术后疲劳理论。
A theory of postoperative fatigue.
作者信息
Salmon P, Hall G M
机构信息
Department of Clinical Psychology, University of Liverpool, UK.
出版信息
J R Soc Med. 1997 Dec;90(12):661-4. doi: 10.1177/014107689709001207.
The concept of fatigue has entered medicine from other disciplines in which the term refers to weakening of a material by demands put upon it. Its application to the behavioural and subjective changes that characterize postoperative convalescence has led to the assumption that these changes reflect the physiological and metabolic consequences of surgery. Because evidence does not support this view, we outline a new theory in which postoperative fatigue is the product of physiological, psychological and cultural factors. This theory leads to novel predictions that can be tested in future clinical research. Of particular interest will be the evaluation of systematic attempts to change patient and staff expectations about postoperative convalescence.
疲劳的概念是从其他学科引入医学的，在这些学科中，该术语指的是材料因所承受的需求而变弱。将其应用于术后康复所特有的行为和主观变化，导致人们认为这些变化反映了手术的生理和代谢后果。由于证据并不支持这一观点，我们概述了一种新理论，即术后疲劳是生理、心理和文化因素共同作用的结果。这一理论产生了一些新的预测，可在未来的临床研究中进行检验。特别值得关注的将是对改变患者和医护人员对术后康复预期的系统性尝试的评估。
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