◽

Emotional Reactions

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Blood-volume studies in cardiac-surgery patients

JAMA ◽

10.1001/jama.195.5.356 ◽

1966 ◽

Vol 195 (5) ◽

pp. 356-361 ◽

Cited By ~ 1

Author(s):

J. B. McClenahan

Keyword(s):

Cardiac Surgery ◽

Blood Volume

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Behavioral Factors Impact Impairment and Disability Evaluation

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2011.sepoct03 ◽

2011 ◽

Vol 16 (5) ◽

pp. 5-7

Author(s):

Lee Ensalada

Keyword(s):

Social History ◽

Standardized Test ◽

Somatoform Disorders ◽

Disability Evaluation ◽

Body Part ◽

Emotional Reactions ◽

Illness Behavior ◽

Validity Testing ◽

Symptom Validity Testing ◽

Disease Pattern

Abstract Illness behavior refers to the ways in which symptoms are perceived, understood, acted upon, and communicated and include facial grimacing, holding or supporting the affected body part, limping, using a cane, and stooping while walking. Illness behavior can be unconscious or conscious: In the former, the person is unaware of the mental processes and content that are significant in determining behavior; conscious illness behavior may be voluntary and conscious (the two are not necessarily associated). The first broad category of inappropriate illness behavior is defensiveness, which is characterized by denial or minimization of symptoms. The second category includes somatoform disorders, factitious disorders, and malingering and is characterized by exaggerating, fabricating, or denying symptoms; minimizing capabilities or positive traits; or misattributing actual deficits to a false cause. Evaluators can detect the presence of inappropriate illness behaviors based on evidence of consistency in the history or examination; the likelihood that the reported symptoms make medical sense and fit a reasonable disease pattern; understanding of the patient's current situation, personal and social history, and emotional predispositions; emotional reactions to symptoms; evaluation of nonphysiological findings; results obtained using standardized test instruments; and tests of dissimulation, such as symptom validity testing. Unsupported and insupportable conclusions regarding inappropriate illness behavior represent substandard practice in view of the importance of these conclusions for the assessment of impairment or disability.

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