Hermes Dirk, Saka Bassam, Bahlmann Ludger, Matthes Michael
Klinik für Kiefer- und Gesichtschirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Mund Kiefer Gesichtschir. 2006 Sep;10(5):307-13. doi: 10.1007/s10006-006-0013-9.
Oral and maxillofacial operations are stressful treatment situations for patients. Specific data on this phenomenon were acquired through a multicenter study.
A 10-page questionnaire was answered by 600 oral and maxillofacial patients before individual treatment. Control groups consisted of 800 surgical, dental, internal medicine and general practitioner patients. 26 practices and hospital departments in 11 German cities were involved in the study.
Both subjective anxiety assessment by patients and objective measurement (State Trait Anxiety Inventory; STAI) indicated a high level of treatment anxiety for oral and maxillofacial treatment. STAI scores for OMFS patients were significantly higher than in control groups. Especially female patients, patients treated under local anaesthesia and out-department patients showed high anxiety scores. Treatment experience in oral and maxillofacial surgery does not modify anxiety in case of recurrent treatment.
Managing perioperative anxiety today is still a major challenge in oral and maxillofacial surgery. Irrespective of technical and pharmacological advances further studies on this topic and the development and establishing of stress-reducing and anxiolytic perioperative techniques are of considerable importance.
口腔颌面手术对患者来说是压力较大的治疗情况。通过一项多中心研究获取了关于这一现象的具体数据。
600名口腔颌面患者在接受个体化治疗前填写了一份10页的问卷。对照组由800名外科、牙科、内科和全科医生的患者组成。德国11个城市的26个诊所和医院科室参与了该研究。
患者的主观焦虑评估和客观测量（状态特质焦虑量表；STAI）均表明口腔颌面治疗的治疗焦虑水平较高。口腔颌面外科患者的STAI评分显著高于对照组。尤其是女性患者、在局部麻醉下接受治疗的患者和门诊患者的焦虑评分较高。口腔颌面外科的治疗经验在再次治疗时并不会改变焦虑程度。
如今，应对围手术期焦虑仍是口腔颌面外科的一项重大挑战。尽管有技术和药理学方面的进展，但对该主题的进一步研究以及开发和建立减轻压力和抗焦虑的围手术期技术仍具有相当重要的意义。
