Spiritual well-being and hope in the preoperative period of cardiac surgery

ABSTRACT Objective: To characterize relations between spiritual well-being and hope of patients in the preoperative period of cardiac surgery. Method: Exploratory cross-sectional study with quantitative approach, performed in the infirmaries of a reference hospital in cardiology. We evaluated 69 patients hospitalized in preoperative period of myocardial revascularization, valve repair or replacement. Results: We verified that patients hold relevant scores of hope and welfare in all areas, being the existential well-being significantly lower than the religious one. The average of the spiritual well-being score was below the required to be considered high. There was no significant correlation between welfare and hope. Conclusion: Nurses should develop a watchful eye to these issues, be trained in specific protocols of spiritual anamnese and use the real moments of care to strengthen the patients.

摘要
研究目的：旨在阐明心脏手术术前患者的精神福祉（spiritual well-being）与希望（hope）之间的关联。
研究方法：本研究为采用定量研究方法的探索性横断面研究，于一家心血管病专科参考医院的病房开展。共纳入69名因心肌血运重建术、瓣膜修复或置换术接受术前住院治疗的患者。
研究结果：本研究发现，患者在各维度的希望与福祉得分均处于合理区间，其中存在主义福祉（existential well-being）得分显著低于宗教福祉（religious well-being）得分。精神福祉的平均得分未达到高水平判定标准。未发现福祉与希望之间存在显著相关性。
研究结论：护士应密切关注此类议题，接受精神问诊（spiritual anamnese）专项方案的培训，并依托临床护理的实际场景助力患者改善精神状态。