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Patient reactions to cancelled or postponed heart operations.

Ivarsson, Bodil LU ; Kimblad, Per Ola LU ; Sjöberg, Trygve LU and Larsson, Sylvia LU (2002) In Journal of Nursing Management 10(2). p.75-81
Abstract
Objectives The aim was to survey the rate and cause of cancellations of planned cardiac operations at a Swedish clinic during 1999, and to study how the patients were affected. Design Questionnaires were distributed to 74 patients who had their operations cancelled. Their mood after discharge was measured with The Hospital Anxiety and Depression scale. Ninety-three patients, who were operated on without postponement, served as controls. Results Sixty-one percent of the patients in the cancellation group reacted negatively, especially if the reason for cancellation was organizational (P = 0.03). The women in the cancellation group had a significantly higher degree of depression than men (P = 0.01) and both women (P = 0.02) and men (P =... (More)
Objectives The aim was to survey the rate and cause of cancellations of planned cardiac operations at a Swedish clinic during 1999, and to study how the patients were affected. Design Questionnaires were distributed to 74 patients who had their operations cancelled. Their mood after discharge was measured with The Hospital Anxiety and Depression scale. Ninety-three patients, who were operated on without postponement, served as controls. Results Sixty-one percent of the patients in the cancellation group reacted negatively, especially if the reason for cancellation was organizational (P = 0.03). The women in the cancellation group had a significantly higher degree of depression than men (P = 0.01) and both women (P = 0.02) and men (P = 0.003) in the control group. Most of the patients, however, were satisfied with the nursing staff's reception and information. Conclusions The patients reacted negatively to the cancellation, especially if it had organizational reasons. Women subjected to cancellation had a significantly higher degree of depression than other patients. To be avoided, organizational and medical problems must be identified in time. One way to do this is to introduce a preadmission nurse clinic. (Less)
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@article{d53be761-d1fa-417a-9777-18a1fc5a27bf,
  abstract     = {Objectives The aim was to survey the rate and cause of cancellations of planned cardiac operations at a Swedish clinic during 1999, and to study how the patients were affected. Design Questionnaires were distributed to 74 patients who had their operations cancelled. Their mood after discharge was measured with The Hospital Anxiety and Depression scale. Ninety-three patients, who were operated on without postponement, served as controls. Results Sixty-one percent of the patients in the cancellation group reacted negatively, especially if the reason for cancellation was organizational (P = 0.03). The women in the cancellation group had a significantly higher degree of depression than men (P = 0.01) and both women (P = 0.02) and men (P = 0.003) in the control group. Most of the patients, however, were satisfied with the nursing staff's reception and information. Conclusions The patients reacted negatively to the cancellation, especially if it had organizational reasons. Women subjected to cancellation had a significantly higher degree of depression than other patients. To be avoided, organizational and medical problems must be identified in time. One way to do this is to introduce a preadmission nurse clinic.},
  author       = {Ivarsson, Bodil and Kimblad, Per Ola and Sjöberg, Trygve and Larsson, Sylvia},
  issn         = {1365-2834},
  keyword      = {Patient Admission/standards,Nursing Methodology Research,Negativism,Middle Age,Needs Assessment,Human,Male,Female,Depression/etiology/prevention & control/psychology,Cardiac Surgical Procedures/*psychology/statistics & numerical data,*Attitude to Health,80 and over,Aged,Adult,Patient Education/standards,Questionnaires,Support,Non-U.S. Gov't,Sweden,*Waiting Lists},
  language     = {eng},
  number       = {2},
  pages        = {75--81},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Nursing Management},
  title        = {Patient reactions to cancelled or postponed heart operations.},
  url          = {http://dx.doi.org/10.1046/j.0966-0429.2001.00293.x},
  volume       = {10},
  year         = {2002},
}