Ruhaiyem M E, Alshehri A A, Saade M, Shoabi T A, Zahoor H, Tawfeeq N A
Departement of Anesthesia, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia.
King Abdullah International Medical Research Center, Ministry of National Guard, Health Affairs (NGHA), Riyadh, Kingdom of Saudi Arabia.
Saudi J Anaesth. 2016 Jul-Sep;10(3):317-21. doi: 10.4103/1658-354X.179094.
Fears related to anesthesia have affected a considerable number of patients going for surgery. The purpose of this survey was to identify the most common concerns about general anesthesia during the preoperative anesthetic clinic in different healthcare settings, and whether they are affected by patients' sex, age, education, or previous experience of anesthesia or not.
Structured questionnaires with consent forms were distributed to patients in their preanesthesia clinic visit in three tertiary hospitals (King Abdul-Aziz Medical City, King Faisal Specialist Hospital, and King Khalid University Hospital) in Riyadh, Saudi Arabia. Patients' demographics and questions related to their fears regarding general anesthesia were included in the questionnaires. All categorical and interval variables were compared statically using a Chi-square test for independence and a t-test, respectively. All statistical tests were declared significant at α level of 0.05 or less.
Among 450 questionnaires that were disturbed, 400 questionnaires were collected and analyzed. Eighty-eight percent experienced preoperative fear. The top three causes of their fears were fear of postoperative pain (77.3%), fear of intraoperative awareness (73.7%), and fear of being sleepy postoperatively (69.5%). Patients are less fearful of drains and needles in the operative theater (48%), of revealing personal issues under general anesthesia (55.2%), and of not waking up after surgery (56.4%). Age and gender were significant predictors of the overall fear among preanesthetic patients. Females are 5 times more likely to experience fear before surgery (P = 0.0009). Patients aged more than 40 years old are also at 75% higher risk of being afraid (P = 0.008).
The majority of the patients going for surgery experienced a fear of anesthesia. Mostly females, especially those over 40, were at a higher risk of being afraid. Fear can bring anxiety which, in turn, might affect the patient's surgery.
与麻醉相关的恐惧影响了相当数量的手术患者。本次调查的目的是确定在不同医疗环境下术前麻醉门诊中对全身麻醉最常见的担忧，以及这些担忧是否受患者的性别、年龄、教育程度或既往麻醉经历的影响。
在沙特阿拉伯利雅得的三家三级医院（阿卜杜勒 - 阿齐兹国王医疗城、法赫德国王专科医院和哈立德国王大学医院），在患者术前麻醉门诊就诊时向其分发带有同意书的结构化问卷。问卷包括患者的人口统计学信息以及与他们对全身麻醉的恐惧相关的问题。所有分类变量和区间变量分别使用卡方独立性检验和t检验进行统计学比较。所有统计检验在α水平为0.05或更低时被判定为具有显著性。
在发放的450份问卷中，收集并分析了400份问卷。88%的患者有术前恐惧。他们恐惧的三大原因是害怕术后疼痛（77.3%）、害怕术中知晓（73.7%）以及害怕术后困倦（69.5%）。患者对手术室中的引流管和针头（48%）、在全身麻醉下暴露个人问题（55.2%）以及手术后不醒（56.4%）的恐惧较小。年龄和性别是麻醉前患者总体恐惧的显著预测因素。女性在手术前经历恐惧的可能性是男性的5倍（P = 0.0009）。40岁以上的患者害怕的风险也高出75%（P = 0.008）。
大多数接受手术的患者都经历过对麻醉的恐惧。主要是女性，尤其是40岁以上的女性，害怕的风险更高。恐惧会带来焦虑，进而可能影响患者的手术。
