Physiological and subjective stress responses in surgical patients |
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| Authors: | C V?gele A Steptoe |
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| Affiliation: | 1. Currently at the Department of Psychology, University of Hamburg, FRG.;1. Physical Medicine and Rehabilitation Department (117), Veterans Administration Greater Los Angeles Healthcare System, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA;2. Department of Pharmacy, VA Greater Los Angeles Health Care System, Los Angeles CA, USA;3. Headache Center of Excellence, Department of Physical Medicine and Rehabilitation, Interventional Pain Service, VA Greater Los Angeles Health Care System, Los Angeles CA, USA;4. Pain Medicine Fellowship Program, Division of Physical Medicine and Rehabilitation, Department of Medicine, University of California Los Angeles- UCLA, Los Angeles, CA, USA;5. Inpatient and Interventional Pain Service, Department of Physical Medicine and Rehabilitation, VA Greater Los Angeles Health Care System, Los Angeles CA, USA;6. Division of Physical Medicine and Rehabilitation, Department of Medicine, University of California Los Angeles- UCLA, Los Angeles, CA, USA;1. Department of Oral Medicine, Box 356370, 1959 NE Pacific St, University of Washington, Seattle, WA 98195, United States;2. Department of Oral Medicine, 1959 NE Pacific St, University of Washington, Seattle, WA 98195, United States;3. Department of Biostatistics, Box 357232, University of Washington, Seattle, WA 98195-7232, United States;4. Department of Radiology, Box 357115, 1959 NE Pacific St, University of Washington, Seattle, WA 98195, United States;1. Department of Gastroenterology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong 524001, China;2. Department of Infection Biology and Department of Medical Science, Chungnam National University College of Medicine, Daejeon 35015, Republic of Korea;3. Department of Obstetrics and Gynecology, Chungnam National University, 33, Munhwa-ro, Jung-gu, Deajeon 35015, Republic of Korea;4. Stem Cell Research and Cellular Therapy Center, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong 524001, China |
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| Abstract: | Autonomic responses, mood and psychological coping were assessed in two groups of orthopaedic patients during hospitalisation for major or minor surgery. Eight patients admitted for total hip replacement and seven patients undergoing knee arthroscopy were seen daily for two days before surgery until discharged from hospital. Mood and coping questionnaires were administered on each session, while pain, heart rate, blood pressure, skin conductance level, palmar sweat prints and forearm EMG were also recorded. Heart rate increased from pre- to post-operative assessments, while skin conductance and palmar sweating fell to low levels on the days immediately following surgery, returning to basal values only after several days. Self ratings of anxiety, fatigue, depression and pain were highest on the immediate post-operative days. Patients utilised the coping factors Rational Cognition and Behavioural Action to the greatest extent, but ratings on coping factors fluctuated little over the study period. The interrelations between these measures and possible explanations of the results are discussed. |
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