在非镇静上胃肠内镜中探索焦虑触发因素:前性分析
Görkem Yarbaş1, Hulusi Can Karpuzcu2, Ramis Çatalbaş2
1Department of Gastroenterology, Ankara Etlik City Hospital, Ankara, Turkey. gorkem.yarbas@saglik.gov.tr.
在非镇静上部胃肠内镜之前,焦虑是常见的,特别是在女性和患有慢性疾病的人群中. 提供全面的术前信息是减少患者焦虑的关键.
科学领域:
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
- 医学研究 医学研究
背景情况:
- 焦虑对接受非镇静上部胃肠内镜 (EGD) 的患者产生重大影响.
- 识别人口,医疗和心理因素对于有针对性的干预至关重要.
- 了解焦虑触发因素可以改善患者的准备和程序结果.
研究的目的:
- 在接受非镇静性EGD的患者中识别与焦虑相关的因素.
- 确定高风险患者群体和关键焦虑触发因素.
- 为提高手术前沟通和患者准备的策略提供信息.
主要方法:
- 一项横截面的观察性研究包括1242名年龄在18-90岁的患者.
- 使用面对面的采访和斯皮尔伯格州道焦虑清单 (STAI) 来评估焦虑程度.
- 收集的数据包括人口统计,病史和先前的内镜经验.
主要成果:
- 超过一半 (52.7%) 的患者报告了与程序相关的焦虑.
- 女性,COPD患者,心脏病,慢性病,抑郁症和恐慌症患者的焦虑水平较高.
- 之前的内镜经验和对手术的了解并没有显著减少焦虑.
结论:
- 在内镜手术前普遍存在焦虑,可能会影响手术质量.
- 妇女和患有慢性疾病的人群中的高焦虑率与现有文献一致.
- 在EGD之前向患者提供全面的信息对于减少焦虑至关重要.
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