无冠状动脉搭桥术焦虑史患者术前焦虑对术后症状的影响

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Galician Medical Journal Pub Date : 2022-09-01 DOI:10.21802/gmj.2022.3.7
Nurten Arslan Isik, I. Emir
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引用次数: 2

摘要

本研究的目的是测量冠状动脉旁路移植术(CABG)患者的术前焦虑水平,以评估焦虑与术后症状的关系。材料与方法。本描述性研究于2021年2月至11月在一家大学医院进行。74例CABG患者完成了手术特异性焦虑问卷、视觉模拟量表、改良Borg量表、恶心、呕吐和干呕的Rhodes指数。采用均值、标准差、频率分布、Mann-Whitney U检验和Spearman相关分析对数据进行分析。结果。参与者平均年龄65.55±8.35岁;66.2%为男性。女性受试者的ASSQ总分显著高于男性受试者(p < 0.05)。CABG术前患者焦虑水平与术后疼痛、呼吸困难严重程度呈显著正相关(p < 0.05)。结论。发现患者在冠脉搭桥前主要经历中度至重度焦虑,术后呼吸困难主诉和疼痛增加。一个协调的,多学科的方法来术前培训的卫生保健专业人员可能提供一个有希望的方式,以提供更有效和更有成效的服务。
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The Effect of Preoperative Anxiety on Postoperative Symptoms in Patients Without a History of Anxiety Scheduled for Coronary Artery Bypass Grafting
The aim of this study was to measure the level of preoperative anxiety in patients scheduled for coronary artery bypass grafting (CABG) to assess the relationship between anxiety and postoperative symptoms. Materials and Methods. This descriptive study was conducted at a single university hospital from February to November 2021. Seventy-four CABG patients who completed the Anxiety Specific to Surgery Questionnaire, the Visual Analogue Scale, the Modified Borg Scale, the Rhodes Index of Nausea, Vomiting and Retching were included in the study. The data were analyzed by the mean, standard deviation, frequency distribution, Mann-Whitney U Test, and Spearman’s correlation analysis. Results. The average age of participants was 65.55 ± 8.35; 66.2% of them were males. The ASSQ total scores of female participants were significantly higher as compared to male participants (p < 0.05). There was a statistically significant positive relationship between the levels of anxiety in patients before CABG and the levels of postoperative pain and dyspnea severity (p < 0.05). Conclusions. Patients were found to experience predominantly moderate to severe anxiety before CABG, and increased dyspnea complaints and pain in the postoperative period. A coordinated, multidisciplinary approach to preoperative training of healthcare professionals may offer a promising way to provide more efficient and productive services.
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