RELIGION & SPIRITUALITY IN RECOVERY FROM CARDIAC SURGERY

宗教

• 批准号: 2488459
• 负责人: Richard J Contrada
• 金额: $ 7.84万
• 依托单位: RUTGERS, THE STATE UNIV OF N.J.
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-09-30 至 2000-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2488459
• 关键词: behavioral /social science research tag; clinical research; heart surgery; human subject; outcomes research; rehabilitation; religion

Despite a major downturn in the 1960s and 1970s, cardiovascular disease remains the most common source of morbidity and mortality in the United States. As a result, many individuals can expect to develop diseases of the heart and blood vessels and to undergo invasive treatments such as valve surgery (VS) and coronary artery bypass graft surgery (CABG). Notwithstanding the high level of safety and clear benefits experienced on average among patients receiving these treatments, there is substantial variability in both medical and psychosocial outcomes. The ability of biomedical variables to account fully for this variability has stimulated interest in psychological and social factors that may influence the course of recovery from invasive cardiovascular treatments such as VS and CABG. Research in this area has examined the role of person factors, such as personality characteristics and depression, as well as social characteristics, such as extent and quality of patients' social support networks. However, very little attention has been given to the role of religiousness in recovery to cardiac surgery. Religiousness is a major personal and social resource for many people, yet it has only recently become a topic of systematic study as a predictor of health outcomes in individuals faced with major life stressors. In the proposed study, religiousness and spirituality will be examined as predictors of psychological well-being, physical health, and mortality in 80 patients undergoing VS or CABG at UMDNJ-RWJ Medical School. Psychosocial assessments will be conducted prior to surgery on the day of pre-admission testing, and at 1-month and 6-month follow-ups. Hypotheses to be addressed concern the construct validity of measures of religiousness and spirituality, the association between religiousness/spirituality and outcomes of surgery, the effects of surviving surgery on religiousness/spirituality, and the role of psychological and social mechanisms that may explain associations between religiousness/spirituality and surgical recovery.

尽管20世纪60年代和70年代出现了重大衰退， 仍然是美国发病率和死亡率的最常见来源 States.因此，许多人可能会患上疾病， 以及接受侵入性治疗， 如瓣膜手术（VS）和冠状动脉旁路移植手术（CABG）。 尽管有高水平的安全性和明显的好处， 平均而言，接受这些治疗的患者中， 医疗和心理社会结果的巨大差异。的 生物医学变量完全解释这种变异性的能力 激发了人们对心理和社会因素的兴趣， 影响侵袭性心血管疾病的恢复过程 如VS和CABG。这方面的研究审查了 个人因素的作用，如个性特征和 抑郁症，以及社会特征，如程度和 患者社会支持网络的质量。然而， 人们已经注意到宗教在恢复中的作用， 心脏手术勤奋是一种重要的个人和社会资源 对许多人来说，它只是最近才成为一个系统的话题。 研究作为个人面临的主要健康结果的预测因素 生活压力源在拟议的研究中，宗教性和灵性 将被视为心理健康、身体健康、 在UMDNJ-RWJ接受VS或CABG的80例患者的健康和死亡率 医学院心理社会评估将在 入院前检测当天以及1个月和6个月时的手术 后续行动。需要解决的假设涉及结构效度 宗教性和精神性的衡量标准， 宗教/精神和手术的结果， 宗教/灵性的幸存手术，以及 心理和社会机制可以解释 宗教精神和手术康复之间的区别