手术前的焦虑和需要支持 - - 1000名患者的定性分析
Stefan Salzmann1, Frank Euteneuer2, Stefan Kampmann3
1Division of Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany; Medical Psychology, Health and Medical University Erfurt, Erfurt, Germany.
Patient education and counseling
|July 2, 2023
概括
手术前的焦虑是常见的和多样化的. 患者希望进行个人对话以获得支持,强调需要个性化护理以解决手术压力并改善结果.
科学领域:
- 麻醉学 麻醉学
- 心理学 心理学 心理学
- 手术患者护理手术患者护理
背景情况:
- 手术前的焦虑影响了许多患者,造成了痛苦并影响了手术结果.
- 尽管手术前焦虑很普遍,但对手术前焦虑的定性研究是有限的.
研究的目的:
- 在大量患者样本中,对导致手术前焦虑的因素进行定性探索.
- 为了确定患者喜欢的应对策略,超越标准的前期治疗.
主要方法:
- 在1000名等待手术的患者中进行的一项调查.
- 关于焦虑触发因素和首选的应对机制的开放式问题.
主要成果:
- 确定了5个领域,16个主题和54个术前焦虑的子主题.
- 术前或术后并发症是最常见的焦虑主题 (n=516).
- 个人对话是最需要的支持措施.
结论:
- 术前焦虑的原因是高度异质的,正如在大量样本中进行的公正评估所表明的那样.
- 个人对话是手术患者临床上重要的应对策略.
相关概念视频
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
16
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
16
01:18Anxiety: Overview
310
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
310
01:22Stages of General Anesthesia
512
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
512
01:24General Anesthesia: Overview
245
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
245
01:30Generalized Anxiety Disorder
167
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
167
01:22Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8