焦虑量表和血清 Copeptin 水平在确定纤维支气管镜检查和支气管内超声检查患者术前焦虑状态中的作用

IF 2.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Sümeyye Kodalak Cengiz, Canan Yılmaz, Ahmet Selim Yurdakul
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引用次数: 0

摘要

导言。纤维支气管镜(FOB)和支气管内超声波检查(EBUS)是安全且常用的微创手术。然而,接受介入手术的决定会使患者产生焦虑和负面影响。研究目的确定状态-特质焦虑量表(STAI)、贝克焦虑量表(BAI)、视觉模拟量表(VAS)和血清 copeptin 水平在接受 FOB 和 EBUS 检查前患者焦虑水平中的作用、敏感性、特异性以及它们之间的相关性。研究方法本前瞻性观察研究共纳入 219 名计划接受 FOB/EBUS 手术的患者。研究记录了患者的人口统计学数据。使用 STAI-SA、STAI-TA、BAI 和 VAS 评估患者术前的焦虑水平。在手术前后测量了谷丙肽水平。结果根据 STAI-SA、STAI-TA 和 VAS,患者焦虑程度为中度,根据 BAI,患者焦虑程度为轻度。女性和 65 岁以下的患者焦虑程度明显更高。所有量表均呈正相关。手术前和手术后的血清 copeptin 水平分别为 5.8 ± 4.8 和 4.3 ± 3.9 ng/mL,两者之间存在显著差异。VAS 的特异性和敏感性最高。结论所有焦虑量表之间都存在相关性,我们推荐使用 VAS,因为它更易于理解和实施,是确定焦虑水平的有力替代方法。手术前的血清 copeptin 水平明显高于手术后,可作为手术前焦虑的潜在生物标记物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Role of Anxiety Scales and Serum Copeptin Levels in Determining the Preprocedure Anxiety Status of Patients Who Undergo Fiberoptic Bronchoscopy and Endobronchial Ultrasonography

The Role of Anxiety Scales and Serum Copeptin Levels in Determining the Preprocedure Anxiety Status of Patients Who Undergo Fiberoptic Bronchoscopy and Endobronchial Ultrasonography

Introduction. Fiberoptic bronchoscopy (FOB) and endobronchial ultrasonography (EBUS) are safe and frequently used minimally invasive procedures. However, the decision to undergo an interventional procedure causes anxiety development and negative consequences in the individual. Objective. To determine the role of the State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), visual analog scale (VAS), and serum copeptin levels, their sensitivity, specificity, and the correlation between them in the anxiety levels of patients before undergoing FOB and EBUS. Method. A total of 219 patients who were scheduled to undergo FOB/EBUS were included in this prospective observational study. Demographic data were recorded. Patients’ anxiety levels before the procedure were evaluated using STAI-SA, STAI-TA, BAI, and VAS. Copeptin levels were measured before and after the procedure. Results. Patients were moderately anxious according to STAI-SA, STAI-TA, and VAS and were mildly anxious according to the BAI. Women and patients aged under 65 years were significantly more anxious. All scales were positively correlated. Serum copeptin levels before the procedure were 5.8 ± 4.8 and 4.3 ± 3.9 ng/mL afterwards, with a significant difference between them. The specificity and sensitivity of VAS were found to be the highest. Conclusion. All anxiety scales are correlated with each other, and we recommend VAS as a powerful alternative for determining anxiety levels in terms of easier understanding and implementation. Serum copeptin levels before the procedure were significantly higher than afterwards and may be used as a potential biomarker for preprocedural anxiety.

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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
274
审稿时长
3-8 weeks
期刊介绍: IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.
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