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术前室友分配对冠状动脉搭桥手术患者术前焦虑及术后恢复的影响

Effects of preoperative roommate assignment on preoperative anxiety and recovery from coronary-bypass surgery.

作者信息

Kulik J A, Mahler H I

机构信息

Department of Psychology, University of California, San Diego, La Jolla 92093.

出版信息

Health Psychol. 1987;6(6):525-43. doi: 10.1037//0278-6133.6.6.525.

Abstract

This study examined the effect of preoperative roommate assignment on the preoperative anxiety and postoperative recovery of 27 male coronary-bypass patients. Patients were assigned preoperatively to a roommate who was either similar or dissimilar in his surgical status (preoperative vs. postoperative, respectively) and either similar or dissimilar in his type of operation (cardiac vs. noncardiac, respectively). The results indicated that the similarity/dissimilarity of a roommate's surgical status exerted important effects. Specifically, patients who before their operations had a postoperative roommate were less anxious preoperatively, were more ambulatory postoperatively, and were released more quickly from the hospital than patients who before their operations had a preoperative roommate. In contrast, the similarity/dissimilarity of the roommate's type of operation exerted no significant effects either separately or in interaction with the similarity of the roommate's surgical status. Theoretical implications, possible mechanisms, and practical implications for hospital policy are discussed.

摘要

本研究考察了术前室友分配对27例男性冠状动脉搭桥患者术前焦虑及术后恢复的影响。术前为患者分配室友,其手术状态(分别为术前与术后)和手术类型(分别为心脏手术与非心脏手术)与患者要么相似,要么不同。结果表明,室友手术状态的相似性/不同性产生了重要影响。具体而言,术前有术后室友的患者术前焦虑程度较低,术后活动能力更强,且比术前有术前室友的患者出院更快。相比之下,室友手术类型的相似性/不同性单独或与室友手术状态的相似性相互作用时均未产生显著影响。本文还讨论了理论意义、可能的机制以及对医院政策的实际意义。

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