WFRF:(Csernátony Zoltán)
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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 03738naa a2200337 4500 | |
| 001 | oai:lup.lub.lu.se:5bee1202-3e12-4846-9583-c0c18d9e1ce5 | |
| 003 | SwePub | |
| 008 | 180608s2018 | |||||||||||000 ||eng| | |
| 024 | 7 | a https://lup.lub.lu.se/record/5bee1202-3e12-4846-9583-c0c18d9e1ce52 URI |
| 024 | 7 | a https://doi.org/10.1016/j.jpain.2018.05.0062 DOI |
| 040 | a (SwePub)lu | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a art2 swepub-publicationtype |
| 072 | 7 | a ref2 swepub-contenttype |
| 100 | 1 | a Szeverenyi, Csengeu University of Debrecen4 aut |
| 245 | 1 0 | a The use of adjunct psychosocial interventions can decrease postoperative pain and improve the quality of clinical care in orthopedic surgery. A systematic review and meta-analysis of randomized controlled trials |
| 264 | 1 | b Elsevier BV,c 2018 |
| 520 | a This study aims to assess the effectiveness of psychosocial techniques to decrease postoperative pain and improve perioperative clinical care in orthopedic surgery. A systematic review and meta-analysis was performed to evaluate the effects of psychosocial methods among adults undergoing orthopedic surgeries. The systematic review included both randomized and nonrandomized trials, but only randomized controlled clinical trials (RCTs) were included in the meta-analysis. Key outcomes were postoperative pain, analgesic requirement, perioperative anxiety, quality of life, and recovery. After searching the databases from January 1980 to September 2016, a total of 62 RCTs were included with a pooled sample size of 4,908. Psychosocial interventions significantly reduced postoperative pain (Hedges’ g = 0.31 [95% confidence interval = 0.14, 0.48]), and preoperative and postoperative anxiety (g = 0.26 [0.11, 0.42] and g = 0.4 [0.21, 0.59], respectively). Furthermore, psychosocial interventions improved recovery (g = 0.38 [0.22, 0.54]). However, no significant effects were found for postoperative analgesic use (g = 0.16 [−0.01, 0.32]) and quality of life (g = 0.14 [−0.05, 0.33]). Patient education and relaxation techniques produced the most consistent positive effects, showing benefits on pain, anxiety, and recovery. Cognitive or behavioral techniques improved recovery. Furthermore, larger effects were found for studies that included acute surgeries compared to elective surgeries. The results indicate that psychosocial interventions, especially patient education and relaxation training, may reduce perioperative side effects and improve recovery in patients undergoing orthopedic procedures, but the quality of evidence is generally low. More well-powered, high-quality studies are needed to increase confidence. | |
| 650 | 7 | a SAMHÄLLSVETENSKAPx Psykologi0 (SwePub)5012 hsv//swe |
| 650 | 7 | a SOCIAL SCIENCESx Psychology0 (SwePub)5012 hsv//eng |
| 700 | 1 | a Kekecs, Zoltanu Lund University,Lunds universitet,Institutionen för psykologi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Psychology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences4 aut0 (Swepub:lu)zo0052ke |
| 700 | 1 | a Johnson, Alisau Baylor University4 aut |
| 700 | 1 | a Elkins, Garyu Baylor University4 aut |
| 700 | 1 | a Csernatony, Zoltanu University of Debrecen4 aut |
| 700 | 1 | a Varga, Katalinu Eötvös Loránd University4 aut |
| 710 | 2 | a University of Debrecenb Institutionen för psykologi4 org |
| 773 | 0 | t Journal of Paind : Elsevier BVg 19:11, s. 1231-1252q 19:11<1231-1252x 1526-5900 |
| 856 | 4 | u http://dx.doi.org/10.1016/j.jpain.2018.05.006y FULLTEXT |
| 856 | 4 8 | u https://lup.lub.lu.se/record/5bee1202-3e12-4846-9583-c0c18d9e1ce5 |
| 856 | 4 8 | u https://doi.org/10.1016/j.jpain.2018.05.006 |
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