Mıngır Tarkan, Ervatan Zekeriya, Turgut Namigar
Clinic of Anaesthesiology and Reanimation, The Ministry of Health Okmeydanı Training and Research Hospital, İstanbul, Turkey.
Turk J Anaesthesiol Reanim. 2014 Aug;42(4):190-5. doi: 10.5152/TJAR.2014.99705. Epub 2014 May 29.
Anxiety is a pathological condition with a feeling of fear accompanied by somatic symptoms due to hyperactivity of the autonomic nervous system. In this study, we aimed to compare perioperative anxiety status and the effects of age, gender, educational status, and The American Society of Anesthesiologists physical status classification (ASA) score on perioperative anxiety in patients undergoing elective surgery under spinal anaesthesia.
After IRB approval and signed informed consent, 100 healthy patients undergoing elective surgery under spinal anaesthesia were enrolled. The demographic data of patients and ASA scores were recorded. After spinal anaesthesia, State Trait Anxiety Inventory (STAI) and anxiety levels were measured.
The mean anxiety score in patients undergoing surgery under spinal anaesthesia indicate the presence of an intermediate level of anxiety (44.58±19.06). A statistically significant positive correlation was found between anxiety scores and age of patients with increased age (p<0.01). Statistically significant differences were found between anxiety scores of patients according to gender, and women's anxiety scores were found to be significantly higher than in men (p<0.05). Anxiety scores did not differ significantly between education levels. A statistically significant difference was found between anxiety scores regarding ASA scores (p<0.05). Evaluation of patients revealed that the anxiety score of patients with ASA score 1 was significantly higher than the anxiety score of patients with ASA score 2. There was no significant difference between anxiety score of patients with ASA scores 2 and 3.
There is a mid-level anxiety, associated more with advanced age, female gender, and low ASA score, in patients undergoing elective surgery under spinal anaesthesia.
焦虑是一种病理状态，伴有恐惧情绪，并因自主神经系统功能亢进出现躯体症状。在本研究中，我们旨在比较择期脊柱麻醉手术患者围手术期的焦虑状态，以及年龄、性别、教育程度和美国麻醉医师协会身体状况分级（ASA）评分对围手术期焦虑的影响。
经机构审查委员会（IRB）批准并签署知情同意书后，纳入100例接受择期脊柱麻醉手术的健康患者。记录患者的人口统计学数据和ASA评分。脊柱麻醉后，测量状态特质焦虑量表（STAI）和焦虑水平。
接受脊柱麻醉手术患者的平均焦虑评分为中等焦虑水平（44.58±19.06）。焦虑评分与年龄增长呈显著正相关（p<0.01）。不同性别的患者焦虑评分存在显著差异，女性焦虑评分显著高于男性（p<0.05）。不同教育程度患者的焦虑评分无显著差异。不同ASA评分患者的焦虑评分存在显著差异（p<0.05）。对患者的评估显示，ASA评分为1级的患者焦虑评分显著高于ASA评分为2级患者的焦虑评分。ASA评分为2级和3级患者的焦虑评分无显著差异。
接受择期脊柱麻醉手术的患者存在中度焦虑，且与高龄、女性及低ASA评分关系更为密切。
