APAIS评分评估国人术前焦虑状态的可靠性  

Reliability of Amsterdam Preoperative Anxiety and Information Scale score in evaluating preoperative anxiety of Chinese people

作　　者：贾真[1] 耿丽娜[1] 王伟[1] 储勤军[1] 谢广论[1] 张卫[1] 

机构地区：[1]郑州大学第一附属医院麻醉科,450052

出　　处：《中华麻醉学杂志》2015年第9期1107-1109,共3页Chinese Journal of Anesthesiology

摘　　要：目的 评价阿姆斯特丹术前焦虑和信息评分（APAIS评分）评估国人术前焦虑状态的可靠性.方法 择期手术患者160例,性别不限,年龄18 ～ 60岁,ASA分级Ⅰ-Ⅲ级.术前访视时分别采用APAIS评分和状态-特质焦虑问卷中的状态焦虑量表（S-AI量表）对患者行焦虑状态评估.计算总体焦虑评分和信息需求评分的克隆巴氏系数.设定总体焦虑评分判断术前严重焦虑的4个阈值分别为10、11、12和13分,以S-AI量表作标准,总体焦虑评分与S-AI量表进行一致性分析.结果 总体焦虑评分和信息需求评分的克隆巴赫系数分别为0.84和0.71.总体焦虑评分判断术前严重焦虑的阈值为12分时,与S-AI量表一致性较高,Kappa值0.62,95％可信区间0.46 ～ 0.78,灵敏度为0.71,特异度为0.90,阳性预测值为0.78.结论 APAIS评分可用于国人术前焦虑状态的评估.Objective To evaluate the reliability of Amsterdam Preoperative Anxiety and Information Scale （APAIS） score in evaluating the preoperative anxiety of Chinese people.Methods One hundred sixty Chinese patients of both sexes, aged 18-60 yr, of American Society of Anesthesiologists physical status Ⅰ-Ⅲ, scheduled for elective surgery, were enrolled.Preoperative anxiety of the patients was assessed with APAIS score and Spielberger＇s State-Anxiety Inventory （S-AI） questionnaire during the preoperative interview.Cronbach＇s alpha of total anxiety and need for information scores was calculated.Four thresholds of total anxiety score in identifying preoperative severe anxiety was set as 10, 11, 12 and 13.S-AI questionnaire was considered as the standard, and the correlation between total anxiety score and S-AI questionaire was tested.Results The Cronbach＇s alpha of total anxiety and need for information scores was 0.84 and 0.71, respectively.When the threshold of total anxiety score in identifying preoperative severe anxiety was 12, the total anxiety score was highly correlated with S-AI questionnaire, the Kappa value was 0.62, 95% confidence interval was 0.46-0.78, the sensitivity was 0.71, the specificity was 0.90, and the positive predictive value was 0.78.Conclusion APAIS score can be used to assess the preoperative anxiety of Chinese people.

关 键 词：焦虑 心理测定学 问卷调查 手术前护理 

分 类 号：R614[医药卫生—麻醉学]