Recuerdos de un cirujano (Spanish Edition)

Translation of "baby rattle" in Spanish

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The average age of patients was The average age of those accompanying patients was Surgery was minor in The different causes of worry were evaluated on a scale of from 0 to 10 by the patients and those accompanying them, as shown in Table The values that are above the average on the 0—10 scale are in bold type..

The results of evaluating the different causes of patient worry about the operation type of operation and planned admission are shown in Table Table 3 shows the relationship between the causes of patient worry and their sex and age.. Patient Statistics for Sex and Age.. A surgical operation may create certain fears in patients as well as for their family, regardless of their sex or age.

Patient fears involve different factors such as the loss of privacy and having to abandon their usual environment and roles. Fears also arise due to the operation itself, such as the lack of certainty about the results of surgery and other fears about anaesthesia, running from whether it will be excessive or will lead to patients revealing personal information due to its effects, up to whether they will be aware of the pain of surgery. For some patients surgery even arouses a fear of death. These fears may lead to high levels of anxiety that will have a negative effect on the surgery.

In this study we found that the most important causes of worry for the patient are fear of the unknown, possible complications, effects on their quality of life and the disease and diagnosis itself, together with the anaesthesia and pain control. Therefore and as a whole, the 3 main worries are complications, followed by pain control and loss of quality of life.

Those who accompanied patients were found to share similar worries. When we compared the opinion of patients with those of their companions, complications, the accuracy of the diagnosis and disease malignity are more important for the latter.

Synonyms and antonyms of pirograbadora in the Spanish dictionary of synonyms

However, anaesthesia and pain control are significantly more important for patients. Modesty too is more important for patients than it is for those who accompany them, although in this case the average score is no higher than 3 out of Differences were detected in patient attitudes depending on the type of operation.

Thus, in general patients were less worried about minor surgery than they were about major surgery. There were no differences respecting pain control and fear of the unknown, which stood out in both cases. Only when they were asked about how it would affect their work were the patients awaiting minor surgery more worried, although differences were not significant.

These data agree with those of other studies. When we compare the fears of patients who required admission with those who were going to be operated as outpatients, the latter and those accompanying them were logically less fearful. The only exception to this concerned the cosmetic harm of scars, although differences here were not significant. Worry about nutrition was also higher, although it scored less than 4 out of As in the previous case, fear of the unknown and anaesthesia as pain control were equally important as causes of concern. When other authors 31 compared patient stress by measuring the physiological constants of admitted and outpatient surgical patients, they found no significant differences between both groups.

However, surveys of family members 31 show them to be more worried when surgery will take place on an outpatient basis than when patients are admitted.

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This is probably due to their worry that they may not be able to deal with any possible problems that arise once they return home.. When the scores awarded by men and women were compared, the latter were generally found to be more affected in terms of the number of causes and degree of worry. There were significant differences between men and women respecting fear of the unknown, possible complications, technical aspects of the operation, quality of life after surgery, scars, effect on work, the possible diagnosis of malignity, modesty and the pain that may be associated with anaesthesia.

This fact was also observed in other studies, 32—34 in which a significant difference was found in the level of anxiety between men and women faced with major surgery.. Lastly, age too influenced patient fears about surgery. In general, fear falls as patients?? Thus the younger ones 18—40 years old are the most worried, above all about pain, possible complications, fear of the unknown and losing quality of life.

Cirugía Española (English Edition)

As was the case in other studies 35 of heart surgery patients, those older than 65 years old felt a lower level of fear and worry. Some aspects such as the diagnosis of malignant disease were equally important as causes of worry in all of the age groups, with no significant differences between them.. As a limitation of this study, we wish to point out that other studies of patient fears and anxiety before surgery are very heterogeneous.

The questions or questionnaires which they use vary widely, hindering comparison of their results. Moreover, the level of scientific evidence of the bibliographical references on this subject in the field of surgery is rather low, corresponding to observational studies and expert opinions levels of evidence III and IV, respectively, according to the NHMRC criterion.. In spite of the advances in medicine and surgical techniques, there can be no doubt that surgery is an event which worries patients.

This stress affects the physiological response of patients and their sensitivity to pain.

This work depends on the surgeon and may help surgery to be better tolerated and accepted.. These results should form the basis for the creation of an action plan and the implementation of improvements in our hospitals, as well as for surgeons, with the aim of minimising the negative impact of these fears, and increasing patient perceptions of quality prior to a surgical operation.. The authors declare that they have no conflict of interests..

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The Spanish Association of Surgeons would like to thank the Quality Management Department for its involvement in and leadership of this project. We would also like to thank the Spanish Anaesthesiology, Resuscitation and Pain Therapy Society for helping with the preparation and analysis of the survey, as well as the scientific agency Bate Scientia Salus S. With especial thanks to the surgeons who took part in this study..

The list of co-workers may be found in Appendix A.. Please cite this article as: Puerta de Hierro, Madrid, Spain. Morales Messeguer, Murcia, Spain. Infanta Leonor, Madrid, Spain. Objective To assess the magnitude of the different causes of anxiety in patients and families, facing surgery. In both cases it was assessed based on a unidimensional scale of 0—10, with 0 being be minimal cause for concern and 10, maximum. Results The most prominent have been the fear of the unknown, possible complications, the impact on quality of life, the accuracy of diagnosis and possible malignancy of the disease, as well as anaesthesia and pain control.

Conclusions The patient faces surgery with a number of fears that can be reduced with increased information. Introduction The emotions of fear and anxiety are inherent in human beings. These fears may cause psychological stress that affects the result of the operation itself. Nevertheless, they always merit full attention.

Methods This project commenced in November with a systematic bibliographical search using Google Scholar of scientific and other sufficiently trustworthy publications aimed at the general public for articles describing the main causes of concern for patients and those accompanying them. The notification was then published in the bulletin that was also sent out to all members.

La Ruta de la Plata (Spanish Edition)

They were not identified. There were therefore valid questionnaires, from patients and from those accompanying them. The different causes of worry were evaluated on a scale of from 0 to 10 by the patients and those accompanying them, as shown in Table 1.

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The values that are above the average on the 0—10 scale are in bold type. Patient Statistics for Sex and Age. With especial thanks to the surgeons who took part in this study. Rev Mex Anestesiol, 34 , pp. Rev Costar Cardiol, 9 , pp. Operarse de las hemorroides ya no da tanto miedo. Enferm Cardiol, ,. Nutr Hosp Madrid, 27 , pp.

Confianza en el Sistema Nacional de Salud. Rev Esp Cir Osteoartic, , pp. Cir Esp, 69 , pp. Learn more about Amazon Prime. Are You an Author?

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