1015_1024
Psychiatr. Pol. 2014; 48(5): 1015–1024DOI: http://dx.doi.org/10.12740/PP/27173
Paweł Ziętek, Joanna Ziętek, Karina Szczypiór
FREE POLISH FULLTEXT:
Lęk u chorych poddawanych alloplastyce stawów kolanowych w trybie skróconej hospitalizacji
w świetle współczesnego piśmiennictwa
FREE ENGLISH FULLTEXT:
Anxiety in patients undergoing fast-track knee arthroplasty in the light of recent literature
Abstract
The rapid progress in knee implants technology and operational techniques go together with more and more modern medical programs, designed to optimize the patients' care and shorten their stay in hospital. However, this does not guarantee any elimination of perioperative stress in patients. Anxiety is a negative emotional state arising from stressful circumstances accompanied by activation of the autonomous nervous system. Anxiety causes negative physiological changes, including wound healing, resistance to anesthetic induction, it is associated with an increased perioperative pain and prolong recovery period. The purpose of this work is to present the current state of knowledge on the preoperative anxiety and discuss its impact on pain and other parameters in patients undergoing fast-track arthroplasty of big joints. The work also shows selected issues of anxiety pathomechanism, and actual methods reducing preoperative anxiety in
hospitalized patients. The common prevalence of anxiety in patients undergoing surgery induces the attempt to routinely identify patients with higher anxiety, which may be a predictive factor of worse results after TKA. Undertaking widely understood psychological support in these patients before and after the operation could be a favorable element, which would influence the final result of the treatment of patients after big joints arthroplasties.
ISSN 0033-2674 (PRINT)
ISSN 2391-5854 (ONLINE)
Psychiatria Polska
is an Open Access journal:
Creative Commons: CC-BY
SHERPA RoMEO: Blue
is an Open Access journal:
Creative Commons: CC-BY
SHERPA RoMEO: Blue

Zadanie finansowane
w ramach umowy
nr 739/P-DUN/2018
ze środków MNiSW
przeznaczonych
na działalność
upowszechniającą naukę
KRW PTP dziękuje
firmie PPL – Koral – J.Koral sp.j.
za wsparcie finansowe
udzielone w 2020 roku
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