Hysterectomy and anxiety: comparison between two methods of preoperative psychological preparation
DOI:
https://doi.org/10.18597/rcog.525Keywords:
hysterectomy, psychology, anxiety, postoperative pain, complicationsAbstract
Hysterectomy is perceived by patients as a highly stressing situation that generates strong emotions with well-known negative effects on postoperative recovery. In order to avoid those deleterious effects, different methods for preoperative psychological preparation have been developed, aiming for a more predictable and controlled postoperative period and an easier recovery. The present research aimed to compare the effects of two different kinds of psychological preparation programs on women undergoing hysterectomy at the Carlos Lleras Restrepo Clinic. The former group consisting of 30 women received a preparation program based upon their coping strategies. The second group, also consisting of 30 women, was provided with written information as the only method for preoperative psychological preparation. Preoperative anxiety levels, postoperative perceived pain and immediate postoperative complications were measured in both groups as endpoints. The results showed that patients in the first group had lower levels of anxiety (p < 0,01), less postoperative pain (p < 0,05) and a lower incidence of complications compared to those who were prepared just by providing written information.Author Biographies
Andrea Cárdenas
Cynthia Quiroga
Martha Restrepo
Daniel Cortés
References
Cortés D, García G, Reyes L. Estadística de procedimientos quirúrgicos. Septiembre 15 a Octubre 31 de 2003. Universidad Nacional de Colombia. Clínica Carlos Lleras Restrepo; 2003.
Cortés D, Gómez G, Cediel E. Estadísticas de procedimientos quirúrgicos. Agosto 1 a Septiembre 31 de 2003. Universidad Nacional de Colombia. Clínica Carlos Lleras Restrepo; 2003.
Hunter M, Walker A. Gynecological Problems. En: Bellack AS, Hersen M (eds.). Comprehensive Clinical Psychology 1998. Elsevier versión electrónica: http://www.ccp-online.com
Kinnick V, Lenners D. Impact of hysterectomies on women’s lives: a prospective study. J Women Aging 1995;7:133-44.
Fernández M, Ospina B, Múnera A. La sexualidad en pacientes con cáncer de mama o cérvix sometidas a tratamiento quirúrgico en el Hospital General, Hospital San Vicente de Paúl e Instituto de Cancerología de la Clínica las Américas, Medellín; 2002.
Mingo C, Herman CJ, Jasperse M. Women’s stories: ethnic variations in women’s attitudes and experiences of menopause, hysterectomy, and hormone replacement therapy. J Womens Health Gend Based Med 2000;9 Suppl 2:S27-38.
González M. Subjetividad y ciclos vitales de las mujeres. Madrid: Siglo XXI; 1999.
Groff JY, Mullen PD, Byrd T, Shelton AJ, Lees E, Goode J. Decision making, beliefs, and attitudes toward hysterectomy: a focus group study with medically underserved women in Texas. J Womens Health Gend Based Med 2000;9 Suppl 2:S39-50.
Lewis CE, Groff JY, Herman CJ, Mckeown RE, Wilcox LS. Overview of women’s decision making regarding elective hysterectomy, oophorectomy, and hormone replacement therapy. J Womens Health Gend Based Med 2000; 9 Suppl 2:S5-14.
Krohne HW. Vigilance and cognitive avoidance as concepts in coping research. En: Krohne HW, editor. Attention and avoidance. Strategies in coping with aversiveness. Seattle, Toronto: Hogrefe & Huber; 1993. p. 19-50.
Munafo MR, Stevenson J. Anxiety and surgical recovery. Reinterpreting the literature. J Psychosom Res 2001;5:589-96.
Johnston M, Wallace L. (Eds.). Stress and medical procedures. Oxford, England: Oxford University Press; 1990.
Kiecolt-Glaser J, Page G, Marucha, PT, Maccallum RC, Glaser R. Psychological influences on surgical recovery. Perspectives from psychoneuroimmunology. Am Psychol 1998;53:1209-18.
Moix J, López E, Otero J, Quintana C, Ribera C, Saad I, Gil A. Eficacia de los folletos informativos para suministrar información acerca de la operación y la convalecencia. Calidad Asistencial 1995;5:280-86.
Mahler HI, Kulik JA. Effects of a videotaped information intervention for spouses on spouse distress recover y from surgery. Health Psychol 2002; 21: 427-37.
Moix J. Disminución de la ansiedad como factor de mejora de la calidad asistencial en pacientes quirúrgicos. Calidad Asistencial 1998;13:160-5.
Callaghan P, Cheung L H. The effect of pre-operative psychological interventions on post-operative outcomes in Chinese women having an elective hysterectomy. Br Journal Health Psychol 2002;7:247-52.
Lookinland S, Pool M. Study on effect of methods of preoperative education in women. AORN J 1998;67:203-13.
Krohne HW, deBruin J, El-Giamal M, Schmukle SL. The assessment of surgery-related coping: the coping with surgical stress scale (COSS). Psychol Health 2000;15:135-49.
Spielberger C, Díaz-Guerrero R. IDARE. Inventario de ansiedad: rasgo-estado. Manual e instructivo. México: Manual Moderno; 1975.
Cárdenas A, Quiroga C. Efectos de un Programa de Preparación Psicológica para Cirugía basado en Afrontamiento vs. Un Programa Estándar basado en Información. Estudio Comparativo con Mujeres Programadas para Histerectomía Abdominal. Universidad Nacional de Colombia; 2004.
Hernández R, Fernández C, Baptista P. Metodología de la investigación (Research Metodology). México D.F.: McGrawHill Interamericana; 2003.
Valdés M, Flóres T. Psicobiologia del estrés.. Barcelona: Ed Martínez Roca; 1990.
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