诱导等待期间接台手术患者焦虑水平与信息需求的调查分析

Investigation on anxiety level and information demand of patients receiving consecutive operation surgery during induction waiting period

目的:调查诱导等待期间接台手术患者的焦虑水平与信息需求,并分析其相关影响因素。方法:采用方便抽样,利用阿姆斯特丹焦虑与信息需求量表(APAIS),对2018年7至9月在复旦大学附属中山医院行择期全身麻醉手术的97例接台患者在诱导等待期间进行问卷调查。结果:诱导等待期间接台手术患者严重焦虑的发生率为11.3%。信息需求与焦虑正相关(r=0.535,P<0.001)。家庭关系欠佳、既往有痛苦麻醉经历是发生术前焦虑的危险因素,低手术级别手术是术前高信息需求的影响因素。结论:诱导等待期间接台手术部分患者呈焦虑状态。建议医护人员评估、筛选高危患者,尤其对家庭关系欠佳、既往有痛苦麻醉经历的患者实施心理干预,手术信息优先给予手术级别较低患者。

Objective:To describe the level of anxiety associated with need and risk factors in patients underwent consecutive operation during induction waiting period.Methods:Using convenient sampling,97 patients receiving elective general anesthesia in Zhongshan Hospital,Fudan University from July to September 2018 were investigated by the Amsterdam Anxiety and Information Needs Scale(APAIS)questionnaire surveys during induction waiting period.Results:The incidence of severe anxiety was 11.3%in patients undergoing surgery during induction period.There was a positive correlation between information needs and general anxiety(r=0.535,P<0.001).Poor family relationship and previous painful anesthesia experience were risk factors for the occurrence of preoperative anxiety,while low-grade surgery was the influencing factor for high preoperative information demand.Conclusions:Anxiety status still occupies a certain proportion of patients during induction waiting period.It is recommended that medical personnel evaluate and screen high-risk patients to strengthen the psychological intervention for those with poor family relationship and previous painful anesthesia experience,and surgical information was preferred for patients with lower surgical grades.