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[Psychological preparation for surgery].
M Amir1, Z Zlotogorsky, M Isac
1Dept. of Psychiatry, Beer Sheba and Sha'are Zedek Hospital, Jerusalem.
Harefuah
|December 16, 1990
Summary
Psychological intervention, specifically stress inoculation training, can significantly reduce surgical patients' need for pain medication and improve their coping abilities. This cognitive-behavioral approach helps patients manage surgical stress effectively.
Area of Science:
- Psychology
- Surgery
- Behavioral Medicine
Background:
- Psychological interventions for surgical patients are increasingly recognized for their importance.
- Diverse techniques aim to alleviate distress associated with invasive procedures.
Purpose of the Study:
- To evaluate the effectiveness of a cognitive-behavioral stress inoculation program for surgical patients.
- To assess the impact of psychological preparation on post-surgical pain management and coping.
Main Methods:
- A study involving 40 surgical patients, with 20 in an experimental group and 20 in a control (attention-placebo) group.
- The experimental group received a 30-minute stress inoculation training session focusing on coping strategies.
- The control group received a 30-minute unrelated conversation with a psychologist.
Main Results:
- The experimental group required significantly less post-surgical analgesia compared to the control group.
- Surgeons perceived the experimental group as coping better with the post-surgical situation.
- Stress inoculation training demonstrated a positive effect on patient recovery and pain management.
Conclusions:
- Cognitive-behavioral stress inoculation is an effective psychological intervention for surgical patients.
- This preparation can enhance patient coping mechanisms and reduce reliance on pain medication.
- Further research into psychological interventions can optimize surgical patient care.