腹部手术患者术前焦虑的相关因素分析

The preoperative anxiety’s correlative factors analysis in patients with abdominal operation

目的研究腹部手术患者术前焦虑的发生情况及危险因素。方法采用一般状况调查问卷、艾森克人格问卷、信赖他人量表、领悟社会支持量表、Zung氏焦虑和抑郁自评量表等 ,对 10 5例腹部手术患者进行问卷调查。结果即将在连续硬膜外麻醉下行腹部手术患者术前焦虑程度明显增高 ,女性高于男性 ,无手术经历者高于有此经历者 ,周围环境差者焦虑程度高。胃、肝胆手术患者焦虑程度高于肠道手术者。相关分析揭示术前焦虑与病人年龄、受教育年限、人格 (P、N分 )、疼痛评分、抑郁评分、信任度评分显著正相关 ,而与人格 (E分 )、领悟社会支持呈显著负相关 ,与经济收入无关。多元逐步回归分析示 :年龄、教育年限、手术史、疼痛、领悟社会支持、人格E分、N分等 7项对焦虑有影响。结论腹部手术患者术前焦虑情绪明显 ,并受多种因素影响。

ObjectiveTo study situation and risk correlative factors of preoperative anxiety in patients with abdominal operation.Methods General Status Inventory Questionnaire (GSIQ), Eysenck Personality Questionnaire (EPQ), Faith in People Scale (FPS), Perception Society Support Scale (PSSS), Zung Anxiety Self-appraise Scale (ASAS), Zung Depression Self-appraise Scale (DSAS) and others were administered to 105 patients with abdominal operation. Results The preoperative anxiety was very high in patients with abdominal operation in continuous epidural anesthesia. The degree of preoperative anxiety was higher in female than male , with no-operation experience than with the experience , in bad environment than in good environment , in stomach 、liver and gall operation than in intestine operation . Correlation analysis showed that the preoperative anxiety had significantly positive correlation with age、time of being taught 、personality (P、N score) 、pain score、depression score、faith score , had significantly negative correlation with personality (E score) 、perception society support , had no correlation with economy income. Multi-stepwise regression analysis indicated that the preoperative anxiety was influenced by seven factors, including the age、time of being taught、operative history、pain、perception society support、personality E score、N score. ConclusionThere was a preoperative anxiety in patients with abdominal operation, and it was influenced by multi-factors.