Download Impact of Cardiac Surgery on the Quality of Life: by Georg Rodewald, Allen E. Willner (auth.), Allen E. Willner, PDF

By Georg Rodewald, Allen E. Willner (auth.), Allen E. Willner, Georg Rodewald (eds.)

Georg Rodewald college of Hamburg Hamburg, Federal Republic of Germany Allen E. Willner Hillside medical institution Glen Oaks, long island unlike the preliminary years of cardiac surgical procedure (37 years ago), there's now expanding curiosity in cerebral security. Rodewald [1] in 1978 used to be one of the first to show the surgeon's situation with "psychopathological difficulties" and Taylor [2] in 1989 under pressure that" ••• the attention of the cerebral effects of open middle surgical procedure has risen significantly lately • • • " This booklet experiences the facts for neurological, mental, and neuropsycho­ logical reactions to cardiac surgical procedure. In prior experiences one challenge is that small samples of sufferers have been studied with assorted measuring tools in order that it was once tough to ma~e experience of inconsistent findings. enormous controversy resulted with little skill to tackle discrepant findings. It seemed that a huge multi­ heart learn utilizing uniform measures will help make clear the picture.

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Extra resources for Impact of Cardiac Surgery on the Quality of Life: Neurological and Psychological Aspects

Example text

HRPD-Factor 5: Masked Depression Symptoms The above figure (Fig. 8) shows the overall results of Factor 5 of the HRPD: we can observe an increase of the scores from the preoperative to the postoperative measure and a decline to the measure prior to discharge. 00 ......................................................................................... 20 ..................................................................................... 00 .....................................................................................

Impact of Cardiac Surgery on the Quality of Life Edited by A. E. Willner and O. Rodewald Plenum Press, New York, 1990 27 H. SPEIDEL 28 30 ....................................................................................... 1 N=300 I 20 ..................................................................................... ;.... ;,;..... :::J .................. 15 --4~-- 10 ................................................................................... 5 ....................................................................................

4. HRPD Factor 1: DISCHARGE Disorientation. 00 ........................................................................................ 00 PRE-OP Fig. 5. POST-OP A DISCHARGE AS HRPD Factor 2: Disturbed Concentration/Thinking. HRPD-Factor 2: Disturbed Concentration/Thinking The results shown in Fig. 5 had to be expected. We know that many patients are slightly damaged in their higher intellectual functions when they come to heart surgery. This is a consequence of: a) chronic circulatory problems, b) the basic disease of the vessels manifested both in the heart and in the brain, c) preoperative fatigue and diminished vitality, d) masked or open depression, e) preoperative anxiety.

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