摘要
目的探讨骨科患者术前焦虑现状及相关影响因素。方法通过便利抽样法,选取2019年2—7月在山西省某三级甲等医院接受手术的252例骨科患者进行横断面调查,采用一般资料调查问卷、状态焦虑量表(SAI)、焦虑自评量表(SAS)、阿森斯失眠量表(AIS)以及视觉模拟疼痛量表(VAS)进行调查,分析患者术前焦虑的影响因素。结果252例骨科手术患者SAI得分为(44.72±6.99)分,SAS得分为(40.61±5.69)分,均高于全国常模(P<0.05)。相关分析结果显示,AIS、VAS分别与患者SAI得分和SAS得分呈正相关(r值分别为0.745、0.666、0.469、0.491;P<0.05)。多重线性回归结果显示,睡眠状况、疼痛状况、有无既往手术史、不同职业、文化程度、不同疾病类型以及对疾病认识程度是状态焦虑的主要影响因素(P<0.05),自评焦虑主要影响因素为睡眠状况、对疾病认识、疼痛状况、有无既往手术史、不同性别、年龄以及不同医保类型(P<0.05)。结论骨科手术患者术前焦虑水平较高,提示医护人员应重视骨科手术患者术前焦虑心理干预,尤其要加强对无手术经历、对疾病缺乏正确认识以及睡眠疼痛情况不佳人群的关注,从而降低患者术前焦虑及疼痛水平,提高患者睡眠状况。
Objective To explore the preoperative anxiety of patients with orthopedic surgery and its influencing factors.Methods From February to July 2019,this study selected 252 orthopedic patients with surgery at a ClassⅢGrade A hospital in Shanxi Province by convenience sampling to carry out cross-sectional study.The investigation was implemented with the general information questionnaire,State Anxiety Scale(SAI),Self-rating Anxiety Scale(SAS),Athens Insomnia Scale(AIS)and Visual Analogue Scale(VAS);and the influencing factors of preoperative anxiety of patients were analyzed.Results Among 252 patients with orthopedic surgery,the scores of SAI and SAS were(44.72±6.99)and(40.61±5.69)respectively higher than national norms(P<0.05).Correlation analysis showed that the scores of AIS and VAS had positive correlations with the scores of SAI and SAS(r=0.745,0.666,0.469,0.491;P<0.05).Multiple stepwise linear regression showed that the main influencing factors of state-anxiety included the sleep,pain,history of surgery,different occupations,education degree,disease types and disease cognition with statistical differences(P<0.05);the main influencing factors of self-assessment anxiety included the sleep,disease cognition,pain,history of surgery,different genders,ages and types of medical insurance.Conclusions Patients with orthopedic surgery have the high level of preoperative anxiety.Medical staff should pay attention to psychological intervention for preoperative anxiety of patients with orthopedic surgery,especially for those without history of surgery,with lack of disease cognition and poor sleep so as to reduce preoperative anxiety and pain,and improve patients'sleep.
作者
周苗
李育玲
Zhou Miao;Li Yuling(School of Nursing,Shanxi Medical University,Taiyuan 030001,China;Nursing Department,the First Hospital of Shanxi Medical University,Taiyuan 030001,China)
出处
《中华现代护理杂志》
2020年第5期617-622,共6页
Chinese Journal of Modern Nursing
基金
山西省软科学研究计划项目(2018041029-06)。
关键词
焦虑
睡眠
疼痛
骨科
手术前
影响因素
Anxiety
Sleep
Pain
Orthopedics
Preoperative period
Influencing factors
