Tsoulou Vasiliki, Karamolegou Eirini, Kourakos Michael, Vasilopoulos Georgios, Polikandrioti Maria
1 General Hospital Asklipieio Voulas, Athens, Greece.
2 University of West Attica, Athens, Greece.
Int J Low Extrem Wounds. 2019 Jun;18(2):176-185. doi: 10.1177/1534734619848580. Epub 2019 May 17.
The purpose of this research was to explore the association between state and trait anxiety experienced by patients who had undergone traumatic amputation and their family caregivers. The sample studied consisted of 50 hospitalized patients who had undergone traumatic amputation and 50 family caregivers. The collected data included patients' and caregivers' characteristics and the State Trait Anxiety Inventory scores. Fifty percent of patients and caregivers scored below 50 and 47, respectively (median), in trait anxiety. In terms of state anxiety, at least 50% of patients and caregivers scored below 56 and 50.5, respectively. These values indicate moderate to high levels of the impact of amputation on the trait and state anxiety of amputees and their caregivers. A positive linear correlation was found between the trait and state anxiety of the patients as well as between the trait and state anxiety of caregivers, as expected (ρ = 0.915, < .001, and ρ = 0.920, < .001, respectively). A statistically significant positive correlation was also observed between state patient anxiety and state anxiety of caregivers (ρ = 0.239 and = .039) and between trait patient anxiety and trait anxiety of caregivers (ρ = 0.322 and = .030). More specifically, as the patient's anxiety score (either trait temporary) increases, the score of the caregivers' anxiety increases and vice versa. Nurses should be aware of the association between anxiety of amputees and caregivers and, therefore, work in multidisciplinary teams to maximize clinical outcomes for patients after amputation and their families.
本研究的目的是探讨经历创伤性截肢的患者及其家庭照顾者所体验的状态焦虑和特质焦虑之间的关联。所研究的样本包括50名接受过创伤性截肢的住院患者和50名家庭照顾者。收集的数据包括患者和照顾者的特征以及状态-特质焦虑量表得分。50%的患者和照顾者在特质焦虑方面的得分分别低于50分和47分(中位数)。在状态焦虑方面,至少50%的患者和照顾者得分分别低于56分和50.5分。这些数值表明截肢对截肢者及其照顾者的特质焦虑和状态焦虑有中度到高度的影响。正如预期的那样,患者的特质焦虑和状态焦虑之间以及照顾者的特质焦虑和状态焦虑之间均发现正线性相关(分别为ρ = 0.915,P < .001,以及ρ = 0.920,P < .001)。在患者的状态焦虑和照顾者的状态焦虑之间(ρ = 0.239,P = .039)以及患者的特质焦虑和照顾者的特质焦虑之间(ρ = 0.322,P = .030)也观察到具有统计学意义的正相关。更具体地说,随着患者焦虑得分(无论是特质还是状态)的增加,照顾者的焦虑得分也会增加,反之亦然。护士应意识到截肢者和照顾者焦虑之间的关联,因此,应在多学科团队中开展工作,以最大限度地提高截肢患者及其家人的临床结局。