Vögele C, Steptoe A
J Psychosom Res. 1986;30(2):205-15. doi: 10.1016/0022-3999(86)90051-6.
Autonomic responses, mood and psychological coping were assessed in two groups of orthopaedic patients during hospitalisation for major or minor surgery. Eight patients admitted for total hip replacement and seven patients undergoing knee arthroscopy were seen daily for two days before surgery until discharged from hospital. Mood and coping questionnaires were administered on each session, while pain, heart rate, blood pressure, skin conductance level, palmar sweat prints and forearm EMG were also recorded. Heart rate increased from pre- to post-operative assessments, while skin conductance and palmar sweating fell to low levels on the days immediately following surgery, returning to basal values only after several days. Self ratings of anxiety, fatigue, depression and pain were highest on the immediate post-operative days. Patients utilised the coping factors Rational Cognition and Behavioural Action to the greatest extent, but ratings on coping factors fluctuated little over the study period. The interrelations between these measures and possible explanations of the results are discussed.
在两组接受大手术或小手术住院治疗的骨科患者中，对其自主反应、情绪和心理应对方式进行了评估。对8名接受全髋关节置换术的患者和7名接受膝关节镜检查的患者，在手术前连续两天每天进行观察，直至出院。每次观察时都发放情绪和应对方式问卷，同时记录疼痛、心率、血压、皮肤电导率水平、手掌汗印和前臂肌电图。从术前评估到术后评估，心率升高，而皮肤电导率和手掌出汗在术后即刻降至低水平，几天后才恢复到基础值。术后即刻，焦虑、疲劳、抑郁和疼痛的自我评分最高。患者在最大程度上利用了应对因素“理性认知”和“行为行动”，但在研究期间应对因素的评分波动不大。本文讨论了这些测量指标之间的相互关系以及对结果的可能解释。
