心内直视手术前患者焦虑水平与术后症状的关系

Ö. Yaman, D. Aygin
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摘要

目的:本研究旨在评估心内直视手术患者术前焦虑水平与术后疼痛、呼吸困难和恶心呕吐的关系。方法:研究于2017年9月至2018年4月进行,77例患者在获得伦理批准后进行了心脏直视手术。术前填写“手术特异性焦虑问卷(ASSQ)”和患者信息表,术后在患者出院后3天内进行“疼痛视觉模拟量表(VAS)”、“改良博格量表(MBS)”和“恶心、呕吐和干呕罗兹指数(RINVR)”。结果:患者平均年龄58.63±11.85岁;72.7%的患者为男性,46.8%的患者超重。确定患者在心脏直视手术前经历中度焦虑。女性的焦虑总分和恶心呕吐干呕总分均高于男性。疼痛和呼吸困难之间存在中等水平的正相关,疼痛和恶心呕吐之间存在低水平的正相关。结论:心内直视手术前确定患者有中度焦虑,发现焦虑与疼痛、呼吸困难、恶心呕吐没有关系。
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RELATIONSHIP OF PATIENTS’ ANXIETY LEVELS PRIOR TO OPEN HEART SURGERY WITH POSTOPERATIVE SYMPTOMS
Objective: It was aimed to assess the relationship of patients’ anxiety levels prior to open heart surgery with postoperative pain, dyspnea and nausea-vomiting in this study. Methods: The study was performed between September 2017 and April 2018 with 77 patients having open heart surgery after obtaining ethical approval. Prior to the surgery, “Anxiety Specific to Surgery Questionnaire (ASSQ)” and patient information forms were filled, while after the surgery, “Visual Analogue Scale for Pain (VAS)”, “Modified Borg Scale (MBS)” and “Rhodes Index of Nausea, Vomiting, and Retching (RINVR)” were implemented within three days after the patients were discharged from the intensive care unit to follow-up services. Results: The average age of the patients was 58.63±11.85; 72.7% of the patients were male and 46.8% were overweight. The patients were determined to experience medium-level anxiety prior to open heart surgery. The total anxiety and nausea-vomiting-retching distress scores obtained by the females were higher than those obtained by the males. A positive statistical correlation was detected in mid-levels between pain and dyspnea and in low levels between pain and nausea-vomiting. Conclusion: The patients were determined to experience medium-level anxiety prior to open heart surgery, and it was found out that that there was no relationship between anxiety and pain, dyspnea, nausea-vomiting.
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