Assessing short- and long-term recovery from lumbar surgery with pre-operative biographical, medical and psychological variables

Autor: Karina I. de Groot, Benno Bonke, Saskia Boeke, Jan Passchier, Hugo J. Duivenvoorden, Herbert J. van den Berge
Přispěvatelé: Psychiatry
Rok vydání: 1997
Předmět:
Zdroj: British Journal of Health Psychology, 229-243. Wiley-Blackwell
ISSUE=2;STARTPAGE=229;ENDPAGE=243;ISSN=1359-107X;TITLE=British Journal of Health Psychology
ISSN: 1359-107X
DOI: 10.1111/j.2044-8287.1997.tb00538.x
Popis: Objective. The aim of this study was to investigate the joint association between biographical, medical and pre-operative psychological variables on the one hand, and a range of short- and long-term psychological and disorder-specific outcome measures on the other hand, in patients undergoing lumbar surgery. Design. Canonical correlations were used to determine which groups of pre-operative variables were related to groups of outcome measures. Methods. Participants were 126 patients undergoing lumbar surgery. On the day before surgery, information was obtained regarding age, sex, medical status variables, anxiety, fatigue, indices of pain and coping. Three days and three months post-operatively, several aspects of recovery were measured. Results. Female sex, number of analgesics taken, expected poor recovery according to the neurosurgeon, and pre-operative anxiety were associated with poorer short-term recovery. Reoperation, pre-operative anxiety, fatigue and pain during daily activities were associated with poorer long-term recovery. Conclusions. The results suggest that the assessment of recovery after surgery might be improved by taking psychological variables into account, apart from biographical and medical variables. Checking patients' levels of pre-operative anxiety, fatigue and pain might help hospital staff to detect patients who may be at risk of poor recovery in the long run. Applying psychological intervention techniques aimed at anxiety, fatigue and pain may facilitate recovery in such patients.
Databáze: OpenAIRE
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