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A Survey of Adjustment to Cardiac Surgery

A Survey of Adjustment to Cardiac Surgery Abstract Approximately 800 patients who had cardiac surgery responded to a questionnaire surveying their psychological reactions to the entire surgical process. The overwhelming majority reported gratification with the results, and improvement in broad areas of functioning. Life pleasure and job performance were particularly bettered, while sexual adjustment was the least improved category. Despite the general improvement, anxiety was present at all stages, and psychological problems were especially manifest in the recovery room, with a third of the patients reporting symptoms of "Recovery Room delirium" or "early organic brain syndrome." Overall, patients described a generalized need for greater physician support, direction, and encouragement in the decision for surgery and in resuming activity following convalescence. Psychological problems interfered with optimal long-term benefit in a substantial group of patients. Overprotective families were also a common problem. References 1. Blachly PH, Blachly BJ: Vocational and emotional status of 263 patients after heart surgery. Circulation 38:524-533, 1968.Crossref 2. Lucia W, McGuire LB: Rehabilitation and functional status after surgery for valvular heart disease. Arch Intern Med 126:995-1000, 1970.Crossref 3. Heller SS, Frank KA, Malm JR, et al: Psychiatric complications of open-heart surgery: A reexamination. New Eng J Med 283:1015-1020, 1970.Crossref 4. Kornfeld DS, Zimberg S, Malm JR: Psychiatric complications of open-heart surgery. New Eng J Med 273:287-292, 1965.Crossref 5. Egerton N, Kay JH: Psychological disturbances associated with open-heart surgery. Brit J Psychiat 110:433-440, 1964.Crossref 6. Layne OL Jr, Yudofsky SC: Post-operative psychosis in cardiotomy patients: The role of organic and psychiatric factors. New Eng J Med 284:518-521, 1971.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1972.03650050063011
Publisher site
See Article on Publisher Site

Abstract

Abstract Approximately 800 patients who had cardiac surgery responded to a questionnaire surveying their psychological reactions to the entire surgical process. The overwhelming majority reported gratification with the results, and improvement in broad areas of functioning. Life pleasure and job performance were particularly bettered, while sexual adjustment was the least improved category. Despite the general improvement, anxiety was present at all stages, and psychological problems were especially manifest in the recovery room, with a third of the patients reporting symptoms of "Recovery Room delirium" or "early organic brain syndrome." Overall, patients described a generalized need for greater physician support, direction, and encouragement in the decision for surgery and in resuming activity following convalescence. Psychological problems interfered with optimal long-term benefit in a substantial group of patients. Overprotective families were also a common problem. References 1. Blachly PH, Blachly BJ: Vocational and emotional status of 263 patients after heart surgery. Circulation 38:524-533, 1968.Crossref 2. Lucia W, McGuire LB: Rehabilitation and functional status after surgery for valvular heart disease. Arch Intern Med 126:995-1000, 1970.Crossref 3. Heller SS, Frank KA, Malm JR, et al: Psychiatric complications of open-heart surgery: A reexamination. New Eng J Med 283:1015-1020, 1970.Crossref 4. Kornfeld DS, Zimberg S, Malm JR: Psychiatric complications of open-heart surgery. New Eng J Med 273:287-292, 1965.Crossref 5. Egerton N, Kay JH: Psychological disturbances associated with open-heart surgery. Brit J Psychiat 110:433-440, 1964.Crossref 6. Layne OL Jr, Yudofsky SC: Post-operative psychosis in cardiotomy patients: The role of organic and psychiatric factors. New Eng J Med 284:518-521, 1971.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Nov 1, 1972

References