等待接台手术期患者焦虑水平的调查研究分析

Investigation and Analysis of the Anxiety Level of Patients Waiting for Receiving Surgery

摘要: 目的：旨在调查分析2024年5月~2024年9月在我院行择期手术的300例手术期患者的焦虑水平。方法：成立研究小组，制定量表。选取手术前等待期范围内的三个时间点进行调查分析，具体调查时间分别为：手术前晚16:00至17:00，手术当日病房护士接到手术室电话通知时以及进入术前准备间后，前两个时间点评定地点为患者所在病房，后一个时间点评定地点为手术室。分别采用状态焦虑问卷和汉密尔顿焦虑量表进行问卷调查。问卷填写后当场回收。结果：与术前当晚比较，手术当日接台手术期患者S-AI、T-AI、HAMA均有不同程度升高，差异有统计学意义(P < 0.05)；与手术当日比较，入手术室时接台手术期患者S-AI、T-AI、HAMA均有不同程度升高，差异有统计学意义(P < 0.05)。与术前当晚比较，手术当日接台手术期患者呼吸、心率、收缩压和舒张压均有不同程度升高，差异有统计学意义(P < 0.05)；与手术当日比较，入手术室时接台手术期患者呼吸、心率、收缩压和舒张压均有不同程度升高，差异有统计学意义(P < 0.05)。结论：等待接台手术期患者存在一定程度的焦虑水平，且生命体征也有一定的变化。

Abstract: Objective: To investigate and analyze the anxiety level of 300 patients undergoing elective surgery in our hospital from May 2024 to September 2024. Methods: A research group was established to develop the scale. Three time points within the waiting period were selected for investigation, specifically: 16:00 to 17:00 in the evening before the operation, when the ward nurse received the phone notification from the operating room on the day of the operation, and after entering the preoperative preparation room, the first two time points were evaluated as the ward where the patient was located, and the last time point was evaluated as the operating room. State anxiety questionnaire and Hamilton Anxiety Scale were used to conduct questionnaire survey. The questionnaire was completed and returned on the spot. Results: Compared with the night before surgery, S-AI, T-AI and HAMA of the patients at the stage of operation on the day of operation had statistical differences (P < 0.05). Compared with the day of operation, S-AI, T-AI and HAMA of patients in the stage of operation at the time of admission to the operating room had statistical differences (P < 0.05). Compared with the night before surgery, there were statistical differences in respiration, heart rate, systolic blood pressure and diastolic blood pressure (P < 0.05). Compared with the day of operation, there were statistical differences in respiration, heart rate, systolic blood pressure and diastolic blood pressure (P < 0.05). Conclusion: The patients have a certain degree of anxiety and their vital signs change during the waiting period.