Abstract

In a retrospective study of 5,497 patients undergoing elective cardiac surgery, we compared the surgical outcome for 74 patients asking for pre-operative spiritual care with the outcome of the other 5,423 patients. The spiritual support group was elder (p=0.004), incorporated relatively more females (p=0.013), and experienced higher mortality (p=0.033). Multiple logistic regression analysis singled out age as predicting factor for death within the first year postoperatively (p < 0.001). We suggest that in patients asking for pre-operative spiritual support, cardiac surgeons and spiritual counsellors need to be aware of these findings and may adjust their counselling.

Keywords: Cardiac Surgery; Spiritual Care; Surgical Outcome; Pre-Operative Counselling; Mortality

References

1. Bay SB.,et al. “The effect of pastoral care services on anxiety, depression, hope, religious coping, and religious problem solving styles: A randomized controlled study”. Journal of Religion and Health1 (2008): 57-69.
2. Koenig HG. “Religion, spirituality and health: The research and clinical implications”. International Scholarly Research Notices: Psychiatry (2012): 278730.
3. Swinton J. “Healthcare spirituality: A question of knowledge”. In M Cobb, CM Puchalskiand B Rumbold (Eds.), Oxford textbook of spirituality in healthcare (2012): 99-104.
4. VandeCreek, L., et al. “The unique benefits of religious support during cardiac bypass surgery”. Journal ofPastoral Care1 (1999): 19-29.
5. LuccheseFA and Koenig HG. “Religion, spirituality and cardiovascular disease: Research, clinical implications, and opportunities in Brazil”. Brazilian Journal of Cardiovascular Surgery1 (2013): 103-128.
6. Ai AL., et al. “Prayer and reverence in naturalistic, aesthetic, and socio-moral contexts predicted fewer complications following coronary artery bypass”. Journal of Behavioral Medicine6 (2009): 570-581.
7. Rosendahl J., et al. “Bypass surgery with psychological and spiritual support (the BY.PASS study): Results of a pragmatic trial based on patients’ preference”. Psychotherapy and Psychosomatics 82 (2013): 35-44.
8. Maas AHEM and Appelman YEA. “Gender differences in coronary heart disease”. Netherlands Heart Journal12 (2010): 598-602.
9. , et al. “Is age an independent determinant of mortality in cardiac surgery as suggested by the EuroSCORE?” BMC Surgery 2 (2002): 8.
10. Curiel-Balsera E., et al. “Mortality and complications in elderly patients undergoing cardiac surgery”. Journal of Critical Care4 (2013): 397-404.
11. Becker J and De Hart J. “Godsdienstigeveranderingen in Nederland: Verschuivingen in de binding met de kerkenen de christelijketraditie”. Den Haag: Sociaal en CultureelPlanbureau. Werkdocument 128 (2006).
12. Kregting J. “The persistent religious gender gap in the Netherlands in times of secularisation, 1966-2015”. Interreligious Studies 13. Zürich: LIT Verlag (2019).
13. Van de Geer J. “Learning spiritual care in Dutch hospitals: The impact on healthcare of patients in palliative trajectories” (2019).

Citation

Citation: George J Brandon Bravo Bruinsma., et al. “Pre-operative Request for Spiritual Care and Surgical Outcome in Patients Undergoing Elective Cardiac Surgery". Acta Scientific Clinical Case Reports 1.7 (2020): 03-07.

Copyright

Copyright: © 2020 George J Brandon Bravo Bruinsma., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.