腰椎手术患者与手术和疼痛强度相关的焦虑水平

A. Ünal, Serkan Civlan, N. Yagci, F. Altug
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摘要

本研究旨在确定因腰痛而计划进行腰椎手术的患者的疼痛强度与手术相关焦虑水平之间的关系。57例患者(女性30例,男性27例)因各种原因计划腰椎手术纳入研究。记录患者的人口学和临床资料。对手术的知情情况和手术焦虑的原因进行了询问。使用视觉模拟量表评估休息、活动和夜间的疼痛强度,术前、术后和出院时使用斯皮尔伯格状态-特质焦虑量表评估手术相关焦虑水平。患者平均年龄55.00±9.37岁。术前休息强度、活动量、夜间疼痛与焦虑水平呈正相关(p<0.05)。被告知手术的患者焦虑水平较低(p<0.05)。在术后和出院前评估中,观察到与术前相比,疼痛强度和焦虑水平显著降低(p<0.05)。在术前对患者进行评估时,评估与手术相关的焦虑水平,告知手术干预,会降低患者的焦虑水平,对术后临床情况产生积极影响。
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ANXIETY LEVELS RELATED TO SURGERY AND PAIN INTENSITY IN PATIENTS SCHEDULED FOR LUMBAR SURGERY
This study aimed to determine the relationship between pain intensity and anxiety levels related to surgery in patients scheduled for lumbar surgery due to low back pain. Fifty-seven patients (30 females, 27 males) scheduled for lumbar surgery for various reasons were included in the study. Demographic and clinical information of the patients were recorded. The state of being informed about the surgery and the reasons for anxiety about the surgery were questioned. Pain intensity at rest, in activity, and at night were evaluated using the Visual Analogue Scale and surgery-related anxiety levels with the Spielberg State-Trait Anxiety Inventory preoperatively, postoperatively, and at discharge. Mean age of the patients was 55.00±9.37 years. A statistically significant positive correlation was found between the intensity of rest, activity, night pain, and the anxiety level in the preoperative period (p<0.05). Patients who were informed about surgery had lower anxiety levels (p<0.05). In the postoperative and pre-discharge evaluations, it was observed that there was a significant decrease in pain intensity and anxiety levels compared to the preoperative term (p<0.05). When evaluating the patient in the preoperative period, assessment of the level of anxiety related to surgery and informing about the surgical intervention will decrease the anxiety level and positively affect the postoperative clinical situation.
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