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Psychosocial interventions for cardiac surgery patients: continuity at clinical stages

Published online by Cambridge University Press:  01 September 2022

O. Nikolaeva ,
T. Karavaeva ,
E. Nikolaev ,
N. Maksimova ,
E. Litvinova  and
E. Vasilieva
O. Nikolaeva
Affiliation:
Ulianov Chuvash State University, Department Of Faculty And Hospital Therapy, Cheboksary, Russian Federation Republican Cardiology Clinic, Cardiosurgery Unit, Cheboksary, Russian Federation
T. Karavaeva
Affiliation:
St. Petersburg State University, Department Of Medical Psychology And Psychophysiology, St. Petersburg, Russian Federation V. M. Bekhterev National Medical Research Center for Psychiatry and Neurology, Department For Treatment Of Borderline Mental Disorders And Psychotherapy, St. Petersburg, Russian Federation St. Petersburg State Pediatric Medical University, Department Of General And Applied Psychology With A Course In Biomedical Disciplines, St. Petersburg, Russian Federation N.N. Petrov National Medical Research Center of Oncology, Scientific Department Of Innovative Methods Of Therapeutic Oncology And Rehabilitation, St. Petersburg, Russian Federation
E. Nikolaev*
Affiliation:
Ulianov Chuvash State University, Social And Clinical Psychology Department, Cheboksary, Russian Federation
N. Maksimova
Affiliation:
Ulianov Chuvash State University, Social And Clinical Psychology Department, Cheboksary, Russian Federation
E. Litvinova
Affiliation:
Ulianov Chuvash State University, Social And Clinical Psychology Department, Cheboksary, Russian Federation
E. Vasilieva
Affiliation:
Ulianov Chuvash State University, Social And Clinical Psychology Department, Cheboksary, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

More often, cardiac surgery patients (CSP) receive systematic psychological aid after surgery. However, their need for psychosocial interventions in the perioperative period is underestimated.

Objectives

The goal is to determine the stages of psychosocial interventions for CSP that could cover the whole period of their treatment and rehabilitation.

Methods

Analysis of scientific papers and practical experience gained in cardiologic clinic allowed dividing the system of psychosocial interventions for cardiac surgery patients into periods in accordance with actual stages of medical aid for CSPs.

Results

According to the principles of personalized approach, we determined six consecutive semantically different stages of psychosocial interventions: out-of-hospital pre-surgery, in-hospital pre-surgery, early post-surgery, in-hospital post-surgery, post-surgery rehabilitation, and out-of-hospital rehabilitation. They have different duration and cover the whole period of treatment and rehabilitation of CSPs beginning with the moment of indication to surgery up to the complete rehabilitation and full adaptation to their post-surgery somatic condition. Each stage has its own goals, main objectives and expectations. Duration of the stages is conditional and can change depending on the nature of every clinical situation.

Conclusions

Determination of clinical stages in the process of psychosocial interventions for CSPs gives ground for selecting optimal psychological methods and techniques for each stage and sets exact goals, achievement of which becomes possible only through a properly organised work of an interdisciplinary team of specialists.

Disclosure

No significant relationships.

Keywords

psychosocial interventionsperioperative periodpsychological methods and techniquescardiac surgery patients
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S752
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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