预测中国成人心脏手术患者术前焦虑的因素:一项横断面研究。

IF 1.4 Q3 NURSING
Belitung Nursing Journal Pub Date : 2025-04-19 eCollection Date: 2025-01-01 DOI:10.33546/bnj.3695
Aizhen Xing, Pornpat Hengudomsub, Panicha Ponpinij
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引用次数: 0

摘要

背景:术前焦虑是手术患者的一个重要问题,因为它可能导致诸如术后疼痛增加、伤口愈合延迟、住院时间延长、术后并发症发生率增加甚至死亡率增加等不良反应。术前焦虑在心脏手术患者中尤为常见,但往往被忽视,需要进一步调查。目的:本研究旨在探讨择期心脏手术成人患者的术前焦虑及其预测因素,包括手术恐惧、术前睡眠质量、疾病严重程度感知和感知社会支持。方法:采用简单随机抽样的方法,对142例接受择期心脏手术的成人患者进行横断面研究。数据收集自2023年10月至2024年3月在中国温州市三级甲等综合医院的患者。使用问卷收集患者的人口学特征、对手术的恐惧、术前睡眠质量、对疾病严重程度的感知、对社会支持的感知和术前焦虑的信息。采用描述性统计、Pearson相关分析和多元线性回归进行数据分析。结果:术前焦虑总分为15.98±4.95分。手术恐惧、术前睡眠质量、疾病严重程度感知和感知到的社会支持解释了37.3%的术前焦虑方差(调整后R2 = 0.373, F (4142) = 26.77, p β = 0.539, p β = -0.166, p β = -0.138, p)结论:成人择期心脏手术患者术前焦虑显著受手术恐惧、术前睡眠质量和感知到的社会支持等因素的影响。护士可以实施有针对性的干预措施,减少术前焦虑。这些干预措施可能包括通过健康教育和心理咨询来解决对手术的恐惧。此外,改善医院环境,营造平静安静的氛围,可以提高睡眠质量。鼓励社会支持,帮助患者建立对手术成功和恢复能力的信心。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors predicting preoperative anxiety among adult patients undergoing cardiac surgery in China: A cross-sectional study.

Background: Preoperative anxiety is a significant concern for patients undergoing surgery, as it can lead to adverse effects such as increased postoperative pain, delayed wound healing, prolonged hospital stays, higher incidences of postoperative complications, and even mortality. Preoperative anxiety is particularly common in patients undergoing cardiac surgery, but it is often overlooked and warrants further investigation.

Objective: This study aimed to explore preoperative anxiety and its predictors, including fear of surgery, preoperative sleep quality, perception of illness severity, and perceived social support among adult patients undergoing elective cardiac surgery.

Methods: A cross-sectional study was conducted with 142 adult patients undergoing elective cardiac surgery using simple random sampling. Data were collected from patients in the Class III Grade A general hospital in Wenzhou, China, between October 2023 and March 2024. Questionnaires were used to gather information about patients' demographic characteristics, fear of surgery, preoperative sleep quality, perception of illness severity, perceived social support, and preoperative anxiety. Descriptive statistics, Pearson correlation analysis, and multiple linear regression were employed for data analysis.

Results: The total score for preoperative anxiety was 15.98 ± 4.95. Fear of surgery, preoperative sleep quality, perception of illness severity, and perceived social support explained 37.3% of the variance in preoperative anxiety (Adjusted R2 = 0.373, F (4,142) = 26.77, p <0.05). Fear of surgery was the strongest predictor (β = 0.539, p <0.001), followed by preoperative sleep quality (β = -0.166, p <0.05) and perceived social support (β = -0.138, p <0.05). Perception of illness severity was not a significant predictor of preoperative anxiety.

Conclusion: Preoperative anxiety in adult patients undergoing elective cardiac surgery is significantly influenced by factors such as fear of surgery, preoperative sleep quality, and perceived social support. Nurses can implement targeted interventions to reduce preoperative anxiety. These interventions may include addressing the fear of surgery through health education and psychological counseling. Furthermore, improving the hospital environment to promote a calm and quiet atmosphere can enhance sleep quality. Encouraging social support to help patients build confidence in the success of their surgery and their ability to recover is also recommended.

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来源期刊
CiteScore
1.90
自引率
42.90%
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