与泌尿妇科大手术相关的术前焦虑:缅因州围手术期调查数据的启示

N. Kaonga, Yanghee Courbron, Emmy Holmgren, Eliot Konzal, Whitney Williams, Mary Brandes, Caroline Foust-Wright
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引用次数: 0

摘要

背景:根据心胸科和骨科有关急诊手术的文献,术前焦虑程度越高,手术效果越差。有关妇科手术中术前焦虑水平的数据有限。本研究旨在确定泌尿妇科大手术患者术前高度焦虑的预测变量。方法:进行术前和术后调查,包括人口统计学数据、阿姆斯特丹术前焦虑和信息量表的修订版以及有关焦虑的开放式问题。调查数据的定量分析采用了描述性分析、单变量分析和多变量分析。调查数据的定性部分则采用主题分析法进行编码和分析。结果:共有 54 名参与者完成了术前调查。年龄中位数为 62 岁,大多数人有工作(34 人,60.7%)。约有三分之一的人被诊断出患有精神疾病(n = 19,33.9%),几乎所有人都患有其他疾病(n = 51,91%)。基线 APAIS 得分从 9 分到 40 分不等,得分越高,术前焦虑程度越高。APAIS 评分的中位数为 24 分,等于或大于 30 分为最高分。结论:这些变量与术前焦虑水平之间没有关联。不过,我们对患者群体有了有益的了解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pre-Operative Anxiety Related to Major Urogynecologic Surgery: Insights from Perioperative Survey Data in Maine
Background: Higher levels of pre-operative anxiety are associated with adverse outcomes according to the cardiothoracic and orthopedic literature on emergent surgeries. There are limited data on pre-operative anxiety levels in the gynecologic setting. This study sought to identify predictive variables for high pre-operative anxiety levels in patients undergoing major urogynecologic surgery. Methods: Pre- and post-operative surveys that included demographic data, a modification of the Amsterdam Pre-Operative Anxiety and Information Scale, and open-ended questions regarding anxiety were administered. Descriptive, univariate and multivariate analyses were used to analyze the quantitative elements of the survey data. The qualitative components of the survey data were coded and analyzed using thematic analyses. Results: A total of 54 participants completed the pre-operative survey. The median age was 62 years old, and the majority were employed (n = 34, 60.7%). Roughly 1/3 had been diagnosed with a mental health condition (n = 19, 33.9%) and nearly all had other health conditions (n = 51, 91%). The baseline APAIS score ranged from 9 to 40, with higher scores reflecting higher levels of pre-operative anxiety. The median APAIS score was 24, with a score equal to or greater than 30 being in the highest tertile. Conclusion: No associations were made between the variables and pre-operative anxiety levels. However, useful insights into our patient population were made.
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