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Supportive care needs in patients with cardiovascular disorders
Sebastian Kohlmann1, Mara S Kilbert, Kristin Ziegler
1Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. s.kohlmann@uke.de
Patient Education and Counseling
|February 9, 2013
Summary
Many cardiovascular disorder patients have unmet supportive care needs, particularly for health information and psychological support. These needs are linked to treatment and emotional well-being, not cardiac factors.
Area of Science:
- Cardiology
- Patient Support
- Health Psychology
Background:
- Cardiovascular disorders (CVD) represent a significant health concern with ongoing research into unmet medical needs.
- However, patient-reported supportive care needs in CVD populations remain under-investigated.
Purpose of the Study:
- To examine the prevalence and types of unmet supportive care needs in patients with cardiovascular disorders (CVD).
- To explore the relationship between these unmet needs and various health characteristics, including diagnoses, risk factors, treatment, mood, and quality of life.
Main Methods:
- A consecutive sample of 260 in-patients with CVD were assessed using the Supportive Care Needs Survey.
- Analysis included examining the frequency and content of unmet needs, comparing needs across different CVD diagnoses, and correlating needs with risk factors, treatment, mood, and quality of life.
Main Results:
- 21% of patients reported unmet supportive care needs, with health information (37%) and psychological (23%) needs being most common.
- Unmet needs did not significantly differ across most CVD diagnoses or cardiac risk factors.
- Needs were associated with treatment characteristics (r=.17-.23), anxiety (r=.44-.71), depression (r=.38-.63), and physical (r=.21-.47) and mental (r=.29-.65) quality of life.
Conclusions:
- Supportive care needs are prevalent in CVD patients and are influenced by treatment, emotional state, and subjective well-being, rather than solely cardiac factors.
- Implementing needs assessments can improve patient education, communication, and targeted care for perceived and medical needs in CVD patients.
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