拇外翻手术中术前焦虑的患病率及相关因素

摘要(中文译文)

术前焦虑是由外科手术固有的情绪和生理应激源所激发的焦虑。本研究旨在评估在常见足部手术（如拇外翻矫正术）背景下患者的术前焦虑及其相关的社会人口学和手术因素。本研究采用横断面研究设计，共纳入80例患者，在术前咨询期间使用阿姆斯特丹术前焦虑与信息量表（APAIS）评估接受拇外翻矫正骨关节手术患者的焦虑水平和信息需求。此外，使用问卷收集其他变量的信息，如年龄、性别、手术类型和手术史。36.3%的参与者存在术前焦虑。接受微创手术的患者术前焦虑水平低于接受传统手术的患者（p = 0.006）。81.3%的患者要求获得关于手术过程的额外信息，这与焦虑水平相关，要求额外信息的患者发生术前焦虑的可能性是其他患者的5.57倍（p = 0.034）。男性和女性之间的焦虑水平无显著差异。本研究中参与者的术前焦虑发生率和信息需求均较高。患者对信息的需求是术前焦虑的预测因素。其他因素，如认识外科医生或既往有手术经历，则是术前焦虑的保护因素。

Abstract

Preoperative anxiety is that which is motivated by the emotional and physical stressors inherent in a surgical intervention. The aim of this study was to assess preoperative anxiety as well as the associated sociodemographic and surgical factors in the context of a common foot surgery procedure, such as surgery for the correction of hallux valgus. A cross-sectional study was conducted with a total of 80 patients using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) during the preoperative consultation to determine the level of anxiety and information among patients undergoing osteoarticular surgery for the correction of hallux valgus. Additionally, a questionnaire was used to gather information on other variables such as age, gender, type of surgery, and surgical history. 36.3% of the participants experienced preoperative anxiety. Patients undergoing minimally invasive surgery had lower levels of preoperative anxiety compared to those undergoing conventional surgery (p = 0.006). 81.3% of the patients requested additional information about the surgical procedure, which was correlated with the level of anxiety with patients who requested additional information being 5.57 times more likely to experience preoperative anxiety (p = 0.034). There were no significant differences in anxiety levels between men and women. The prevalence of preoperative anxiety and the demand for information were high among the participants in this study. The patient's demand for information is a predictive factor of preoperative anxiety. Other factors, such as knowing the surgeon or having undergone previous surgery, acted as protective factors against preoperative anxiety.

如何引用