脑血管造影术患者术前焦虑状况及相关因素分析  

Analysis of preoperative anxiety and related factors in patients undergoing cerebrovascular angiography

作　　者：邓盼盼 付孝梅 DENG Pan-pan;FU Xiao-mei(The Second People's Hospital of Hefei,Hefei 230011,Anhui)

机构地区：[1]合肥市第二人民医院,安徽合肥230011

出　　处：《安徽医专学报》2025年第1期152-154,共3页Journal of Anhui Medical College

基　　金：2021年度安徽省卫生健康委科研项目(编号:AHWJ2021b160)。

摘　　要：目的:探讨脑血管造影术患者术前焦虑状况以及相关影响因素。方法:选取某医院收治的126例行脑血管造影术患者为研究对象,采用焦虑自评表(SAS)对脑血管造影患者术前进行评定,依据结果分为为焦虑组(SAS评分>50分)与非焦虑组(SAS评分≤50分),收集两组临床相关资料,采用单因素及多因素Logistic回归对脑血管造影术患者术前焦虑的危险因素进行分析。结果:126例行脑血管造影术患者中,无焦虑患者65例(51.59%),焦虑患者61例(48.41%)。多因素Logistic回归分析结果显示,女性、受教育程度低、月均收入<3000元、既往无手术或介入检查史、手术认知度一般及较低是脑血管造影术患者术前发生焦虑的危险因素(P<0.05);干预后,焦虑组患者的SAS评分显著低于干预前,差异具有统计学意义(P<0.05)。结论:脑血管造影术患者的诊治过程中应进一步关注其女性、受教育程度低、月均收入<3000元、既往无手术或介入检查史、手术认知度一般及较低方面因素,并采取一定干预措施减轻患者的术前焦虑感。Objective:Explore preoperative anxiety,related factors,and strategies in patients undergoing cerebral angiography.Methods:126 patients undergoing cerebral angiography admitted to a certain hospital were selected as the study subjects.The Self Rating Anxiety Scale(SAS)was used to evaluate the preoperative anxiety of cerebral angiography patients.According to the results,they were divided into anxiety group(SAS score>50 points)and non anxiety group(SAS score≤50 points).Clinical data of the two groups were collected,and single factor and multi factor logistic regression were used to analyze the risk factors of preoperative anxiety in cerebral angiography patients.Results:Among the 126 patients undergoing cerebral angiography,there were 65 cases(51.59%)without anxiety and 61 cases(48.41%)with anxiety.The results of the multivariate logistic regression analysis showed that being female,having a lower level of education,monthly income less than 3000 yuan,no history of surgery or interventional procedures,and having average to low surgical awareness were risk factors for preoperative anxiety in patients undergoing cerebral angiography(P<0.05);After the intervention,SAS scores in the anxiety group were significantly lower compared to the pre-intervention group,and the difference was statistically significant(P<0.05).Conclusion:Therefore,future research and intervention measures should further focus on these factors and take corresponding measures to alleviate patients'anxiety.

关 键 词：脑血管造影术 焦虑 相关因素 对策 

分 类 号：R743[医药卫生—神经病学与精神病学]