宫腔镜日间手术患者术前焦虑现状及影响因素分析
Preoperative Anxiety Status and Influencing Factors of Patients Undergoing Hysteroscopic Day Surgery
DOI: 10.12677/acm.2024.1441222, PDF,   
作者: 王 婷, 唐雯颖, 李澳雪:南华大学护理学院,湖南 衡阳;赵来苹, 廖红伍:南华大学附属南华医院,湖南 衡阳
关键词: 宫腔镜日间手术术前焦虑影响因素Hysteroscopy Day Surgery Preoperative Anxiety Influencing Factor
摘要: 目的:调查宫腔镜日间手术患者术前焦虑状况,分析其影响因素。方法:选取2022年8月到2023年1月选择在衡阳市某三级甲等医院妇科行宫腔镜手术患者作为研究对象。以宫腔镜日间手术患者一般资料调查问卷、状态焦虑问卷(S-AI)为研究工具进行问卷调查。结果:本研究共纳入190例宫腔镜日间手术患者,宫腔镜日间手术患者焦虑评分为43.55 ± 6.84,高于国内常模,单因素分析显示不同婚姻状况、文化程度、是否在职、家庭收入、与家庭关系及既往有无手术史的焦虑评分差异有统计学意义(P < 0.05),多因素线性回归分析显示文化程度、家庭收入、与家人的关系以及既往是否有手术史是宫腔镜日间手术患者术前焦虑的影响因素(P < 0.05)。结论:宫腔镜日间手术患者术前焦虑的心理状况不容忽视,作为医护人员特别是护理人员应针对引起焦虑的影响因素采取针对性措施,减轻患者术前焦虑水平,促进手术的顺利进行,减少相关并发症的发生。
Abstract: Objective: To investigate the preoperative anxiety of patients undergoing hysteroscopic day surgery and analyze its influencing factors. Methods: From January 2023 to May 2023, patients who underwent hysteroscopic surgery in a third class A hospital in Hengyang City were selected as the study objects. The general information questionnaire and State anxiety Questionnaire (S-AI) of patients undergoing hysteroscopic day surgery were used as research tools. Results: A total of 190 patients with hysteroscopic day surgery were included in this study, and the anxiety score of patients with hysteroscopic day surgery was 43.55, which was higher than the domestic norm. Univariate analysis showed that there were statistically significant differences in anxiety scores among different marital status, educational level, employment status, family income, relationship with family and history of surgery (P < 0.05). Multifactor linear regression analysis showed that education level, family income, relationship with family members and previous surgical history were the influencing factors for preoperative anxiety in patients undergoing hysteroscopic day surgery (P < 0.05). Conclusion: The psychological status of preoperative anxiety in patients undergoing hysteroscopic day surgery should not be ignored. Medical staff, especially nursing staff, should take targeted measures to reduce the anxiety level of patients before surgery, promote the smooth operation and reduce the occurrence of related complications.
文章引用:王婷, 赵来苹, 唐雯颖, 李澳雪, 廖红伍. 宫腔镜日间手术患者术前焦虑现状及影响因素分析[J]. 临床医学进展, 2024, 14(4): 1762-1768. https://doi.org/10.12677/acm.2024.1441222

参考文献

[1] 杨玲, 黄小龙, 罗旭, 等. 国内外日间手术发展现状与思考[J]. 中国卫生质量管理, 2020, 27(4): 34-37.
[2] 马晓薇, 李岩岩, 刘淑贤, 等. 眼科日间眼底手术患者术前认知及健康教育服务需求调查分析[J]. 华西医学, 2019, 34(2): 168-171.
[3] 王鑫丹, 林忠, 郑萍, 等. 日间手术模式下宫腔镜技术诊治常见妇科疾病的效果[J]. 广西医学, 2018, 40(12): 1311-1313.
[4] 张宇, 陶秋云, 徐小群, 等. 日间手术模式下宫腔镜手术患者术前心理弹性现状的调研与分析[J]. 中国妇幼保健, 2020, 35(7): 1302-1305.
[5] Haugen, A.S., Eide, G.E., et al. (2009) Anxiety in the Operating Theatre: A Study of Frequency and Environmental Impact in Patients Having Local, Plexus or Regional Anaesthesia. Journal of Clinical Nursing, 18, 2301-2310. [Google Scholar] [CrossRef] [PubMed]
[6] 程若川, 刁畅, 方向. 甲状腺日间手术模式涉及的相关问题探讨[J]. 中国普通外科杂志, 2019, 28(5): 519-523.
[7] Paterson, W.G., Barkun, A.N., Hopman, W.M., et al. (2010) Wait Times for Gastroenterology Consultation in Canada: The Patients’ Perspective. Canadian Journal of Gastroenterology and Hepatology, 24, 28-32. [Google Scholar] [CrossRef] [PubMed]
[8] 宫瑞松, 赵晶. 围术期焦虑研究进展[J]. 北京医学, 2018, 40(6): 572-574.
[9] 刘宇琦, 罗青研, 黄邵强, 等. 焦虑抑郁状态对妇科腹腔镜手术患者术后疼痛的影响[J]. 临床麻醉学杂志, 2018, 34(3): 254-257.
[10] 罗晶, 梁雁冰, 张鸿飞, 等. 术前焦虑对腹腔镜下子宫切除患者术后疼痛及阿片类药物用量的影响[J]. 临床麻醉学杂志, 2016, 32(6): 543-546.
[11] Uysal, A., Altparmak, B., Korkmaz Toker, M., et al. (2020) The Effect of Preoperative Anxiety Level on Mean Platelet Volume and Propofol Consumption. BMC Anesthesiology, 20, Article No. 34. [Google Scholar] [CrossRef] [PubMed]
[12] Boeke, S., Stronks, D., Verhage, F., et al. (1991) Psychological Variables as Predictors of the Length of Post-Operative hospitalization. Journal of Psychosomatic Research, 35, 281-288. [Google Scholar] [CrossRef
[13] 崔菲菲, 余华, 杨金菊, 等. 日间手术患者术前心理状况的调查研究[J]. 中国医药科学, 2015, 4(6): 121-123.
[14] 廖文娟, 匡雪春, 刘军, 等. 三甲医院日间手术患者焦虑情况调查分析[J]. 实用医院临床杂志, 2016, 13(3): 123-124.
[15] 李慧姣, 史静华. 日间手术病人术前焦虑的影响因素及护理研究进展[J]. 护理研究, 2019, 33(24): 4257-4260.
[16] Blumenthal, J.A., Lett, H.S., Babyak, M.A., et al. (2003) Depression as a Risk Factor for Mortality after Coronary Artery Bypass Surgery. The Lancet, 362, 604-609. [Google Scholar] [CrossRef
[17] 邵幼平, 林艳容. 肛痔科手术患者术前心理状况及护理对策[J]. 护理学报, 2011, 18(6): 73-75.
[18] 汤璘瑞, 张学兵, 杨陈, 王晓玲, 吴烨. 日间手术患儿家长术前焦虑现状调查[J]. 齐鲁护理杂志, 2020, 26(6): 62-64.
[19] Bedaso, A. and Ayalew, M. (2019) Preoperative Anxiety among Adult Patients Undergoing Elective Surgery: A Prospective Survey at a General Hospital in Ethiopia. Patient Safety in Surgery, 13, Article No. 18. [Google Scholar] [CrossRef] [PubMed]
[20] 夏静, 杨小蕾, 郑静静. 脊柱外科日间手术病人术前焦虑状况及影响因素分析[J]. 循证护理, 2023, 9(4): 685-689.
[21] 李腾, 荆仕翔, 张晓迪, 等. 飞秒激光小切口角膜微透镜取出术病人围术期焦虑变化趋势及其影响因素[J]. 护理研究, 2024, 38(5): 805-811.
[22] 沈丹, 褚文娟, 黄薇伊, 等. 学龄期儿童眼科局麻手术术前焦虑的影响因素分析[J]. 军事护理, 2023, 40(9): 43-47.