Behavioral regulatory activation in patients scheduled for cardiac surgery
Abstract
Introduction: Psychocardiology has become essential in the field of cardiovascular disease and cardiac surgery, not only in the characterization of certain processes but also in intervention.
Objective: To identify self-regulation mechanisms in patients indicated for cardiovascular surgery.
Method: A study was conducted with 63 pre-surgical patients at the Instituto de Cardiología y Cirugía Cardiovascular of Havana, Cuba, between March and June 2017. The Dembo-Rubinstein self-assessment scale, semi-structured interview, State-Trait Anxiety Inventory (STAI), and two intellectual work capacity tests (story retelling and ten words) were applied.
Results: Most patients had illness-centered aspirations, increased adequacy with respect to self-assessment, especially of their current health status, and intellectual work-capacity disorders, derived from high levels of stress and anxiety.
Conclusions: The maximized self-awareness was the self-regulation mechanism with higher expression among the group of patients studied. These patients are afraid of facing cardiovascular surgery, since they fear death, disability, leaving their children and parents alone; but they feel sensitive to the surgical procedure.
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