摘要
目的探讨日间人工流产术患者术前焦虑与信息需求现状及影响因素。方法选取2023年8月至2024年4月首都医科大学附属北京同仁医院行日间人工流产术的患者。应用横断面调查研究方法,采用一般资料调查表、恐惧项目调查表和阿姆斯特丹术前焦虑与信息量表(Amsterdam preoperative anxiety and information scale,APAIS)进行问卷调查,采用多重线性回归分析日间人工流产术患者术前焦虑及信息需求的影响因素,采用Pearson相关分析患者术前焦虑与信息需求的相关性。结果共纳入447例患者,年龄18~44岁,平均(32.7±5.7)岁。患者APAIS总得分为(12.50±4.70)分,其中术前焦虑分量表得分为(7.96±3.26)分,61.97%的患者处于高度焦虑水平。患者信息需求总得分(7.54±1.91)分,42.28%的患者处于高信息需求水平。多重线性回归分析结果显示,年龄、主要照顾者健康状况、既往手术史和既往手术体验是患者术前焦虑的影响因素(P<0.05),其中既往手术史对术前焦虑得分的影响最大,其次是主要照顾者健康状况和既往手术体验,年龄对术前焦虑得分的影响最小;主要照顾者健康状况、既往手术史和既往手术体验是日间人工流产手术患者信息需求的影响因素(P<0.05),其中主要照顾者健康状况对信息需求得分的影响最大,其次是既往手术史,既往手术体验对信息需求得分的影响最小。Pearson相关分析结果显示,术前焦虑总分与信息需求总分、中信息需求、高信息需求呈正相关,与低信息需求呈负相关(P<0.05)。结论日间人工流产术患者术前焦虑和信息需求水平较高。主要照顾者健康状况、既往手术史和既往手术体验是患者术前焦虑和信息需求共同的主要影响因素。建议医护人员对患者进行术前焦虑筛查,给予相应心理支持,并运用科学的方法提供相关信息和知识,缓解患者术前焦虑,满足信息需求。
Objective To explore the current situation and influencing factors of preoperative anxiety and information demands in patients undergoing daytime artificial abortion surgery.Methods Patients who underwent daytime artificial abortion surgery in Beijing Tongren Hospital,Capital Medical University from August 2023 to April 2024 were selected.The cross-sectional survey was used,and the patients were investigated by the the general information questionnaire,the fear item questionnaire and the Amsterdam preoperative anxiety and information scale(APAIS),and the influencing factors of preoperative anxiety and information demand in patients undergoing daytime artificial abortion surgery was analyzed by multiple linear regression analysis,and the relationship between preoperative anxiety and information demands was analyzed by Pearson correlation analysis.Results A total of 447 patients were included,aged from 18 to 44 years,with an average age of(32.7±5.7)years.The total score of the patient's APAIS was(12.50±4.70)points,with a preoperative anxiety subscale score of(7.96±3.26)points,and 61.97%of the patients were at a high level of anxiety.The total score of the patient information demand subscale was(7.54±1.91)points,and 42.28%of patients were at a high level of information demand.The results of multiple linear regression analysis showed that age,the health status of the primary caregiver,previous surgical history,and previous surgical experience were the influencing factors for preoperative anxiety scores of patients undergoing daytime induced abortion surgery(P<0.05).Among them,previous surgical history had the greatest impact on preoperative anxiety scores,followed by the health status of the primary caregiver and previous surgical experience,age had the smallest impact on preoperative anxiety scores(P<0.05).The health status of the primary caregiver,previous surgical history,and previous surgical experience were the influencing factors for the information demand score of patients undergoing daytime induced abortion surgery(P<0.05).Among them,the health status of the primary caregiver had the greatest impact on the information demand score,followed by previous surgical history,and previous surgical experience had the smallest impact on the information demand score(P<0.05).The Pearson correlation analysis results showed that the total scores of preoperative anxiety were significantly positively correlated with the total scores of information needs,medium information demands,and high information needs,and negatively correlated with low information demands(P<0.05).Conclusions Patients undergoing daytime artificial abortion surgery have higher levels of preoperative anxiety and information demands.The health status of the main caregivers,previous surgical history,and previous surgical experience are the main influencing factors of preoperative anxiety and information demands of the patients.It is suggested that medical staff screen patients for preoperative anxiety,give corresponding psychological support,and provide information and knowledge by scientific methods to alleviate patients'preoperative anxiety and meet the need for the relative information.
作者
孟婧文
刘颖
Meng Jingwen;Liu ying(Department of Anesthesiology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)
出处
《北京医学》
CAS
2024年第9期772-778,共7页
Beijing Medical Journal
关键词
日间人工流产术
术前焦虑
信息需求
影响因素
daytime artificial abortion surgery
preoperative anxiety
information demand
influencing factor
