Romanik Wojciech, Kański Andrzej, Soluch Paweł, Szymańska Olga
II Klinika Anestezjologii i Intensywnej Terapii, Warszawski UM.
Anestezjol Intens Ter. 2009 Apr-Jun;41(2):94-9.
The perioperative period can be anxiety-provoking for any patient scheduled for surgery. The anxiety can be divided into three categories: physiological, psychological and behavioural. For objective assessment, special questionnaires have been used, yet since they are too complicated for everyday use, simpler methods have been proposed. We have compared three measurements of anxiety to determine their equivalence in assessing anxiety before surgery: the State Trait Anxiety Inventory (STAI), the Visual Analogue Scale (VAS) and patient declaration in the form of an answer to a single question.
Thirty-eight ASA I and II adult patients, of both sexes, aged 18-60 years, and scheduled for elective abdominal or ENT surgery, were enrolled into the study. All patients were interviewed one day before the procedure and were asked to complete the STAI questionnaire, rate their fear on the VAS, and answer the question: "Are you afraid of anything?" The Kolmogorow-Smirnov test, t-Student test and r-Pearson correlation test were used for statistical analysis.
Sixty six per cent of the questioned patients expressed a feeling of fear and their mean STAI-T (traid) score was 42.9 +/- 7.9, STAI-S (scale) 44.6 +/- 10.5. The VAS score was 3.7 +/- 2.6. Among those who did not declare a feeling of fear, the scores were: STAI-T: 36.9 +/- 8.2, STAI-S: 41.0 +/- 6.3, and VAS: 1.5 +/- 1.7. Females expressed a feeling of fear more often than males (p=0.03). There were no statistically significant differences related to age, the type of scheduled surgery or ASA score. The results obtained by all methods were closely correlated.
We conclude that, since the results of anxiety measurement were comparable in all tests, a simple question or the VAS scale should be sufficient for proper assessment of preoperative anxiety.
围手术期对于任何计划接受手术的患者来说都可能引发焦虑。焦虑可分为三类：生理、心理和行为焦虑。为了进行客观评估，人们使用了特殊问卷，但由于这些问卷在日常使用中过于复杂，因此有人提出了更简单的方法。我们比较了三种焦虑测量方法，以确定它们在评估手术前焦虑方面的等效性：状态-特质焦虑量表（STAI）、视觉模拟量表（VAS）以及以回答单个问题形式呈现的患者自述。
纳入38例年龄在18至60岁之间、计划接受择期腹部或耳鼻喉科手术的ASA I级和II级成年患者，男女不限。所有患者在手术前一天接受访谈，并被要求完成STAI问卷，在VAS上对自己的恐惧程度进行评分，并回答问题：“你害怕什么吗？”采用柯尔莫哥洛夫-斯米尔诺夫检验、t检验和皮尔逊相关检验进行统计分析。
66%的受访患者表示有恐惧情绪，他们的平均STAI-T（特质）得分为42.9±7.9，STAI-S（状态）得分为44.6±10.5。VAS评分为3.7±
