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心理因素对手术康复的影响。

The effects of psychological factors on recovery from surgery.

作者信息

George J M, Scott D S

出版信息

J Am Dent Assoc. 1982 Aug;105(2):251-8. doi: 10.14219/jada.archive.1982.0110.

DOI:10.14219/jada.archive.1982.0110
PMID:6749944
Abstract

This paper has reviewed correlational studies from both inpatient hospital settings and outpatient oral surgery that demonstrate that several psychological factors are related to postsurgical recovery. Examination of these factors indicates that dentists might improve patients' recovery by giving the surgery a more positive meaning (making the outcome seem desirable), improving patients' acceptance of their condition, making patients' expectations more positive and, reducing anxiety about recovery. Other psychological factors may be helpful in identifying patients who need more support, for example, those with higher trait anxiety, vigilant coping behavior, or an internal locus of control. The review of intervention studies indicates that the best preparation techniques include giving positive suggestions and teaching coping techniques. The value of giving increased amounts of information has not been demonstrated. Also, the literature is not conclusive on varying the type of preparation to fit the personality traits of patients.

摘要

本文回顾了来自住院医院环境和门诊口腔外科的相关研究,这些研究表明,多种心理因素与术后恢复有关。对这些因素的研究表明,牙医可以通过赋予手术更积极的意义(使结果看起来更理想)、提高患者对自身状况的接受度、使患者的期望更积极以及减少对恢复的焦虑来改善患者的恢复情况。其他心理因素可能有助于识别那些需要更多支持的患者,例如,特质焦虑较高、采用警惕应对行为或具有内控倾向的患者。对干预研究的回顾表明,最佳的准备技术包括给予积极的建议和教授应对技巧。增加信息提供量的价值尚未得到证实。此外,关于根据患者的人格特质改变准备类型,文献尚无定论。

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引用本文的文献

1
Does preoperative dental anxiety play a role in postoperative pain perception after third molar surgery?术前牙科焦虑是否会影响第三磨牙手术后的术后疼痛感知?
Ann Afr Med. 2020 Oct-Dec;19(4):269-273. doi: 10.4103/aam.aam_68_19.
2
Patient satisfaction with the perioperative surgical services and associated factors at a University Referral and Teaching Hospital, 2014: a cross-sectional study.2014年某大学转诊与教学医院患者对围手术期外科服务的满意度及相关因素:一项横断面研究
Pan Afr Med J. 2017 Jul 5;27:176. doi: 10.11604/pamj.2017.27.176.10671. eCollection 2017.
3
Anxiety and postoperative recovery in ambulatory surgery patients.
门诊手术患者的焦虑与术后恢复
Anesth Prog. 1988 Mar-Apr;35(2):61-4.