Arellano R, Cruise C, Chung F
Department of Anesthesia, Toronto Western Hospital, Ontario, Canada.
Anesth Analg. 1989 May;68(5):645-8.
Hospitalization arouses anxiety among patients admitted for day bed surgery. The effect of the anesthetist's routine preoperative interview on the anxiety levels of 63 unpremedicated women scheduled for elective outpatient therapeutic abortions was examined using the State-Trait Anxiety Inventory. The anesthetist's preoperative interviews were performed at the following times: Group 1, in the outpatient clinic one week before surgery; group 2, in the day bed unit at the time of admission to hospital; group 3, outside the operating room immediately prior to surgery. State anxiety was measured before and after patients were seen by the anesthetists. In group 1, and in groups 1 and 2, it was readministered outside the operating room immediately before surgery. Baseline anxiety Trait and State scores were not significantly different in the 3 groups (Trait: group 1, 43.3 +/- 2.2; group 2, 36.9 +/- 2.3; group 3, 38.8 +/- 2.2. State: group 1, 50.6 +/- 3.5; group 2, 43.0 +/- 2.4; group 3, 49.0 +/- 3.0). Only in group 3 did the anesthetist's interview significantly reduce patient's anxiety (before visit 49.1 +/- 3.0; after visit 46.0 +/- 2.8; P less than 0.05). A small but statistically significant reduction in State anxiety scores is achieved when patients are seen by the anesthetist immediately prior to surgery.
住院会引起日间手术患者的焦虑情绪。本研究使用状态-特质焦虑量表，考察了麻醉医生常规术前访视对63例计划进行择期门诊治疗性流产的未用药女性焦虑水平的影响。麻醉医生的术前访视在以下时间进行：第1组，手术前一周在门诊；第2组，入院时在日间病房；第3组，手术前在手术室门外。在患者接受麻醉医生诊视前后测量状态焦虑。在第1组，以及第1组和第2组中，在手术前在手术室门外再次测量。3组患者的基线焦虑特质和状态评分无显著差异（特质：第1组，43.3±2.2；第2组，36.9±2.3；第3组，38.8±2.2。状态：第1组，50.6±3.5；第2组，43.0±2.4；第3组，49.0±3.0）。仅在第3组中，麻醉医生的访视显著降低了患者的焦虑（访视前49.1±3.0；访视后46.0±2.8；P<0.05）。当患者在手术前立即接受麻醉医生诊视时，状态焦虑评分会有小幅但具有统计学意义的降低。
