European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S483
to be predictive for development of comorbidity of MDD and ASD
in the second phase (P= 0.036; OR = 100.00).
Conclusion Cardiovascular disorders can cause anxious & depres-
sive disorders in frequent alcohol consumers and physically
inactive subjects. Since depression, anxiety, physical inactivity, and
alcohol consumption cannot only be considered as risk factors for
cardiovascular disorders, but also be seen as a consequence of
cardiovascular disorders, strategies for primary and secondary pre-
vention of coronary events should include a greater concern for
mental health as well.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV422
Prevention of postoperative delirium -
A prospective nurse-led intervention
on surgical wards in a general hospital
T. Kratz , A. Diefenbacher ∗
Ev. Krankenhaus Königin Elisabeth Herzberge, department
psychiatry psychotherapy psychosomatics, Berlin, Germany
∗ Corresponding author.
Objective Delirium is a frequent postoperative complication in
older and cognitively impaired patients in general hospitals. Delir-
ium is associated with prolonged hospital stay as well as with
an increased risk of nursing home placement after discharge. We
wanted to studywhether the implementation of a specialized delir-
ium nurse on a surgical ward leads to a reduction in the frequency
of postoperative delirium.
Methods In an open-label study on two surgical wards of a gen-
eral hospital, first the prevalence rate of postoperative delirium
in patients older than 70 years was assessed (March to August
2011). During the following intervention phase (September 2011
to June 2012), a trained geriatric nurse implemented delirium-
preventative measures in accordance with the Hospital Elder Life
Program (HELP). The second surgical ward provided standard treat-
ment as usual as an in-house control.
Results Overall 20.2%, 95% CI [14.6, 26.4] of patients on both
wards without special intervention developed postoperative delir-
ium. By implementing preoperative screening measures and
specific interventions by a delirium nurse, the incidence of post-
operative delirium was reduced to 4.9%, 95% CI [0.0, 11.5]. The
interventions were validation, improving sleep quality, cognitive
activation, early mobilisation, improving sensory perception and
optimising food and fluid intake. Most important predictors of post-
operative delirium were Mini Mental Status Exam results, age and
preoperative infection.
Conclusion The establishment of a specialised delirium nurse as
well as the implementation of simple preoperative care measures
increased postoperative attention, cognitive activation and is asso-
ciated significantly with reducing risk of postoperative delirium in
older and cognitively impaired inpatients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV423
Prevention, early detection and
effective treatment of the
psychological disorders in asthma and
chronic obstructive lung disease
K. Zawada , A. Ko´zmin-Burzy ´nska , K. Krzysztof ∗
1 Medical university of Silesia, department of pneumonology,
Katowice, Poland
2 Medical university of Silesia, department of psychiatry and
psychotherapy, Katowice, Poland
∗ Corresponding author.
Background Chronic respiratory diseases which embrace asthma
and chronic obstructive pulmonary disease (COPD) are common
conditions in the population. In a large number of cases, they are
diagnosed very late. Statistics of deaths, especially in the case of
COPD, are underestimated because morbidity and mortality can be
affected by other comorbid conditions, for example cardiovascular
disease.
Objective The objective of this analysis was to find out the core-
lation between the psychological distress and social factors in
patients with asthma and chronic obstructive lung disease.
Methods A literature analysis on this topic was performed.
Asthma and COPD impair not only physical functioning of patients
but also affect their psychological state. Mood disorders and cog-
nitive function impairment are more often observed in this group
than in the general population. It has been proven that the coex-
istence of psychological dysfunction significantly worsens the
functioning of patients (affects, among others, their work, family
and social lives) and has an impact on the course of the treatment of
the somatic illness. First of all, patients with cognitive deficits have
greater problems in applying treatment recommendations. Accord-
ingly, it seems to be important to paymore attention to the problem
of mental disorders in patients with obstructive lung diseases.
Conclusions There is a clear need for amultidisciplinary approach
that will enable prevention, early detection and effective treatment
of the psychological disorders in that group of patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV424
Beneficial effect of mindfulness based
art therapy in patients with breast
cancer - A randomized controlled trial
S.Y. Lee ∗, J. Duck-In , M. Kyung-Joon , L. Hye-Jin ,
L. Kwang-heun
1 Wonkwang university and hospital, psychiatry, Iksan, Republic of
Korea
2 Hallym university college of medicine, psychiatry, Chuncheon,
Republic of Korea
3 Chungang university college of medicine, psychiatry, Seoul,
Republic of Korea
4 Wonkwang university graduate school, public health, Iksan,
Republic of Korea
5 Dongkuk university college of medicine, psychiatry, Kyoungju,
Republic of Korea
∗ Corresponding author.
Background Mindfulness based art therapy induces emotional
relaxation in cancer patients and is a treatment known to improve
psychological stability. The objective of this research was to evalu-
ate the treatment effects of MBAT for breast cancer patients.
Methods Twenty-four breast cancer patients were selected as
subjects of the study. Two groups, the MBAT group and con-
trol group with 12 patients each, were randomly assigned. The
patients in the MBAT group were given 12 sessions of treatments.
To measure depression and anxiety, low scales of the Personality
Assessment Inventory (PAI) was used. Health-related quality of life
was evaluated using the European organization for research and
treatment of cancer quality of life questionnaire (EORTC-QLQ-C30).
The treatment results were analyzed using Ancova and two-way
repeated measures Anova.
Results The results showed that depression and anxiety
decreased significantly and health-related quality of life improved
significantly in the MBAT group. In the control group, however,
there was no significant change.