Abstract
Zusammenfassung. In Studien zum Einfluss einer psychologischen Operationsvorbereitung auf den postoperativen Anpassungsstatus von Patienten wurde bislang einer möglichen Interaktion der Art der Vorbereitung mit Persönlichkeitsmerkmalen des Patienten nur wenig Beachtung geschenkt. Ziel der vorliegenden Arbeit ist die Analyse von Wechselwirkungen zwischen unterschiedlichen Formen der psychologischen Operationsvorbereitung und bestimmten Merkmalen des Patienten im Hinblick auf subjektive und objektive Indikatoren der perioperativen Patientenbelastung. In einer Untersuchung an 97 chirurgischen Patienten (Nasennebenhöhlen- oder Septumoperationen; 66 Männer und 31 Frauen) konnte nachgewiesen werden, dass die beiden Vorbereitungsprogramme „Information” und „Entspannung/Ablenkung” zusammen mit dem Geschlecht der Patienten sowie den Persönlichkeitsmerkmalen vigilante und kognitiv vermeidende Angstbewältigung eine Wechselwirkung auf perioperative Belastungsmerkmale (Angst, Genesungsfortschritt, Schmerzbelastung) ausübten. Die Ergebnisse werden auf dem Hintergrund des Modells der Bewältigungsmodi (Krohne, 2003) diskutiert.
Abstract. In studies on the influence of psychological preparation for surgery on patients’ postoperative adaptation a possible interaction of the type of preparation and patient characteristics has received only scant attention. Therefore, the present study investigates possible interactions of types of psychological preparation and specific patient characteristics on subjective and objective indicators of the patient’s perioperative adaptation. Ninety seven patients (66 men and 31 women) undergoing nasal cavity or septum surgery were randomly assigned to an information, a relaxation-attentional diversion, or a control group. Results revealed significant interaction effects of the preparation program with patients’ gender and coping dispositions (vigilance, cognitive avoidance) on the adaptational status (anxiety, recovery, pain experience). Results are discussed with respect to the model of coping modes (Krohne, 2003).
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