Introduction: Building a strong patient rapport is a founding principle instilled early on in medical education. For many specialties, this relationship can be developed through repeated encounters. However, anesthesi...Introduction: Building a strong patient rapport is a founding principle instilled early on in medical education. For many specialties, this relationship can be developed through repeated encounters. However, anesthesiologists are limited in opportunity for which such rapport can be built. Therefore, it is critical that the pre-operative visit is used effectively to develop a strong patient-physician relationship and help relieve patient anxiety. Methods: The primary objective of this study was to determine what communication aspects are most important to patients in the pre-operative period. Secondary objectives were to evaluate the effectiveness of our current communication practices and their impact on patient’s anxiety. This study was an anonymous and voluntary survey conducted in the pre-operative area prior to elective surgical cases at Mayo Clinic Arizona from Dec. 2018-Jan. 2019. Patients completed a one-page questionnaire ranking the importance of various communication aspects and its subsequent impact on their anxiety level. Results: Of the communication qualities evaluated, patients most valued their physician’s thoroughness and ability to describe their anesthetic plan. Greater than 95% of patients felt “very satisfied” with their anesthesia provider encounter and on a 1 - 5 point scale, with 5 being the highest, there was an average reduction of 0.75 in anxiety level after completion of the anesthesia interview. Conclusion: Incorporation of and improving these communication aspects during your pre-operative evaluation can help improve rapport, reduce patient anxiety, and improve the patient’s overall experience. Implementing a communication-focused curriculum during training may prove beneficial in improving resident’s effectiveness in communicating.展开更多
Aim: The aim oh this study was to detrmine the effects of different training programs implemented before inguinal hernia operation on the pre- and post-operation anxiety level of and pain level the patient. Material a...Aim: The aim oh this study was to detrmine the effects of different training programs implemented before inguinal hernia operation on the pre- and post-operation anxiety level of and pain level the patient. Material and method: This quasi experimental study was carried out with inguinal hernia patients 18 - 60 years who were hospitalized in the General Surgery Clinic of Hospital of Atatürk University and Süleyman Demirel Medical Centre in Erzurum for inguinal hernia operation. The study data were collected between November 2007-May 2008 from a total of 90 patients. 30 patients were in the control group, 30 were in the video (VCD) training group, and 30 were in the booklet training group. Data were collected by means of a questionnaire about the patients and the inventory of state anxiety fort he adult. In collecting data, patient introduction form and Spielberger’in State-Trait Anxiety Inventory, and visual analogue scale (VAS) were used. In data assessment, T-test, Pearson correlation test, Mauchly’s variance analysis, Anova for repeated measures tests and Bonferroni Correction Analysisi were used. Results: In control, booklet and VCD groups, In group Situational Constant Anxiety score average was found significant in each three time periods (p < 0.001). When the pain situations of the patients after operation was considered, the distinction in Visual Analogue Scale and Verbal Rating Scala values of two groups in all measurement times was found significant (p<0.001). Conclusion: In the conclusion of the study, it was found out that the given education effective on level of pain and anxiety score for experimental groups of patients.展开更多
目的:探讨腰椎间盘突出症患者术前焦虑情绪与术后疼痛、术后恢复的关系。方法:用医院焦虑抑郁量表(hospital anxiety and depressionscale,HADS)评估行腰椎间盘手术的54例患者的焦虑情绪,以≥8分判为有焦虑情绪;用疼痛量表评估患者的疼...目的:探讨腰椎间盘突出症患者术前焦虑情绪与术后疼痛、术后恢复的关系。方法:用医院焦虑抑郁量表(hospital anxiety and depressionscale,HADS)评估行腰椎间盘手术的54例患者的焦虑情绪,以≥8分判为有焦虑情绪;用疼痛量表评估患者的疼痛程度,并记录病情恢复情况。用卡方检验,t检验比较焦虑组和非焦虑组的差异情况。结果:54例患者中有25例有焦虑;睡眠情况、对手术的认知程度、手术费用的承受能力与焦虑水平相关(OR=0.495,0.657,1.485)。在术后6小时、2天、5天时,焦虑组的疼痛得分高于非焦虑组的疼痛得分[(9.0±4.1)vs.(6.0±3.4),(12.5±4.2)vs.(10.0±3.5),(4.5±1.6)vs.(2.5±1.2);均P<0.05]。焦虑组患者的住院时间长于非焦虑组患者[(12.5±2.3)dvs.(9.7±2.1)d,P=0.008],排尿困难发生率高于非焦虑组患者(32%vs.17%,P=0.006)。腰腿疼在术后第2天、第5天、1个月时焦虑组评分高于非焦虑组[(14.0±3.7)vs.(11.5±3.5),(9.5±4.2)vs.(6.5±3.3),(7.0±4.3)vs.(4.5±2.8);P<0.05]。结论:术前焦虑情绪影响术后刀口疼痛,术前焦虑与术后恢复有关。展开更多
Objective:To study the relationship between pre-operative anxiety and post-operative psychosomatic adjustment and the related psychosocial factors in upper-abdominal surgery patients. Methods: Forty patients undergoin...Objective:To study the relationship between pre-operative anxiety and post-operative psychosomatic adjustment and the related psychosocial factors in upper-abdominal surgery patients. Methods: Forty patients undergoing upper-abdominal surgery were assessed in this report. One day before surgery, the Medical Coping Mode Questionnaire (MCMQ), Perceived Social Support Scale (PSSS), Eysenck Personality Questionnaire (EPQ), State Anxiety Inventory (SAI) of State-Trait Anxiety Inventory (STAI) and a self-developed patients’ pre-operative appraisal questionnaire were used. In an hour before operation,the shift of the mean value of the pulse of every case compared with the base line measured at his (or her) admission was also recorded.After surgery, State Anxiety Inventory (SAI) of State-Trait Anxiety Inventory (STAI), a self-developed postoperative appraisal scale were used, and the indexes of somatic adjustment, including intestinal aerofluxus, total dosage of analgesia and so on were recorded. Results:Firstly, pre-operative anxiety was remarkably correlated to many indexes of post-operative psychosomatic adjustment. Secondly, hopelessness about operation, concern over sequela, resignation coping style and psychosis personality were the significant predictors of pre-operative anxiety. Conclusion:Post-operative psychosomatic adjustment could be handicapped by pre-operative anxiety which might be influenced by stress-related psychosocial factors.展开更多
文摘Introduction: Building a strong patient rapport is a founding principle instilled early on in medical education. For many specialties, this relationship can be developed through repeated encounters. However, anesthesiologists are limited in opportunity for which such rapport can be built. Therefore, it is critical that the pre-operative visit is used effectively to develop a strong patient-physician relationship and help relieve patient anxiety. Methods: The primary objective of this study was to determine what communication aspects are most important to patients in the pre-operative period. Secondary objectives were to evaluate the effectiveness of our current communication practices and their impact on patient’s anxiety. This study was an anonymous and voluntary survey conducted in the pre-operative area prior to elective surgical cases at Mayo Clinic Arizona from Dec. 2018-Jan. 2019. Patients completed a one-page questionnaire ranking the importance of various communication aspects and its subsequent impact on their anxiety level. Results: Of the communication qualities evaluated, patients most valued their physician’s thoroughness and ability to describe their anesthetic plan. Greater than 95% of patients felt “very satisfied” with their anesthesia provider encounter and on a 1 - 5 point scale, with 5 being the highest, there was an average reduction of 0.75 in anxiety level after completion of the anesthesia interview. Conclusion: Incorporation of and improving these communication aspects during your pre-operative evaluation can help improve rapport, reduce patient anxiety, and improve the patient’s overall experience. Implementing a communication-focused curriculum during training may prove beneficial in improving resident’s effectiveness in communicating.
文摘Aim: The aim oh this study was to detrmine the effects of different training programs implemented before inguinal hernia operation on the pre- and post-operation anxiety level of and pain level the patient. Material and method: This quasi experimental study was carried out with inguinal hernia patients 18 - 60 years who were hospitalized in the General Surgery Clinic of Hospital of Atatürk University and Süleyman Demirel Medical Centre in Erzurum for inguinal hernia operation. The study data were collected between November 2007-May 2008 from a total of 90 patients. 30 patients were in the control group, 30 were in the video (VCD) training group, and 30 were in the booklet training group. Data were collected by means of a questionnaire about the patients and the inventory of state anxiety fort he adult. In collecting data, patient introduction form and Spielberger’in State-Trait Anxiety Inventory, and visual analogue scale (VAS) were used. In data assessment, T-test, Pearson correlation test, Mauchly’s variance analysis, Anova for repeated measures tests and Bonferroni Correction Analysisi were used. Results: In control, booklet and VCD groups, In group Situational Constant Anxiety score average was found significant in each three time periods (p < 0.001). When the pain situations of the patients after operation was considered, the distinction in Visual Analogue Scale and Verbal Rating Scala values of two groups in all measurement times was found significant (p<0.001). Conclusion: In the conclusion of the study, it was found out that the given education effective on level of pain and anxiety score for experimental groups of patients.
文摘目的:探讨腰椎间盘突出症患者术前焦虑情绪与术后疼痛、术后恢复的关系。方法:用医院焦虑抑郁量表(hospital anxiety and depressionscale,HADS)评估行腰椎间盘手术的54例患者的焦虑情绪,以≥8分判为有焦虑情绪;用疼痛量表评估患者的疼痛程度,并记录病情恢复情况。用卡方检验,t检验比较焦虑组和非焦虑组的差异情况。结果:54例患者中有25例有焦虑;睡眠情况、对手术的认知程度、手术费用的承受能力与焦虑水平相关(OR=0.495,0.657,1.485)。在术后6小时、2天、5天时,焦虑组的疼痛得分高于非焦虑组的疼痛得分[(9.0±4.1)vs.(6.0±3.4),(12.5±4.2)vs.(10.0±3.5),(4.5±1.6)vs.(2.5±1.2);均P<0.05]。焦虑组患者的住院时间长于非焦虑组患者[(12.5±2.3)dvs.(9.7±2.1)d,P=0.008],排尿困难发生率高于非焦虑组患者(32%vs.17%,P=0.006)。腰腿疼在术后第2天、第5天、1个月时焦虑组评分高于非焦虑组[(14.0±3.7)vs.(11.5±3.5),(9.5±4.2)vs.(6.5±3.3),(7.0±4.3)vs.(4.5±2.8);P<0.05]。结论:术前焦虑情绪影响术后刀口疼痛,术前焦虑与术后恢复有关。
文摘Objective:To study the relationship between pre-operative anxiety and post-operative psychosomatic adjustment and the related psychosocial factors in upper-abdominal surgery patients. Methods: Forty patients undergoing upper-abdominal surgery were assessed in this report. One day before surgery, the Medical Coping Mode Questionnaire (MCMQ), Perceived Social Support Scale (PSSS), Eysenck Personality Questionnaire (EPQ), State Anxiety Inventory (SAI) of State-Trait Anxiety Inventory (STAI) and a self-developed patients’ pre-operative appraisal questionnaire were used. In an hour before operation,the shift of the mean value of the pulse of every case compared with the base line measured at his (or her) admission was also recorded.After surgery, State Anxiety Inventory (SAI) of State-Trait Anxiety Inventory (STAI), a self-developed postoperative appraisal scale were used, and the indexes of somatic adjustment, including intestinal aerofluxus, total dosage of analgesia and so on were recorded. Results:Firstly, pre-operative anxiety was remarkably correlated to many indexes of post-operative psychosomatic adjustment. Secondly, hopelessness about operation, concern over sequela, resignation coping style and psychosis personality were the significant predictors of pre-operative anxiety. Conclusion:Post-operative psychosomatic adjustment could be handicapped by pre-operative anxiety which might be influenced by stress-related psychosocial factors.
