Behavioral preparation for surgery: Benefit or harm?
Behavioral preparation for surgery: Benefit or harm?
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手术的行为准备：好处还是坏处？
DOI：
10.1007/bf00844849
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发表时间：
1981
影响因子：
3.1
通讯作者：
John F. Wilson
中科院分区：
文献类型：
--
作者：
John F. Wilson
择期手术患者通过肌肉放松训练或了解他们将经历的感觉信息来为手术做好准备。放松可以减少住院时间、疼痛和止痛药物的使用，并增加力量、能量和术后肾上腺素水平。信息减少了住院时间。人格变量（否认、恐惧、攻击性）与康复相关，并影响患者对准备的反应。与非常害怕的患者相比，不太害怕的患者从放松中受益更多。非攻击性患者对信息的反应是住院时间减少，疼痛、药物和肾上腺素增加。具有攻击性的患者对信息的反应是缩短住院时间，同时减少疼痛、药物和肾上腺素的使用。使用否认的患者不会因准备而受到伤害。提出了宣泄/调节模型来解释信息如何使患者受益。提出了主动应对模型来解释放松的好处。这项研究表明，行为准备甚至对受惊吓、攻击性或拒绝择期手术的患者也有好处。
Elective surgery patients were prepared for surgery with training in muscle relaxation or with information about sensations they would experience. Relaxation reduced hospital stay, pain, and medication for pain and increased strength, energy, and postoperative epinephrine levels. Information reduced hospital stay. Personality variables (denial, fear, aggressiveness) were associated with recovery and influenced patients' responses to preparation. Less frightened patients benefited more from relaxation than did very frightened patients. Nonaggressive patients reacted to information with decreased hospital stay along with increased pain, medication, and epinephrine. Aggressive patients responded to information with decreased hospital stay along with decreased pain, medication, and epinephrine. Patients using denial were not harmed by preparation. A catharsis/moderation model is proposed to explain how information benefits patients. An active coping model is proposed to explain the benefits of relaxation. This study suggests that behavioral preparation benefits even frightened, aggressive, or denying elective surgical patients.