在接受微创胸部手术的患者中进行手术前的焦虑:预测因素和患者报告的担忧的前性研究
Yizhou Huang1,2,3, Maohui Chen1,2,3, Hui Xu4
1Department of Thoracic Surgery, Fujian Medical University Union Hospital, No. 29, Xinquan Road, Fuzhou, 350001, China.
手术前的焦虑影响了22.4%的接受视频辅助胸腔镜手术 (VATS) 的患者. 关键预测因素包括年轻的年龄,较低的BMI和特定的临床因素,为手术患者提供有针对性的干预信息.
科学领域:
- 胸部外科手术 胸部外科手术
- 心理医学 心理医学
- 患者的治疗结果.
背景情况:
- 手术前的焦虑是手术患者中常见但经常被忽视的问题.
- 在视频辅助胸腔镜手术 (VATS) 患者中,影响焦虑的患病率和具体因素尚未确定.
研究的目的:
- 确定患病率,并确定在接受微创VATS的患者手术前焦虑的预测因子.
- 分析患者与VATS相关的具体担忧和恐惧.
- 在这个人群中开发一个预测模型来预测手术前的焦虑.
主要方法:
- 一项前性研究涉及540名预定接受单端口VATS的患者.
- 使用医院焦虑和抑郁量表评估焦虑.
- 收集人口,临床和手术数据;用于预测因子识别的后勤回归.
主要成果:
- 22.4%的患者报告了手术前的焦虑.
- 独立预测因素包括年龄较小 (<60岁),BMI较低 (<25千克/米2),肺结节直径较大 (>1厘米),观察时间较长 (>1个月),并发症和婚姻状况.
- 关注的重点是预后,并发症和不适,根据焦虑状态,性别和年龄而异.
结论:
- 在VATS患者中,手术前的焦虑很普遍.
- 确定的人口和临床因素可以帮助早期识别.
- 了解患者的担忧对于开发有效的干预措施至关重要.
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