Bypass surgery with psychological and spiritual support (the By.pass study): study design and research methods.
Bypass surgery with psychological and spiritual support (the By.pass study): study design and research methods.
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心理和精神支持的搭桥手术（By.pass 研究）：研究设计和研究方法。
DOI：
10.1016/j.ahj.2009.04.017
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发表时间：
2009
影响因子：
4.8
通讯作者：
B. Strauss
中科院分区：
文献类型：
--
作者：
J. Rosendahl;K. Tigges;J. Gummert;R. Dziewas;J. Albes;B. Strauss
心理和精神干预对心脏手术结果的影响主要集中在术前干预上。迄今为止，尚未根据患者的偏好对心理和精神干预的效果进行系统的对照分析，尽管这些研究有助于为患者分配适当的支持。旁路研究是一项双中心、对照试验，在2家不同的德国医院接受冠状动脉旁路手术和冠状动脉旁路手术联合瓣膜置换术的患者中进行。主要根据患者的个人治疗偏好，将患者分配到5种情况中的1种：偏好心理干预（第1组），偏好精神干预（第2组）或偏好不干预（第5组）。接受任何类型干预的患者被随机分配到心理干预（第3组）或精神干预（第4组）。在治疗期开始前6个月和治疗期结束后6个月，将患者分配到对照组。这些人也被问及他们的主观偏好（心理，精神，没有干预或没有具体的偏好），但没有接受干预。患者将于2006年10月至2009年12月入组。6个月随访将于2010年7月完成。
Effects of psychological as well as spiritual interventions on outcome in cardiac surgery have mostly been studied with a focus on presurgical interventions. Systematically controlled analyses of the effects of psychological and spiritual interventions depending on the patients' preference have not been performed so far, although these studies would help to assign patients to an adequate support. The By.pass study is a bicenter, controlled trial of patients undergoing coronary bypass surgery and coronary bypass surgery combined with valve replacement surgery in 2 different German hospitals. Patients are assigned to 1 of 5 conditions, mainly according to their personal therapeutic preference: preference for psychological interventions (group 1), preference for spiritual interventions (group 2), or preference for no intervention (group 5). Patients who are open for any kind of intervention are randomly assigned either to psychological (group 3) or spiritual interventions (group 4). Six months before the start and 6 months after the end of the treatment phase, patients were assigned to the control groups. These were asked about their subjective preference (psychological, spiritual, no intervention, or no specific preference) as well but received no interventions. Patients will be enrolled from October 2006 to December 2009. The 6-month follow-up will be completed in July 2010.
DOI：
10.1037//0003-066x.50.12.965
发表时间：
1995
期刊：
The American psychologist
影响因子：
--
作者：
Seligman,ME
通讯作者：
Seligman,ME