Soziale Unterstützung, interpersonale Probleme, Inanspruchnahme medizinischer Leistungen und postoperative Komplikationen nach aortokoronarer Bypassoperation

This study examines the relationship between psychosocial stress before coronary surgery and the amount of health care utilization during postoperative hospitalization in a sample of 115 patients. The aim of the study is to test the hypothesis that there is a correlation between a high psychosocial stress profile and the utilization of medical care (so called „high utilizers”). The sample consists of 80,9% men and 19,1% women aged between 34 and 78 years. Psychosocial stress was assessed with the following questionnaires: the Survey of Social Support (F-SOZU) and the German version of the Inventory of Interpersonal Problems (IIP-C). An own questionnaire was developed in order to set the somatic parameters. In addition the socio-demographic characteristics, severity of the illness and co-morbidity were ascertained to be used as control variables. The study comes to the following results: Based on the socio-demographic variables and the severity of the illness the subjects are representative for the group of bypass patients. The social stress in the sample is less noticeable not only in respect to the absolute values but also in relationship to control groups. As it has been shown in studies with outpatients, there also exists in the hospital area a group of patients with increased utilization of medical care (so called „high utilizers”). In the study 30% of all the patients utilize 42% of the inpatient time, 45% of all technical examinations, 74% of the medication demand and 100% of all consultations. However, these patients, who show in three to four parameters an increased utilization, don't generally exhibit higher social stress levels. But there are clear tendencies: patients with reduced social support remain on average 2,1 days longer in the hospital, require 1,6 more doses of medication and 1,4 more technical check ups in comparison with patients with higher social support. Furthermore men characterized as „high utilizers” receive significantly less emotional support as men considered to be „low utilizers”. According to the IIP-C those scales which reflect the submissive area correlate for the most part with the utilization of medical care. For example patients exhibiting high utilization in all parameters are defined as being significantly more nonassertive in comparison to patients with average utilization. Between the control variables and the utilization behavior only a few correlations are shown, so that health care utilization is presumably caused by multiple factors.

Grantor dc:publisher

Publikationsserver der RWTH Aachen University

Year dc:date

2005

Author dc:creator

• Renz, Diane Miriam Esther

Contributors dc:contributor

• Kröger, Friedebert

• info:eu-repo/classification/ddc/610
• Medizin
• soziale Unterstützung
• interpersonale Probleme
• Inanspruchnahme medizinischer Leistungen
• high utilizer
• aortokoronare Bypassoperation

Statement dc:rights

• info:eu-repo/semantics/openAccess

Language dc:language

ger

Identifier

https://publications.rwth-aachen.de/search?p=id:%22RWTH-CONV-123701%22

OAI identifier oai:identifier

oai:publications.rwth-aachen.de:62108