The Effects of Preoperative and Postoperative Anxiety on the Quality of Recovery in Patients Undergoing Abdominal Surgery
The Effects of Preoperative and Postoperative Anxiety on the Quality of Recovery in Patients Undergoing Abdominal Surgery
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DOI：
10.1016/j.jopan.2020.08.016
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发表时间：
2021-03-31
影响因子：
1.7
通讯作者：
Gumus, Kenan
中科院分区：
文献类型：
--
作者：
Gumus, Kenan
目的：本研究的目的是探讨术前和术后焦虑对腹部手术患者康复状态的影响。设计：本研究为描述性横断面研究。方法：本研究共纳入82例择期腹部手术患者。收集了人口统计数据。状态-特质焦虑量表是焦虑的测量方法。采用质量恢复量表（QoR-40）评价恢复质量（QoR）。两者都有已知的有效性和可靠性以及有效的土耳其语翻译。在征得患者同意后，82例患者在手术前完成人口统计资料和状态-特质焦虑量表，并在手术24小时后完成状态焦虑和QoR。结果：全麻组患者术前、术后焦虑水平均较高（P = 0.004、P = 0.022）。未被告知手术的患者术前特质焦虑较高（P = 0.01）。患者QoR评分与术前、术后状态焦虑呈负相关（P = 0.01、P = 0.000）。术前状态焦虑与术前特征和术后状态焦虑呈正相关（P = .000和P = .000）。结论：结果提供了更多的证据，表明术前需要对患者进行教育，了解在手术室和术后立即发生的事情，以减轻焦虑。这也将提高QoR。？ 2020年美国围麻醉护士协会。Elsevier, Inc.出版。版权所有。
Purpose: The aim of this study was to investigate the effect of preoperative and postoperative anxiety on the state of recovery in patients undergoing abdominal surgery.Design: This research is a descriptive and cross-sectional study.Methods: The study included a total of 82 patients undergoing elective abdominal surgery. Demographic data were collected. State-Trait Anxiety Inventory was the measure for anxiety. The quality of recovery (QoR) was assessed using Quality of Recovery Scale (QoR-40). Both have known validity and reliability and valid translations into Turkish. After obtaining consent from patients, 82 patients completed their demographic profile and State-Trait Anxiety Inventory before surgery, and after 24 hours of surgery completed the state anxiety and QoR.Findings: Patients who received general anesthesia had higher anxiety before and after surgery (P = .004 and P = .022). Patients who were not informed about the surgery had higher preoperative trait anxiety (P = .01). The QoR scores of the patients were negatively related to preoperative and postoperative state anxiety (P = .01 and P = .000). Preoperative state anxiety was positively related to preoperative trait and postoperative state anxiety (P = .000 and P = .000).Conclusions: The results provided more evidence that patients need education before surgery as to what to expect both in the surgical suite and immediately after surgery to alleviate anxiety. This should also improve QoR. ? 2020 American Society of PeriAnesthesia Nurses. Published by Elsevier, Inc. All rights reserved.