在全身麻醉下进行关节镜性脑膜切除术的手术相关焦虑:一项追溯观察性研究
Chae-Chil Lee1, Jae-Ryong Cha1, Jang-Ho Park2
1Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, 25 Daehakbyeongwon-ro, Dong-gu, Ulsan, 44033, Republic of Korea.
BMC musculoskeletal disorders
|December 20, 2023
概括
在术前的焦虑与对麻醉或手术本身的担忧有关. 通过明确的解释来解决这些患者特定的焦虑,可以改善结果.
科学领域:
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 心理学 心理学 心理学
背景情况:
- 关节镜手术患者中焦虑的患病率已知,但具体特征尚不清楚.
- 这项研究调查了经过关节镜性脑膜切除术的患者的状态焦虑.
研究的目的:
- 在接受关节镜性脑膜切除术的患者中描述状态焦虑.
- 确定导致手术前焦虑的因素和有帮助的干预措施.
主要方法:
- 对75名接受了关节镜部分脑膜切除术的患者进行了回顾性审查.
- 国家特征焦虑目录 (STAI) -X用于测量焦虑;评分≥52被定义为临床上有意义.
- 根据主要焦虑原因分组的患者:手术/麻醉 (I组) 与术后疼痛/康复 (II组).
主要成果:
- 平均STAI得分为39.1;在I组 (41.9) 显著高于II组 (34.4).
- 临床上有意义的焦虑在I组 (23.4%) 和II组 (3.6%) 中较高.
- 对医务人员的信任是术前焦虑的关键;外科医生的解释 (I组) 和自然过程 (II组) 在术后最有帮助.
结论:
- 与关节镜缩膜切除术相关的焦虑因患者特征而异.
- 对于那些对麻醉或手术感到焦虑的患者来说,外科医生的术前解释至关重要.
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