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口腔颌面外科治疗中的焦虑情绪。一项德国多中心试验的结果。

Treatment anxiety in oral and maxillofacial surgery. Results of a German multi-centre trial.

作者信息

Hermes Dirk, Matthes Michael, Saka Bassam

机构信息

Department of Maxillofacial Surgery, University Hospital Schleswig-Holstein/Campus Luebeck, Luebeck, Germany.

出版信息

J Craniomaxillofac Surg. 2007 Sep-Oct;35(6-7):316-21. doi: 10.1016/j.jcms.2007.03.004. Epub 2007 Sep 21.

Abstract

BACKGROUND

Oral and Maxillofacial operations can be extremely frightening treatment situations. General data on this phenomenon should be acquired through a multi-centre trial.

METHOD

A 10-page questionnaire was developed which was answered by 600 oral and maxillofacial patients before individual treatment. Control groups consisted of 800 surgical, dental and general practitioners/internal medicine patients. Twenty six medical practices and hospital departments in 11 German cities were involved in the trial.

RESULTS

Both subjective anxiety assessment by patients and objective testing (State Trait Anxiety Inventory; STAI) indicated a high level of treatment anxiety for oral and maxillofacial treatment situations. Oral and Maxillofacial Surgery (OMFS) patients' scores were significantly higher than those of control groups. Especially younger and female patients, patients treated under local anaesthesia and out-patients showed intensive anxiety. Previous treatment experience in OMFS did not modify test results.

CONCLUSION

Managing perioperative anxiety is still a major challenge in OMFS. Irrespective of technical, pharmacological and surgical advances, developing and establishing stress-reducing and anxiolytic perioperative techniques is of considerable importance for both patients and surgeons.

摘要

背景

口腔颌面手术可能是极其令人恐惧的治疗情况。关于这一现象的总体数据应通过多中心试验来获取。

方法

设计了一份10页的问卷,600名口腔颌面患者在接受个体化治疗前对其进行了回答。对照组由800名外科、牙科及全科医生/内科患者组成。德国11个城市的26个医疗诊所和医院科室参与了该试验。

结果

患者的主观焦虑评估和客观测试(状态-特质焦虑量表;STAI)均表明,口腔颌面治疗情况下的治疗焦虑程度很高。口腔颌面外科(OMFS)患者的得分显著高于对照组。尤其是年轻患者、女性患者、接受局部麻醉治疗的患者和门诊患者表现出强烈的焦虑。既往OMFS治疗经历并未改变测试结果。

结论

在口腔颌面外科中,管理围手术期焦虑仍然是一项重大挑战。无论技术、药理学和外科手术取得了怎样的进展,开发并建立减轻压力和抗焦虑的围手术期技术对患者和外科医生都极为重要。

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