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Die Stressreaktion

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Stress und Stressbewältigung bei Operationen
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Zusammenfassung

Drei Auffassungen von Stress werden einander gegenübergestellt: Die reizbezogene Sicht bestimmt Stress als eine Anforderung aus der Umwelt eines Organismus, die in diesem eine Notfallreaktion auslöst. Nach der reaktionsbezogenen Konzeption ist Stress ein durch äußere Umstände ausgelöster Extremzustand des Organismus, der durch unterschiedliche Reizarten (unspezifisch) ausgelöst werden kann, aber ein spezifisches Reaktionsmuster zeigt, das Allgemeine Adaptationssyndrom. Nach der transaktionalen Auffassung ist Stress eine Beziehung zwischen Person und Umwelt, die bedeutsam für das Wohlergehen der Person ist, zugleich aber Anforderungen stellt, die deren Bewältigungsmöglichkeiten beanspruchen oder überfordern. Die Stressbelastung kann sich in drei Arten von Indikatoren niederschlagen, auf denen entsprechende Messverfahren basieren: in subjektiven Variablen, erfasst z. B. über Fragebogen, in verhaltensmäßig-expressiven Merkmalen (Gesichtsausdruck, Stimme, Körperhaltung) sowie in einer Vielzahl physiologisch-biochemischer Parameter.

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Notes

  1. 1.

    Durch eine Operation hervorgerufene Reaktionen des Organismus wie lokale Hitze, Ödeme, Durst oder Brechreiz.

  2. 2.

    Statt des abstrakten Begriffs „transaktional“ könnte man zur Charakterisierung des Ansatzes von Lazarus auch den Terminus „bewertungsorientiert“ verwenden.

  3. 3.

    Relativ starke Assoziationen zwischen der vom Patienten berichteten bzw. vom Arzt beobachteten Zustandsangst und metabolischen Stressparametern (freie Fettsäuren, Blutzucker) konnten von Krohne et al. (1989) registriert werden.

  4. 4.

    Patienten benötigen für die Beantwortung des Inventars durchschnittlich zehn Minuten (ca. drei Minuten für den State- und ca. sieben Minuten für den Trait-Teil).

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Krohne, H.W. (2017). Die Stressreaktion. In: Stress und Stressbewältigung bei Operationen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53000-9_2

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