择期手术患者术前焦虑状态及其影响因素分析  

Analysis of preoperative anxiety state and the influencing factors in elective operation patients

作　　者：肖颜[1] 陶广华 XIAO Yan;TAO Guanghua(The 4th Affiliated Hospital of Nanchang University,Nanchang,330003,China)

机构地区：[1]南昌大学第四附属医院手术室,江西省南昌市330003

出　　处：《护理实践与研究》2023年第1期37-40,共4页Nursing Practice and Research

基　　金：江西省教育厅科学技术研究项目(编号:170113)。

摘　　要：目的调查择期手术患者术前焦虑状态及其影响因素。方法选择2020年1月—2021年12月于医院行择期手术的患者96例作为研究对象,对患者术前心理状态进行评估。根据术前状态-特征焦虑问卷评估结果,将96例择期手术患者分为焦虑组30例与对照组66例,采用单因素和多因素Logistic回归分析择期手术患者术前焦虑状态的影响因素。结果术前调查发现,96例择期手术患者中有30例存在焦虑状态,检出率为31.25%。单因素分析发现,女性、月收入<3000元、既往麻醉体验较差、初次手术、椎管内麻醉、不了解自身病情、自费是导致择期手术患者术前焦虑的影响因素(P<0.05);多因素Logistic回归分析发现,女性、月收入<3000元、既往麻醉体验较差、初次手术、椎管内麻醉、不了解自身病情、自费是影响择期手术患者术前心理状态的因素(P<0.05)。结论择期手术患者术前极易出现焦虑状态,女性、月收入<3000元、既往麻醉体验较差、初次手术、椎管内麻醉、不了解自身病情、自费是其影响因素,临床需予以高度重视。Objective To investigate the preoperative anxiety state and the influencing factors in elective operation patients.Methods 96 patients who underwent elective surgery in hospital from January 2020 to December 2021 were selected as research objects,to evaluate their preoperative psychological state.According to the results of preoperative status-characteristic anxiety questionnaire,96 patients undergoing elective surgery were divided into anxiety group(30 cases)and control group(66 cases).Univariate and multivariate Logistic regression were used to analyze the influencing factors of preoperative anxiety state in patients undergoing elective operation.Results The preoperative investigation showed that,30 among the 96 patients had an anxiety state,the detection rate was 31.25%.Univariate analysis showed that female,monthly income<3000 Yuan,poor anesthesia experience in the past,initial operation,intraspinal anesthesia,unclear of themselves’conditions,self-payment were the influencing factors leading to preoperative anxiety in patients with elective surgery(P<0.05).Multivariate Logistic regression analysis showed that female,monthly income<3000 Yuan,poor anesthesia experience,initial operation,intraspinal anesthesia,unclear of themselves’conditions,and self-payment were the factors that affected the preoperative psychological state of patients undergoing elective operation(P<0.05).Conclusion Patients undergoing elective operation were prone to anxiety before operation.Female patients,monthly income<3000Yuan,poor anesthesia experience in the past,initial operation,intraspinal anesthesia,unclear of themselves’conditions,and self-payment are the influencing factors,which should be paid high attention to in clinic.

关 键 词：择期手术 术前 焦虑 影响因素 原因分析 

分 类 号：R47[医药卫生—护理学]