Psychological features of patients reaction on the stress connected with laparoscopic by intervention

Material and methods. To assess the psychological reaction to the stress connected to the laparoscopic intervention Spilberg - Hanyn scale have been used. Comparative analysis was used in two groups of patients with fallopian tube rupture (as a result of tubal gestation). Full Text

and methods. To assess the psychological reaction to the stress connected to the laparoscopic intervention Spilberg - Hanyn scale have been used. Comparative analysis was used in two groups of patients with fallopian tube rupture (as a result of tubal gestation). In the Ist group there were 15 patients who had undergone laparoscopic surgery. In the IInd group there were 15 patients who had undergone laparotomy. In both groups average age of patients was 28 ± 3,1 and 30 ± 2,3 respectively. We estimated correlation between degree of anxiety and risk appraisal for surgical treatment of patients with ectopic pregnancy in both groups. Results. Most patients, who displayed high level of anxiety (75%) were found within IInd group, i.e. there was revealed correlation between level of anxiety and risk appraisal for forthcoming laparotomy (r> 0,7). In both groups assessment of patients reaction to specific situation (hospitalization), has displayed that level of anxiety, that was estimated by Spilberg - Hanyn test, was mild (31 - 45 point; date of test authors), whereas the same indicator for the patients from IInd group was positively higher (44,4 ± 6,5 и 39,9 ± 8,0 correspondingly). The same time, more then 65% of patients have displayed high level of anxiety (>46) and only every tenth of patients have shown low level of anxiety (<30). The biggest increase of the indicators of anxiety was noticed among patients who was diagnosed of ectopic pregnancy (47,75 ± 0,46). Conclusions. These characteristics are directly related to the presence of real stress in a woman due to hospitalization for emergency indications. In addition, we noted the positive role of endovideosurgical technologies in reducing the level of reactive anxiety in patients with ectopic pregnancy. About the authors Anna N. Tayts Saint Petersburg State Pediatric Medical Academy; Elizabethan Hospital Author for correspondence. Email: [email protected] PhD, Department of Obstetrics and Gynecology Academy, City Center of Endovideosurgery Hospital Russian Federation, Saint Petersburg; Saint Petersburg