The association between hope, marital status, depression and persistent pain in men and women following cardiac surgery
dc.contributor.author | Bjørnnes, Ann Kristin | |
dc.contributor.author | Parry, Monica | |
dc.contributor.author | Lie, Irene | |
dc.contributor.author | Falk, Ragnhild Sørum | |
dc.contributor.author | Leegaard, Marit | |
dc.contributor.author | Rustøen, Tone | |
dc.date.accessioned | 2019-01-24T08:54:10Z | |
dc.date.accessioned | 2019-02-25T15:03:34Z | |
dc.date.available | 2019-01-24T08:54:10Z | |
dc.date.available | 2019-02-25T15:03:34Z | |
dc.date.issued | 2018-01-02 | |
dc.identifier.citation | Bjørnnes AK, Parry M, Lie I, Falk R, Leegaard M, Rustøen T. The association between hope, marital status, depression and persistent pain in men and women following cardiac surgery. BMC Women's Health. 2018;18(2) | en |
dc.identifier.issn | 1472-6874 | |
dc.identifier.issn | 1472-6874 | |
dc.identifier.uri | https://hdl.handle.net/10642/6673 | |
dc.description.abstract | Background: Cardiac surgery is a major life event, and outcomes after surgery are associated with men’s and women’s ability to self-manage and cope with their cardiac condition in everyday life. Hope is suggested to impact cardiac health by having a positive effect on how adults cope with and adapt to illness and recommended lifestyle changes. Methods: We did a secondary analysis of 416 individuals (23% women) undergoing elective coronary artery bypass graft and/or valve surgery between March 2012 and September 2013 enrolled in randomized controlled trial. Hope was assessed using The Herth Hope Index (HHI) at three, six and 12 months following cardiac surgery. Linear mixed model analyses were performed to explore associations after cardiac surgery between hope, marital status, depression, persistent pain, and surgical procedure. Results: For the total sample, no statistically significant difference between global hope scores from 3 to 12 months was observed (ranging from 38.3±5.1 at 3 months to 38.7±5.1 at 12 months), and no differences between men and women were observed at any time points. However, 3 out of 12 individual items on the HHI were associated with significantly lower scores in women: #1) I have a positive outlook toward life, #3)I feel all alone, and #6) I feel scared about my future. Over the study period, diminished hope was associated with older age, lower education, depression prior to surgery, and persistent pain at all measurement points. Isolated valve surgery was positively associated with hope. While neither sex nor marital status, as main effects, demonstrated significant associations with hope, women who were divorced/widowed/single were significantly more likely to have lower hope scores over the study period. Conclusion: Addressing pain and depression, and promoting hope, particularly for women living alone may be important targets for interventions to improve outcomes following cardiac surgery. | en |
dc.description.sponsorship | This study is based upon work supported by the South-Eastern Norway Regional Health Authority public health research grant (reference 2012030). | en |
dc.language.iso | en | en |
dc.publisher | BMC | en |
dc.relation.ispartofseries | BMC Women's Health;(2018) 18:2 | |
dc.rights | © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | en |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Cardiac surgeries | en |
dc.subject | Hopes | en |
dc.subject | Marital statuses | en |
dc.subject | Persistent pains | en |
dc.subject | Depressions | en |
dc.title | The association between hope, marital status, depression and persistent pain in men and women following cardiac surgery | en |
dc.type | Journal article | en |
dc.type | Peer reviewed | en |
dc.date.updated | 2019-01-24T08:54:10Z | |
dc.description.version | publishedVersion | en |
dc.identifier.doi | http://dx.doi.org/10.1186/s12905-017-0501-0 | |
dc.identifier.cristin | 1597637 | |
dc.source.journal | BMC Women's Health |
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HV - Institutt for sykepleie og helsefremmende arbeid [1398]
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Except where otherwise noted, this item's license is described as © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.