Patient-Centered Cardiac Surgery: Psychosocial Challenges, Evidence-Based Interventions, and Future Horizons.
| Title: | Patient-Centered Cardiac Surgery: Psychosocial Challenges, Evidence-Based Interventions, and Future Horizons. |
|---|---|
| Authors: | Leivaditis V; Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, 67655 Kaiserslautern, Germany.; Sepetis A; Postgraduate Health and Social Care Management Program, Department of Business Administration, University of West Attica, 12243 Athens, Greece.; Mulita F; Department of General Surgery, General Hospital of Eastern Achaia-Unit of Aigio, 25100 Aigio, Greece.; Mitsos S; Department of Thoracic Surgery, Attikon General Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece.; Baikoussis NG; Department of Cardiac Surgery, Ippokrateio General Hospital of Athens, 11527 Athens, Greece.; Koletsis E; Department of Cardiothoracic Surgery, General University Hospital of Patras, 26504 Patras, Greece.; Assimakopoulos SF; Division of Infectious Diseases, Department of Internal Medicine, Medical School, University of Patras, 26504 Patras, Greece.; Maniatopoulos AA; Department of Electrical and Computer Engineering, Democritus University of Thrace, 67100 Xanthi, Greece.; Liolis E; Department of Oncology, General University Hospital of Patras, 26504 Patras, Greece.; Nikolakopoulos K; Department of Vascular Surgery, General University Hospital of Patras, 26504 Patras, Greece.; Dahm M; Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, 67655 Kaiserslautern, Germany.; Kontodimopoulos N; Department of Economics and Sustainable Development, Harokopio University, 17676 Athens, Greece. |
| Source: | Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2025 Nov 18; Vol. 13 (22). Date of Electronic Publication: 2025 Nov 18. |
| Publication Type: | Journal Article; Review |
| Language: | English |
| Journal Info: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101666525 Publication Model: Electronic Cited Medium: Print ISSN: 2227-9032 (Print) Linking ISSN: 22279032 NLM ISO Abbreviation: Healthcare (Basel) Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Basel, Switzerland : MDPI AG, [2013]- |
| Abstract: | Background: Psychosocial factors such as anxiety, depression, and lack of social support are increasingly recognized as critical determinants of outcomes in cardiac surgery. Up to 32% of patients experience preoperative anxiety, and nearly 20% experience depression, both of which have been associated in observational studies with delayed recovery, increased complications, and higher mortality. Objective: This study aimed to review current evidence on psychosocial aspects of cardiac surgery and evaluate patient-centered care strategies that address these challenges. Methods: A narrative literature review was performed using PubMed, Scopus, and ScienceDirect, focusing on recently published studies. The search covered studies published between January 2009 and June 2024, yielding 76 eligible studies after screening and thematic synthesis. Search terms included patient-centered care, psychosocial factors, cardiac surgery, anxiety, depression, rehabilitation, and telemedicine. Eligible studies included randomized controlled trials, cohort studies, qualitative studies, and systematic reviews. Results: Key themes included preoperative psychological preparation, management of anxiety and depression, promotion of quality of life, effective communication strategies, and integration of psychosocial support into rehabilitation programs. Evidence shows that psychological and social interventions reduce reported pain by up to 33%, as reported in pooled randomized controlled trials and meta-analyses; shorten hospital stay; improve adherence to treatment; and enhance long-term quality of life. Emerging tools such as telemedicine and digital platforms further expand access to psychosocial care. Conclusions: Integrating psychosocial care into cardiac surgery is essential for achieving holistic outcomes. Patient-centered models that emphasize communication, shared decision-making, family involvement, and digital support improve not only survival but also recovery, well-being, and patient satisfaction. Redefining success in cardiac surgery requires attention to both clinical results and the broader human experience of illness and recovery. |
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| Contributed Indexing: | Keywords: anxiety; cardiac surgery; depression; patient-centered care; psychosocial factors; quality of life; rehabilitation; telemedicine |
| Entry Date(s): | Date Created: 20251127 Date Completed: 20251127 Latest Revision: 20251130 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC12652157 |
| DOI: | 10.3390/healthcare13222957 |
| PMID: | 41302346 |
| Database: | MEDLINE |
Journal Article; Review