Key result
Health locus of control and worry concerning the various stages of the operation emerged as the most consistent psychological predictors of peri-operative outcome in minor gynaecological procedures.
Observational
Psychological factors, specifically health locus of control and worry, are consistent predictors of peri-operative outcomes and cardiovascular responses during minor gynecological surgery.
Psychological screening may refine perioperative risk in gynaecology; leaves open causal effects on recovery and need for prospective trials.
This study aimed to clarify the pre-operative-personality-post-operative-recovery association by considering anaesthetic variables. Additionally, the work investigated the relationships between psychological and cardiovascular functioning and anaesthetic induction difficulties and operative problems. Two minor gynaecological procedures were evaluated (dilatation and curettage, laparoscopy) which differ greatly in anaesthetic and operative techniques. Psychological factors predicted cardiovascular responding immediately prior to the induction of anaesthesia, and combinations of cardiovascular and psychological variables were associated with anaesthetic induction, operative and post-operative problems. Health locus of control and worry concerning the various stages of the operation emerged as the most consistent psychological predictors of peri-operative outcome in both procedures.
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Abbott et al. (1995) conducted an observational in Minor gynaecological surgery. Psychological and cardiovascular factors (health locus of control, worry) was evaluated on Anaesthetic induction difficulties, operative problems, and post-operative recovery. Health locus of control and worry concerning the various stages of the operation emerged as the most consistent psychological predictors of peri-operative outcome in minor gynaecological procedures.
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