The impact of preoperative anxiety on patients undergoing brain surgery: a systematic review.
The impact of preoperative anxiety on patients undergoing brain surgery: a systematic review.
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DOI：
10.1007/s10143-021-01498-1
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发表时间：
2021-12
影响因子：
2.8
通讯作者：
Gigli F
中科院分区：
文献类型：
--
作者：
Oteri V;Martinelli A;Crivellaro E;Gigli F
术前焦虑是一种常见的反应，高达80%的患者计划进行外科手术，其特征是可能影响其围手术期的心理和身体变化。我们的目的是通过对过去几十年来的研究进行系统分析，报告脑外科手术患者术前焦虑的最新证据。我们通过检索PubMed、Embase和科克伦图书馆数据库对文献进行了系统综述。使用人口，干预，比较，结果框架提取数据并进行批判性分析。应用PRISMA指南，并使用偏倚风险（RoB）2和ROBINS工具评估纳入研究的偏倚风险，以及遵循GRADE标准的方法学质量。我们纳入了27篇文章，涉及12个不同国家的2558例患者。术前焦虑的患病率范围为17%至89%，女性患者更高。术前焦虑与较低的生活质量和认知能力，更高的信息需求，记忆力和注意力较差，住院时间较长，抑郁症状，增加身体残疾;没有相关性生存率被发现。7个随机对照试验证实了针灸，音乐疗法，虚拟现实和药物支持在降低焦虑水平的疗效。术前焦虑是一种常见的现象，可能会对脑外科手术患者的围手术期产生负面影响：这是不应忽视的事情，通过早期预防和优化管理来实现更好的护理。在线版本包含补充材料，可通过10.1007/s10143-021-01498-1获得。
Preoperative anxiety is a common reaction exhibited by up to 80% of patients who are scheduled for surgical procedures and characterized by psychological and physical changes which may affect their perioperative period. Our aim is to report the most up-to-date evidence on preoperative anxiety in brain surgery patients through a systematic analysis of the studies produced in the last decades. We performed a systematic review of literature by searching PubMed, Embase, and Cochrane Library databases. Data were extracted using the Population, Intervention, Comparison, Outcome framework and critically analyzed. PRISMA guidelines were applied, and the risk of bias of the included studies was assessed using the Risk of bias (RoB) 2 and ROBINS tools, as was the methodological quality, following GRADE criteria. We included 27 articles, accounting for 2558 patients in twelve different countries. The prevalence of preoperative anxiety ranged from 17 up to 89%, higher in female patients. Preoperative anxiety was associated with lower quality of life and cognitive performance, higher need for information, poorer memory and attention, longer hospitalization, depressive symptoms, and increase of physical disability; no correlation with survival rate was found. Seven randomized controlled trials attested the efficacy of acupuncture, music therapy, virtual reality, and pharmacological support in lowering anxiety levels. Preoperative anxiety is a common phenomenon that could negatively affect the perioperative period of brain surgery patients: this is something that should not be neglected to achieve better care through early prevention and optimal management. The online version contains supplementary material available at 10.1007/s10143-021-01498-1.
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DOI：
10.1136/bmj.b2535
发表时间：
2009-07-21
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Moher D;Liberati A;Tetzlaff J;Altman DG;PRISMA Group
通讯作者：
PRISMA Group
影响因子：
2
作者：
Hejrati, Nader;Spieler, Derek;Surbeck, Werner
通讯作者：
Surbeck, Werner
DOI：
10.1001/jama.1963.03060070021016
发表时间：
1963-01-01
影响因子：
120.7
作者：
EGBERT, LD;BATTIT, GE;BEECHER, HK
通讯作者：
BEECHER, HK
影响因子：
2.4
作者：
Bunevicius, Adomas;Tamasauskas, Sarunas;Bunevicius, Robertas
通讯作者：
Bunevicius, Robertas
影响因子：
4.1
作者：
Bunevicius, Adomas;Deltuva, Vytenis;Bunevicius, Robertas
通讯作者：
Bunevicius, Robertas