The influence of psychological variables on postoperative anxiety and physical complaints in patients undergoing lumbar surgery

被引：62

作者：

deGroot, KI ^{[1
]}

Boeke, S ^{[1
]}

vandenBerge, J ^{[1
]}

Duivenvoorden, HJ ^{[1
]}

Bonke, B ^{[1
]}

Passchier, J ^{[1
]}

机构：

[1] ST CLARA HOSP ROTTERDAM,DEPT NEUROSURG,NL-3078 HT ROTTERDAM,NETHERLANDS

来源：

PAIN | 1997年 / 69卷 / 1-2期

关键词：

anxiety; fatigue; pain; coping; lumbar surgery; recovery;

D O I：

10.1016/S0304-3959(96)03228-9

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Previous research has indicated that postoperative distress is influenced by diverse biographic, medical and psychological variables, such as personality, coping behaviours and anxiety. The influence of state variables, apart from anxiety and coping behaviour, has received scant attention. Furthermore, the influence of coping behaviour has remained unclear. The present study investigated coping behaviour and indications of physical distress, i.e., preoperative fatigue, leg pain and back pain, besides preoperative anxiety, as predictors of postoperative anxiety and physical complaints in 126 patients undergoing lumbar surgery. Preoperative anxiety and leg pain independently predicted more postoperative anxiety beyond the influence of age, sex and medical variables. Preoperative anxiety and fatigue independently predicted more postoperative physical complaints. No associations were found between the coping behaviours and the postoperative variables. The implications of these results are discussed in relation to intervention strategies aimed at diminishing the stress of surgery.

引用

页码：19 / 25

页数：7

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