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Lien entre anxiété et complications postopératoires en chirurgie dentaire
Authors:M-C Gay  D Marmion
Institution:Département de psychologie SPSE, université de Paris-Ouest, Paris-10, 200, avenue de la République, 92001 Nanterre cedex, France
Abstract:The study relates to the bond between anxiety and postoperative complications recorded in the recovery room in dental surgery among 45 patients (m = 18 years): 21 men and 24 women, operated under general anaesthesia for an extraction of wisdom teeth. The participants fill in the anxiety and state of anxiety STAI before the surgical operation. At the exit of the operating room, the anaesthetist fills in a grid evaluating the intensity of 15 physiological and behavioural parameters. The participant fills in the state of anxiety STAI, as well as a grid evaluating the intensity of 16 postoperative disorders. The results indicate a bond between the state of anxiety and postoperative disorders, whereas the role of anxiety does not appear. The state of anxiety generates somatosensory disorders which can be evaluated subjectively as well as objectively. However, evaluation implies different processes: the state of anxiety evaluated before the intervention by the care personnel is related to the expression of the disorders while that evaluated after the surgical operation by the patients is more directly related to the evaluation of subjective disorders, this raises the question of a somatosensory amplification. The two types of processes, although both implying anxiety, may explain the divergences between the evaluation made by the care personnel and that by the patients.
Keywords:Anxié    é  tat  Anxié    trait  Chirurgie dentaire  Douleur  Troubles postopé  ratoires
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