在内镜中患者的焦虑:对单个 vs 双重程序效果的比较分析
Tuna Albayrak1, Ayşegül Torun Göktaş2, Selin Eyüpoğlu3
1Department of Anesthesiology and Reanimation, Giresun University Faculty of Medicine, Giresun, TUR.
Cureus
|April 30, 2024
概括
接受胃镜检查和结肠镜检查的患者与仅接受胃镜检查的患者相比,经历了显著更高的焦虑水平. 这凸显了在面临多次内镜手术的患者中加强术前焦虑管理的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
- 心理学 心理学 心理学
背景情况:
- 手术前的焦虑会显著影响患者的体验和结果.
- 单个和联合内镜手术之间的焦虑差异存在有限的研究.
研究的目的:
- 为了比较单独接受胃镜检查和联合胃镜检查和结肠镜检查的患者的焦虑水平.
- 为了确定在经历多次手术的患者中增加的特定焦虑症状.
主要方法:
- 150名患者被分为两组:仅胃镜 (I组) 和结合胃镜和结肠镜 (II组).
- 纳入标准:18至70岁,ASA身体状况I-III.
- 使用贝克焦虑库存量表前程序评估的焦虑,没有预先治疗.
主要成果:
- 第二组患者表现出明显更高的焦虑水平.
- 在II组增加的特定焦虑症状包括腿部软弱,,无法放松,以及对不良事件/死亡的恐惧.
- 联合手术导致患者焦虑的显著升高.
结论:
- 与单独的胃镜相比,联合胃镜和结肠镜显著增加了患者的焦虑.
- 加强手术前咨询和减少焦虑的策略对于经历多次手术的患者至关重要.
- 解决焦虑可以改善患者的体验,减少并发症,提高满意度.
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