手术是否会在老年患者中引起焦虑,压力和恐惧?
Neziha Karabulut1, Dilek Gürçayır1, Özlem Abi2
1The Nursing Faculty, Atatürk University, Erzurum, Turkey.
概括
老年患者经历更高的手术前压力和恐惧,特别是那些单身,患有慢性疾病或年龄较大的人. 这些因素显著影响了老年人群中的手术焦虑和感知压力.
科学领域:
- 老年人手术是一门老年人手术.
- 在外科手术期间的医学.
- 手术心理学 手术心理学
背景情况:
- 老年患者的生理变化需要与年轻人相比不同的外科手术方法.
- 术后期对接受手术的老年人构成重大风险.
- 手术前的心理状态,如恐惧,焦虑和压力是老年人手术护理中的关键考虑因素.
研究的目的:
- 调查预先手术的恐惧,焦虑和感知到的压力水平在预定进行手术的老年患者.
- 确定影响这些心理状态的因素在老年人手术群体.
主要方法:
- 进行了一项横截面描述性研究,包括407名接受选择性腹腔镜胆囊切除术的老年患者.
- 使用个人信息表格,感知压力量表 (PSS-10),手术恐惧问卷 (SFQ) 和手术特定焦虑问卷 (ASSQ) 收集数据.
- 统计分析包括描述性统计,t测试,ANOVA,相关性分析和邦费罗尼测试.
主要成果:
- 在75岁以上的患者,单身患者,患有需要药物治疗的慢性疾病的患者,以及先前有手术史的患者中,观察到更高的感知压力 (PSS-10).
- 在65-69岁的患者,大学毕业生,没有孩子的患者和不需要药物治疗的患者中,观察到较低的手术特异性焦虑 (ASSQ).
- 75岁以上的患者,小学毕业生和单身患者报告增加了对手术的恐惧 (SFQ).
结论:
- 单身,患有慢性残疾和晚年是影响老年患者手术特定焦虑,感知压力和手术恐惧的重要因素.
- 长期存在的慢性疾病会对接受外科手术的老年人造成压力和焦虑水平产生不利影响.
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