压力适应性对专业诊所病人康复的影响

Q3 Medicine Hirurgia Pozvonochnika Pub Date : 2018-01-24 DOI:10.14531/SS2014.4.36-40
Irina Kimetova, M. Mikhailovsky
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引用次数: 3

摘要

目标。目的:分析术前患者焦虑及应激抵抗的过程。材料和方法。本研究纳入72例不同病因的脊柱侧凸患者(女孩58例,男孩14例),术前检查时心理状态相似。研究组34例,对照组38例。用一套心理诊断仪器评估心理状态。研究组的患者接受了基于电脑游戏的生物反馈训练。采用疼痛量表对术后患者进行主观评价。出院前填写治疗满意度问卷。结果。研究组患者焦虑抑郁经历的严重程度成功降低(p = 0.01)。积极体验指数与主观舒适度呈高度相关(0.85)。疼痛评分与积极体验指数呈负相关(-0.69)。问卷分析显示,研究组对各治疗参数的平均满意度显著高于对照组(p = 0.00)。结论。本发明的一套心理诊断仪器与生物反馈电脑游戏训练技术相结合,可用于手术前患者情绪应激的诊断和纠正,并可预测患者术后即刻的状态,以期及时进行心理预防。
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ВЛИЯНИЕ СТРЕССОУСТОЙЧИВОСТИ НА ВЫЗДОРОВЛЕНИЕ ПАЦИЕНТОВ СПЕЦИАЛИЗИРОВАННОЙ КЛИНИКИ
Objective. To analyze the course of anxiety and resistance to stress in preoperative patients. Material and Methods. The study included 72 patients (58 girls and 14 boys) with scoliosis of different etiology who had similar psychological status at the stage of preoperative examination. The study group included 34 patients, the control one - 38. Psychological status was evaluated with a set of psychodiagnostic instruments. Patients from the study group underwent biofeedback computer game-based training. Condition of patients in the immediate postoperative period was analyzed by their subjective evaluation on a pain scale. They also completed the treatment satisfaction questionnaire before discharge from the hospital. Results. The severity of anxio-depressive experience was successfully reduced in patients from the study group (p = 0.01). The high correlation between the positive experience index and subjective comfort index (0.85) was observed. Inverse correlation existed between the pain score and the positive experience index (-0.69). Analysis of questionnaires showed significantly higher average satisfaction with all treatment parameters in the study group than in the control one (p = 0.00). Conclusions. The presented set of psychodiagnostic instruments in conjunction with the technology of biofeedback computer game-based training can be used for diagnosis and correction of emotional stress in patients preparing for surgery, and for prediction of their condition in the immediate postoperative period, with a view to timely psychoprophylaxis.
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来源期刊
Hirurgia Pozvonochnika
Hirurgia Pozvonochnika Medicine-Anesthesiology and Pain Medicine
CiteScore
0.60
自引率
0.00%
发文量
24
审稿时长
7 weeks
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