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Perioperativer Streß

  • C. Vögele
Chapter
Part of the Jahrbuch der medizinischen Psychologie book series (MEDPSYCHOL, volume 7)

Zusammenfassung

In diesem Beitrag wird die Literatur zu prä- und postoperativen Streßreaktionen von Patienten der Chirurgie dargestellt. Ein besonderer Schwerpunkt liegt dabei auf der Beschreibung von Zusammenhängen zwischen postoperativer Erholung und der psychischen Bewältigung der chirurgischen Belastungssituation. Wie deutlich wird, existieren Hinweise auf einen Einfluß psychischer Faktoren auf postoperative Genesungsindikatoren. Am Ende des Beitrags wird eine Studie vorgestellt, die versucht, die in der bisherigen Literatur meist ausschließlich verwendeten klinischen und subjektiven Kriterien der postoperativen Genesung anhand psychophysiologischer Aktivierungsparameter methodenkritisch zu evaluieren.

Summary

The literature on stress responses in surgical patients is reviewed. Evidence that surgical patients experience stress exists at emotional, cognitive and physiological levels. The failure to include subjective measures in studies with psychological indices has resulted in difficulty in separating changes due to the perceived stress and to the physical trauma. Assessments of outcome, however, have largely been confined to subjective and clinical variables. A study is presented in which subjective, clinical and physiological parameters are critically evaluated as indices of postoperative recovery.

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© Springer-Verlag Berlin Heidelberg 1992

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  • C. Vögele

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