Psychological preparation for patients undergoing day surgery
Mitchell, MJ 'Psychological preparation for patients undergoing day surgery' , Ambulatory Surgery .
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Surgical and anaesthetic intervention associated with day surgery over the last 10 years has greatly improved although the position of psychological preparation has remained virtually unchanged [Ridgeway V, Mathews A. Brit J Clin Psychol 1982;21(4):271–80; Salmon P. Clin Psychol Rev 1992;12(7):681–704; Jarrett PEM. Surgery 1997;15(4):94–6]. Information provision, an essential component of anxiety management, has recently been highlighted as a considerable problem for day surgery patients [Mitchell MJ. Ambul Surg 1999a;7(2):65–73; Mitchell MJ. Ambul Surg 1999b;7(2):75–100]. Contemporary evidence has suggested that the ability to cope with a stressful event can be improved if the preparatory information is matched with the individual’s coping style, i.e. provision is made for patients with a desire for maximum levels of information (vigilant coper) and for patients with a desire for minimal levels of information (avoidant coper) [Krohne HW, Slangen K, Kleemann PP. Psychol Health 1996;11(3):315–30]. A convenience sample of 120 patients undergoing non life-threatening, gynaecological laparoscopic day surgery was contacted prior to surgery and randomly assigned into two groups. Group I received an extended information booklet, group II a simple booklet and all received a coping style questionnaire. Immediately prior to surgery patients with a desire for maximum levels of information (vigilant copers) who had received the simple information were more anxious than the vigilant copers who had received the extended information (0.013, P≤5%). Irrespective of coping style, participants who received the simple information contacted their general practitioner more than participants who had received the extended information (0.008, P≤1%). Incorporation of the results into day surgery nursing practices are discussed and a new, pioneering anxiety management plan providing explicit guidance is outlined.
|Themes:||Subjects / Themes > R Medicine > RT Nursing|
Subjects / Themes > R Medicine > RD Surgery
Subjects / Themes > B Philosophy. Psychology. Religion > BF Psychology
Health and Wellbeing
Subjects outside of the University Themes
|Schools:||Colleges and Schools > College of Health & Social Care|
Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery & Social Work
|Journal or Publication Title:||Ambulatory Surgery|
|Publisher:||Elsevier Science B.V., Amsterdam|
|Depositing User:||Institutional Repository|
|Date Deposited:||23 Apr 2009 12:04|
|Last Modified:||27 Sep 2011 12:33|
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