Psychological factors in surgical stress: Implications for management
Psychological factors in surgical stress: Implications for management
复制标题
手术应激的心理因素：对管理的影响
DOI：
10.1016/0272-7358(92)90020-9
复制
发表时间：
1992
影响因子：
12.8
通讯作者：
P. Salmon
中科院分区：
文献类型：
--
作者：
P. Salmon
将手术视为心理应激的一个例子，可以为整合关于康复过程中的心理和生理过程的知识提供一个框架。在这一广泛框架内，本审查审议了三个问题。首先，不同的康复指标，包括情绪状态、疼痛或生理变化的指标，并不相同。虽然这些指标中的一些在临床上是模棱两可的，但其他指标，如激素变化，可能会提供手术影响的临床和理论上的重要指标。其次，心理因素在康复中的重要性仍不清楚，部分原因是生理和心理测量结果之间的差异。第三，手术应激的心理管理被用来改变术前的情绪状态或应对方式。然而，对于影响是有益还是有害，证据是模棱两可的。此外，调解这些程序效果的机制仍不清楚。另一种但较少探索的策略是针对外科病房的特征，而不是患者，而是可能影响对压力反应的特征。这些问题包括社会支持不足和积极应对的机会受到限制。然而，在常规采用心理程序之前，必须仔细评估其生理和心理影响。
To regard surgery as an instance of psychological stress can provide a framework for integrating knowledge about psychological and physiological processes in recovery. Within this broad framework this review considers three issues. First, different measures of recovery, including indexes of emotional state, pain, or physiological changes, do not covary. Whereas some of these measures are clinically ambiguous, others, such as hormonal changes, may provide both clinically and theoretically important indexes of the impact of surgery. Second, the importance of psychological factors in recovery remains unclear, partly because of discrepancies between results with physiological and psychological measures. Third, psychological management of surgical stress has been used to change preoperative emotional state or mode of coping. The evidence is, however, ambiguous as to whether effects are beneficial or even harmful. Moreover, the mechanisms that mediate the effects of these procedures remain unclear. An alternative, but less explored, strategy is to target, not the patient, but features of the surgical ward likely to influence the response to stress. These include deficits in social support and restriction of the opportunity for active coping. Psychological procedures must, however, be carefully evaluated for their physiological and psychological effects before being adopted routinely.
登录
查看更多内容
医院里的病人行为：无助、抗拒，还是两者兼而有之？
影响因子：
7.6
作者：
Raps,CS;Peterson,C;Jonas,M;Seligman,ME
通讯作者：
Seligman,ME
影响因子：
--
作者：
A. Munck;P. Guyre
通讯作者：
A. Munck;P. Guyre
影响因子：
3.3
作者：
LEVY, SM;HERBERMAN, RB;KIRKWOOD, J
通讯作者：
KIRKWOOD, J
影响因子：
7.6
作者：
M. Scheier;K. Matthews;J. Owens;GJ Magovern;R. Lefebvre;RA Abbott;C. Carver
通讯作者：
M. Scheier;K. Matthews;J. Owens;GJ Magovern;R. Lefebvre;RA Abbott;C. Carver
影响因子：
5
作者：
SCHEIER, MF;CARVER, CS
通讯作者：
CARVER, CS