Impact of social support and religiosity/spirituality on recovery from acute cardiac events and heart surgery in Switzerland.

IF 1.1 4区医学 Q4 PSYCHIATRY

International Journal of Psychiatry in Medicine Pub Date : 2024-09-01 Epub Date: 2023-12-29 DOI:10.1177/00912174231225801

Micha Eglin, Jean-Paul Schmid, Joram Ronel, Ramin Khatami, Christoph Leiggener, Harold G Koenig, René Hefti

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引用次数: 0

Abstract

Objective: The aim of this study was to evaluate the impact of social support and religiosity/spirituality (R/S) on the recovery from an acute cardiac event or cardiac surgery during cardiac rehabilitation (CR).

Methods: In this prospective study, a convenience sample of 159 patients participating in a CR program were enrolled. Religiosity/spirituality, social support, anxiety, depression, health related quality of life (QoL), and exercise capacity (6-min walk test, cycle ergometer test) were assessed.

Results: Social support was significantly associated with less anxiety (p < .01), less depression (p < .01), and better QoL (p < .05) on admission. After adjustment for age, gender, education level, and morbidity, social support remained significantly associated with less depression (p < .001). Religiosity/spirituality was significantly associated with less depression (p < .05), better QoL (p < .05), and better exercise capacity (p < .05) at admission. After adjustment for covariates, however, significance was lost. There were no significant impact of either social support or R/S on the course of CR measured by change in QoL or exercise capacity.

Conclusion: Social support may be a protective factor against depression in the recovery from cardiac events or surgery. Neither social support nor R/S had a significant impact on the course of the 3-week CR program.

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在一项瑞士研究中，社会支持和宗教信仰/灵性对急性心脏事件和心脏手术后恢复的影响。

研究目的本研究旨在评估在心脏康复（CR）过程中，社会支持和宗教信仰/灵性（R/S）对急性心脏事件或心脏手术后恢复的影响：研究采用前瞻性设计。研究采用前瞻性设计，对 159 名参加心脏康复计划的患者进行了方便抽样调查。对宗教信仰/精神、社会支持、焦虑、抑郁、与健康相关的生活质量（QoL）和运动能力（6 分钟步行测试、自行车测力计测试）进行了评估：入院时，社会支持与焦虑程度降低（P < .01）、抑郁程度降低（P < .01）和生活质量提高（P < .05）有明显关系。在对年龄、性别、教育水平和发病率进行调整后，社会支持仍与抑郁程度较低有明显关系（P < .001）。宗教信仰/灵性与入院时抑郁程度较低（P < .05）、QoL 较好（P < .05）和运动能力较强（P < .05）明显相关。然而，在对协变量进行调整后，其相关性消失了。根据 QoL 或运动能力的变化来衡量，社会支持或 R/S 与 CR 的进程没有明显的关联：结论：在心脏事件或手术后的恢复过程中，社会支持可能是抑郁的保护因素。社会支持和R/S对为期3周的CR疗程均无明显影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Psychiatry in Medicine 医学-精神病学

CiteScore

3.00

自引率

5.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Psychiatry in Medicine (IJPM) bridges the gap between clinical psychiatry research and primary care clinical research. Providing a forum for addressing: The relevance of psychobiological, psychological, social, familial, religious, and cultural factors in the development and treatment of illness; the relationship of biomarkers to psychiatric symptoms and syndromes in primary care...

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