Evaluation of preoperative anxiety and fear of anesthesia using APAIS score
Evaluation of preoperative anxiety and fear of anesthesia using APAIS score
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DOI：
10.1186/s40001-018-0339-4
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发表时间：
2018-09-11
影响因子：
4.2
通讯作者：
Edipoglu, Ipek S.
中科院分区：
文献类型：
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作者：
Celik, Fatma;Edipoglu, Ipek S.
背景：术前焦虑是患者最重要的问题之一，因为它会导致情绪和精神问题以及身体问题。检测患者现有的焦虑对于帮助患者至关重要。我们在这项研究中的主要目的是调查患者的年龄、性别、手术、手术简介、推荐的手术麻醉类型以及患者之前的麻醉经验如何影响患者的焦虑。我们的次要目标是揭示患者对麻醉感到焦虑的原因。方法：我们的研究是在 2016 年 5 月至 2017 年之间进行的一项前瞻性队列研究。在麻醉诊所对患者进行访谈以进行术前检查。本研究使用了阿姆斯特丹术前焦虑和信息量表（APAIS）。答案以两个量表进行评估：焦虑分数和对信息的渴望分数。使用李克特量表对陈述的答案进行评估。此外，我们的患者被询问是否接受过麻醉，如果接受过麻醉，麻醉类型，是否接受过我们推荐的手术简报和麻醉方法。我们还询问了患者对麻醉感到焦虑的原因。结果：本研究共招募了 637 名患者，排除不符合纳入标准的患者后，最终纳入 499 名患者。在年龄和对信息的渴望之间，检测到显着负相关（r：- 0.241；p = 0.001）。我们发现，大学及以上毕业生的分数比小学毕业生（p = 0.003）和中学毕业生（p = 0.034）具有统计显着性。研究发现，接受全身麻醉的患者的焦虑评分显着高于接受区域麻醉的患者（p = 0.029）。发现女性的焦虑分项得分显着高于男性 (p = 0.001)。结论：我们认为了解患者的焦虑并找到适当的方法来缓解他们的焦虑是有价值的。 APAIS 是衡量患者焦虑的有效方法，在术前就诊时使用可能会有帮助。通过这种方式可以实现患者满意度和卓越的结果。
Background: Preoperative anxiety is one of the most important problems for the patients, because it causes emotional and psychiatric problems as well as physical problems. It is crucial to detect the patient's existing anxiety to assist patients. Our primary aim in this study is to investigate how the patient's age, gender, the operation, surgical briefing, type of anesthesia recommended for the operation ahead, and patient's prior anesthesia experience affect the patient's anxieties. Our secondary aim is to reveal the causes of the patient's anxieties regarding anesthesia.Methods: Our study was conducted as a prospective cohort study between May 2016-2017. Interviews with the patients were performed in the anesthesia clinic for preoperative examination. For the study, The Amsterdam Preoperative Anxiety and Information Scale (APAIS) has been used. The answers were evaluated in two scales: the anxiety score and the desire for information score. Answers to the statements were evaluated with Likert Scale. In addition, our patients were asked whether they had received prior anesthesia, if so, the type of anesthesia, whether they received surgical briefing and anesthetic method we recommended. We also asked our patients about the cause of their anxiety regarding the anesthesia.Results: A total of 637 patients were recruited to the study, after excluding the patients who do not meet the criteria for inclusion, and 499 patients were included. Between the age and desire for information sub-scores, a negative significant correlation was detected (r: - 0.241; p = 0.001). We found that the scores of graduates of university and higher were statistically significant than the primary school graduates (p = 0.003) and secondary school graduates (p = 0.034). Anxiety sub-scores of the patients who underwent general anesthesia were found to be significantly higher than the patients who underwent regional anesthesia (p = 0.029). Anxiety sub-scores of females were found to be significantly higher than the males (p = 0.001).Conclusions: We think that being aware of the patients' anxiety and finding appropriate approaches for their anxieties can be valuable. APAIS is an effective method to measure patient anxiety and it might be beneficial to use during preoperative visits. Patient satisfaction and superior outcomes can be achieved in this way.