Arakelian Erebouni, Nyholm Lena, Öster Caisa
J Perianesth Nurs. 2019 Aug;34(4):810-819. doi: 10.1016/j.jopan.2018.09.016. Epub 2019 Feb 7.
To study how nurse anesthetists and anesthesiologists assess and handle patients' perioperative anxiety without using a validated instrument.
Qualitative study.
Individual in-depth face-to-face interviews were conducted with nurse anesthetists (n = 9) and anesthesiologists (n = 5) from a university hospital in Sweden. Data were analyzed with thematic analysis according to Braun and Clark.
Two themes were identified: (1) I ask about anxiety, look for visual signs, and observe communication and (2) I handle patients' anxieties individually. In addition to subthemes describing assessment and handling of adults, it appeared that parents played an important role in children's perioperative anxiety.
When not using a validated instrument, assessing perioperative anxiety is commonly based on the anesthesiologist's and nurse anesthetist's experience, knowledge, views, and attitudes. The evaluator's capability of using different strategies in the assessment and handling of perioperative anxiety is important.
研究麻醉护士和麻醉医生在不使用经过验证的工具的情况下，如何评估和处理患者的围手术期焦虑。
定性研究。
对瑞典一家大学医院的麻醉护士（n = 9）和麻醉医生（n = 5）进行了个人深入的面对面访谈。根据布劳恩和克拉克的方法，采用主题分析法对数据进行分析。
确定了两个主题：（1）我询问焦虑情况，寻找视觉迹象，并观察沟通情况；（2）我单独处理患者的焦虑。除了描述成人评估和处理的子主题外，父母似乎在儿童围手术期焦虑中起着重要作用。
在不使用经过验证的工具时，围手术期焦虑的评估通常基于麻醉医生和麻醉护士的经验、知识、观点和态度。评估者在评估和处理围手术期焦虑时运用不同策略的能力很重要。
