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心理准备对小型妇科手术后疼痛及恢复的影响:初步报告

The effects of psychological preparation on pain and recovery after minor gynaecological surgery: a preliminary report.

作者信息

Reading A E

出版信息

J Clin Psychol. 1982 Jul;38(3):504-12. doi: 10.1002/1097-4679(198207)38:3<504::aid-jclp2270380307>3.0.co;2-8.

Abstract

Investigated the effects of psychologically preparing patients for minor gynaecological surgery. A total of 59 women who were undergoing elective laparoscopy were assigned randomly to three experimental conditions: Preparation, in which an informative preoperative interview was conducted; placebo, in which a reassuring preoperative interview was held; and control, in which no contact was made prior to surgery. The women were assessed postoperatively in terms of pain, anxiety and attitudes and required to complete a follow-up questionnaire that followed a 3-week interval, which assessed subjective report of recovery rate. The results showed similar levels of pain report for all groups, although significantly fewer prepared patients requested postoperative analgesia. No differences in pain reports emerged at follow-up, although there was a tread for prepared patients to report a more rapid return to full health. The results are considered in the context of explanatory models that have been proposed to account for the effects of psychological preparation.

摘要

研究了对患者进行心理准备以应对小型妇科手术的效果。共有59名接受择期腹腔镜检查的女性被随机分配到三种实验条件下:准备组,进行术前信息访谈;安慰剂组,进行术前安慰访谈;对照组,术前不进行接触。术后对这些女性在疼痛、焦虑和态度方面进行评估,并要求她们完成一份间隔3周的随访问卷,该问卷评估康复率的主观报告。结果显示,所有组的疼痛报告水平相似,尽管准备组中术后要求镇痛的患者明显较少。随访时疼痛报告没有差异,尽管准备组患者有报告更快完全康复的趋势。在已提出的用于解释心理准备效果的模型背景下对结果进行了考量。

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