Koivula Meeri, Tarkka Marja-Terttu, Tarkka Matti, Laippala Pekka, Paunonen-Ilmonen Marita
Department of Nursing Science, University of Tampere, FIN-33014, Tampere, Finland.
Int J Nurs Stud. 2002 Nov;39(8):811-22. doi: 10.1016/s0020-7489(02)00022-6.
The purpose of this study was to examine fear and anxiety of coronary artery bypass patients at different time-points in the coronary artery bypass process and changes between different time-points. Patients (n = 171) from one university hospital completed questionnaires while awaiting surgery at home, in hospital the evening before surgery and 3 months later. The Bypass Grafting Fear scale was developed to measure fear. Anxiety was measured using state-trait-anxiety inventory and HAD. The highest levels of fear and anxiety were measured in the waiting period to coronary artery bypass grafting (CABG). Compared with the waiting period, fear and anxiety levels dropped in hospital and 3 months later. Female gender was related to change in fear and HAD anxiety. Marital status and vocational education were related to changes in STATE-A. Age under 55 years was related to higher TRAIT-A especially in the recovery period. These findings warrant concern for fear and anxiety in patients awaiting CABG, especially women and patients who do not have partner relationship.
本研究的目的是考察冠状动脉搭桥手术患者在冠状动脉搭桥手术过程中不同时间点的恐惧和焦虑情况,以及不同时间点之间的变化。来自一家大学医院的171名患者在居家等待手术时、手术前一晚住院期间以及3个月后完成了问卷调查。开发了冠状动脉搭桥恐惧量表来测量恐惧。使用状态-特质焦虑量表和医院焦虑抑郁量表来测量焦虑。在冠状动脉搭桥手术(CABG)的等待期,恐惧和焦虑水平最高。与等待期相比,住院期间和3个月后的恐惧和焦虑水平有所下降。女性性别与恐惧和医院焦虑抑郁量表焦虑的变化有关。婚姻状况和职业教育与状态焦虑的变化有关。55岁以下的年龄与较高的特质焦虑有关,尤其是在恢复期。这些发现值得关注等待冠状动脉搭桥手术患者的恐惧和焦虑,尤其是女性和没有伴侣关系的患者。