Impact of Premedication on Preoperative Anxiety in Females with Gynecological Diseases
Objective: to study preoperative psychoemotional, autonomic, and hematodynamic responses in patients to develop criteria for evaluating the efficiency of premedication.Subjects and methods. Sixty gynecological patients (mean age 38.5±1.1 years), who were being prepared for elective surgery, were exa...
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2007-08-01
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| Series: | Общая реаниматология |
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| Online Access: | https://www.reanimatology.com/rmt/article/view/970 |
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| author | I. G. Bobrinskaya V. M. Yaltonsky S. S. Khaikin O. A. Bykova |
| author_facet | I. G. Bobrinskaya V. M. Yaltonsky S. S. Khaikin O. A. Bykova |
| author_sort | I. G. Bobrinskaya |
| collection | DOAJ |
| description | Objective: to study preoperative psychoemotional, autonomic, and hematodynamic responses in patients to develop criteria for evaluating the efficiency of premedication.Subjects and methods. Sixty gynecological patients (mean age 38.5±1.1 years), who were being prepared for elective surgery, were examined. According to the results of an integrative anxiety test, the patients were divided into 3 groups in relation to the level of personality anxiety. The three-stage study was conducted to evaluate systemic circulation by the results of impedance rheography and by the state of the autonom-ic nervous system, as evidenced by variational pulsometry.Results. Preoperatively, the patients showed varying personality anxiety that further formed the psychoemotional features of their response to an impending operation. Situational anxiety components, such as a phobic element and emotional discomfort, should be also regarded as an informative criterion for the adequacy of premedication. Psychoemotional and autonomic changes were more pronounced in Group 3 patients who were prone to the development of decompensation of adaptive mechanisms due to their personality typological traits.Conclusion. Premedication involving only narcotic analgesics and antihistamines does not limit the overac-tivation of the sympathetic part of the autonomic nervous system on the eve of the forthcoming operation. |
| format | Article |
| id | doaj-art-397c4abaf9a047ab82d9b23f03cd7551 |
| institution | DOAJ |
| issn | 1813-9779 2411-7110 |
| language | English |
| publishDate | 2007-08-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj-art-397c4abaf9a047ab82d9b23f03cd75512025-08-20T03:18:50ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102007-08-0134656910.15360/1813-9779-2007-4-65-69970Impact of Premedication on Preoperative Anxiety in Females with Gynecological DiseasesI. G. Bobrinskaya0V. M. Yaltonsky1S. S. Khaikin2O. A. Bykova3Department of Anesthesiology and Reanimatology, Department of Medical Psychology and Psychiatry, Moscow State Medical Stomatological University A. A. Ostroumov City Clinical Hospital No. 33Department of Anesthesiology and Reanimatology, Department of Medical Psychology and Psychiatry, Moscow State Medical Stomatological University A. A. Ostroumov City Clinical Hospital No. 33Department of Anesthesiology and Reanimatology, Department of Medical Psychology and Psychiatry, Moscow State Medical Stomatological University A. A. Ostroumov City Clinical Hospital No. 33Department of Anesthesiology and Reanimatology, Department of Medical Psychology and Psychiatry, Moscow State Medical Stomatological University A. A. Ostroumov City Clinical Hospital No. 33Objective: to study preoperative psychoemotional, autonomic, and hematodynamic responses in patients to develop criteria for evaluating the efficiency of premedication.Subjects and methods. Sixty gynecological patients (mean age 38.5±1.1 years), who were being prepared for elective surgery, were examined. According to the results of an integrative anxiety test, the patients were divided into 3 groups in relation to the level of personality anxiety. The three-stage study was conducted to evaluate systemic circulation by the results of impedance rheography and by the state of the autonom-ic nervous system, as evidenced by variational pulsometry.Results. Preoperatively, the patients showed varying personality anxiety that further formed the psychoemotional features of their response to an impending operation. Situational anxiety components, such as a phobic element and emotional discomfort, should be also regarded as an informative criterion for the adequacy of premedication. Psychoemotional and autonomic changes were more pronounced in Group 3 patients who were prone to the development of decompensation of adaptive mechanisms due to their personality typological traits.Conclusion. Premedication involving only narcotic analgesics and antihistamines does not limit the overac-tivation of the sympathetic part of the autonomic nervous system on the eve of the forthcoming operation.https://www.reanimatology.com/rmt/article/view/970premedicationanxietyp preoperative period |
| spellingShingle | I. G. Bobrinskaya V. M. Yaltonsky S. S. Khaikin O. A. Bykova Impact of Premedication on Preoperative Anxiety in Females with Gynecological Diseases Общая реаниматология premedication anxietyp preoperative period |
| title | Impact of Premedication on Preoperative Anxiety in Females with Gynecological Diseases |
| title_full | Impact of Premedication on Preoperative Anxiety in Females with Gynecological Diseases |
| title_fullStr | Impact of Premedication on Preoperative Anxiety in Females with Gynecological Diseases |
| title_full_unstemmed | Impact of Premedication on Preoperative Anxiety in Females with Gynecological Diseases |
| title_short | Impact of Premedication on Preoperative Anxiety in Females with Gynecological Diseases |
| title_sort | impact of premedication on preoperative anxiety in females with gynecological diseases |
| topic | premedication anxietyp preoperative period |
| url | https://www.reanimatology.com/rmt/article/view/970 |
| work_keys_str_mv | AT igbobrinskaya impactofpremedicationonpreoperativeanxietyinfemaleswithgynecologicaldiseases AT vmyaltonsky impactofpremedicationonpreoperativeanxietyinfemaleswithgynecologicaldiseases AT sskhaikin impactofpremedicationonpreoperativeanxietyinfemaleswithgynecologicaldiseases AT oabykova impactofpremedicationonpreoperativeanxietyinfemaleswithgynecologicaldiseases |