Authors: Ioan Onac2, Ana-Maria Culai1, Laszlo Irsay2, Viorela Ciortea2, Monica Borda2, Gabriela Dogaru2, Alina Ciubean2, Rodica Ungur2
1 Clinical Hospital of Recovery Cluj-Napoca, Romania
2 Department of Rehabilitation, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Romania
Background. Cognitions/cognitive processes help people to adjust their emotions after experiencing a negative experience: in the case of this paper, the condition of an endoprotected patient.
Aims. In the paradigm of health psychology, the evaluation and quantification of emotional, cognitive and neuropsychological disorders have clear recommendations on post-therapy programs and quality of life after discharge.
Methods. The study was performed on 40 total hip endoprosthesis patients divided into two distinct groups: 20 patients admitted for total hip arthroplasty and 20 endoprotected patients over a period of more than one year. Both groups were given the SACS adaptive coping scale questionnaires.
Results. Calculations were made to compare the differences between the two means: the mean obtained for group 1 and group 2 against the mean of the standards of these tests. The results obtained show a statistically significant difference: at the threshold p <0.001 on the assertive action variable, the very significant difference in antisocial action, and aggressive action, significant differences for social support search, and very significant differences for indirect action, avoidance.
Conclusions. Regardless of the time of the maladaptive response patterns of patients with hip prosthesis, there is a reaction of depression, anxiety and decreased self-esteem, and in patients with more than one year after intervention, adaptive emotional mechanisms result, arising from a positive evaluation of the event’s positive analysis in the adaptation reaction to the chronic patient condition.
Key words: total hip arthroplasty, behavioral coping strategy, cognitive-emotional adaptation.06-onac116-122