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Biomedical subjects

G Schönefuss

Publications and source records attributed to G Schönefuss.

7 recordsLinked to original sources
PubMed2001

[Integrated gynecology: new medical treatments due to psychosomatic methods of evaluation].

OBJECTIVE: Women with gynecologic cancer are confronted with difficult decisions regarding the therapeutic options. The objective of the present paper is to demonstrate the relationship between surgical procedures and the outcome on quality of life and to discuss the implications for patient management. METHODS: Gynecologic patients were assessed in a prospective study with preoperative semistructured interviews and objective assessments (T1), interviews were repeated 4 and 12 months postoperatively (T2, T3). RESULTS: Women planned for hysterectomy with severe complaints indicate a better postoperative quality of life. Cancer patients, however, tend to feel more distressed about the surgical procedure if they could not be treated organ preserving or by reconstructive techniques. Medical interaction is dependent on the patient's anxiety level and mostly important for their quality of life before and after surgery. CONCLUSION: Psychosomatic research is not only necessary to understand the patient's needs before and after surgery but may also serve as an evaluation method of therapeutical options. By this methods we are able to anticipate the medical and psychological consequences of the therapeutic decisions. Future studies will systematically explore the alternating effect of surgical procedures on the patient's well-being.

Female↗
PubMed2001

[Body image in gynecologic patients before and after radical surgery].

After radical gynecologic surgery women are faced with therapy-induced changes of their body. Since 1995, the body images of women who undergo pelvic exenteration, Wertheim-Meigs-operation or hysterectomy are assessed preoperatively and four and twelve months postoperatively. The aim of this multidimensional prospective study is to get basic information for effective counselling and support. One year after hysterectomy women state to have a normal body image. Cancer patients feel less attractive, less self-confident and more discontented in sexuality depending on therapy-induced changes of their bodies. These women could profit from problem-related preoperative counselling. Postoperative counselling offers will be helpful to support women in the process of acceptance of bodily changes and in the reorganisation of their sexual life.

Body Image↗
PubMed1999

[Anxiety and coping behavior before and after radical gynecological surgery].

Pretreatment phase-interactions between patient, family and medical staff around the time of diagnosis may have profound and long-term effects on quality of life. These interactions do not only influence the ability of the patient to come to terms with the diagnosis, but often set the tone for all future dealings with medical community. The imperatives for the medical staff in this process are to provide both: information and hope. In this context, anxiety and defense mechanisms--as protection of ego against anxiety--are psychoanalytic based constructs. The investigation of the interference between these constructs and information reflects the extraordinary background for an effective and continuing communication. These considerations require the care team to individualize their approach to each patient.

Adaptation, Psychological↗
PubMed1997

[Pelvic exenteration: effects of surgical method on quality of life].

This prospective longitudinal study explores the quality of life of patients who underwent pelvic exenteration (n = 21) with or without reconstructive procedures by standardized questionnaires and semistructured interviews. Quality of life is defined in following categories: physical status, psychosocial issues, medical interaction, marital and sexual problems. At three points in time (preoperatively, 4 and 12 months postoperatively) the quality of life was mostly affected by worries about tumor-progress and not being able to care for oneself. Patients who received reconstructive or preserving procedures felt less restrained in all categories than those without reconstructive surgery although the preoperative situation was not different.

Adaptation, Psychological↗
PubMed1996

[Minimal invasive surgery--future prospects].

Future developments of MIS will strongly depend on economic conditions in the managed care system. There are clear indications for benign diseases but in malignant tumors well defined oncologic standards are mandatory to maintain.

Equipment Design↗