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HOSPITALIZATION AND STRESS: SURGERY AND MEDICAL PROCEDURES
Most people working in the health professions are fit and healthy, few have been admitted to hospital or have experienced routine medical procedures such as barium X-rays, electrocardiography or cardiac catheterization, even fewer have experienced major surgery. This lack of experience makes it difficult to understand the stress and anxiety that patients go through when being subjected to what therapists often regard as simple and straightforward procedures. Reynolds (1978) studied patients who had undergone chest X-rays, and found that one-third did not know why the procedure had been carried out. Ninety three percent received no warning that they were to have a chest X-ray and 82% were given no information concerning the result. Chest X-rays are a routine procedure before surgery but failure to explain this can lead patients to imagine they have a serious health problem which will, of course, increase their anxiety.
Patients often experience high levels of anxiety which interfere with the process of acquiring, retaining and retrieving information relating to their illness (Ley, 1988). This tends to lead to poor cooperation and delayed recovery. High levels of anxiety also hinder effective coping and can lead to a vicious circle being set in motion whereby ineffective coping produces higher levels of anxiety which in turn leads to even less effective coping. One of the major issues revealed by research in this area is that a lack of information, or poorly delivered information, correlates positively with stress and anxiety. In the light of such research many hospitals have changed their procedures for giving information. This is a start, but the problem of communicating information adequately is still far from solved (see Ley, 1988).
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