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Quality of Life Research

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Gepubliceerd in: Quality of Life Research 8/2016

01-08-2016

Development of the Cardiac Surgery Patient Expectations Questionnaire (C-SPEQ)

Auteurs: Sari D. Holmes, Lisa M. Fornaresio, Casey E. Miller, Deborah J. Shuman, Niv Ad

Gepubliceerd in: Quality of Life Research | Uitgave 8/2016

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Abstract

Purpose

Some variability in recovery and outcomes after cardiac surgery may be influenced by psychosocial aspects not routinely captured. Preliminary evidence suggests patient expectations impact health status, but there is no specific measure of expectations for cardiac surgery. The purpose of this study was to adapt an expectations scale to cardiac surgery and assess the psychometric properties of the scale.

Methods

Before surgery, 93 patients awaiting non-emergent cardiac surgery completed questionnaires, including the adapted Cardiac Surgery Patient Expectations Questionnaire (C-SPEQ). At 1 year after surgery, 68 patients completed questionnaires.

Results

Mean C-SPEQ score was 39.4 ± 9.02, and scores were normally distributed (Cronbach’s alpha = 0.86). Higher score indicated negative expectations. Higher presurgery C-SPEQ score was correlated with greater depression (r = 0.32, p = 0.01) and perceived stress (r = 0.36, p = 0.003), but not state anxiety (r = 0.18, p = 0.14), at one-year post-surgery. Higher C-SPEQ was associated with longer recovery time (B = 0.14, p = 0.006) and lower physical HRQL after surgery (B = −0.31, p = 0.005). Higher C-SPEQ was not related to greater odds for perioperative complications (OR 1.01, p = 0.68) or readmissions <30 days (OR 1.05, p = 0.31). C-SPEQ score was not related to survival.

Conclusions

Adaptation of an expectations questionnaire to cardiac surgery patients was successful with acceptable reliability and validity. Negative expectations had a detrimental impact on recovery and HRQL following cardiac surgery but were not related to clinical outcomes. Although focus is mainly on improving clinical outcomes, there are opportunities to improve non-clinical aspects of the patient experience. Presurgical education might better prepare patients, reduce negative expectations, and improve psychosocial outcomes after cardiac surgery.
vorige artikel The validity and responsiveness of the ICECAP-A capability-well-being measure in women with irritative lower urinary tract symptoms
volgende artikel Development and validation of the nasopharyngeal cancer scale among the system of quality of life instruments for cancer patients (QLICP-NA V2.0): combined classical test theory and generalizability theory
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Metagegevens
Titel
Development of the Cardiac Surgery Patient Expectations Questionnaire (C-SPEQ)
Auteurs
Sari D. Holmes
Lisa M. Fornaresio
Casey E. Miller
Deborah J. Shuman
Niv Ad
Publicatiedatum
01-08-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 8/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1243-4

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