Bayrak Aysegul, Sagiroglu Gonul, Copuroglu Elif
Department of Anesthesiology, Yozgat Yerkoy Government Hospital, Yozgat, Turkey.
Department of Anesthesiology, Trakya University, Faculty of Medicine, Edirne, Turkey.
J Coll Physicians Surg Pak. 2019 Sep;29(9):868-873. doi: 10.29271/jcpsp.2019.09.868.
To determine the effects of the level of the anxiety of the patients on the intraoperative hemodynamic parameters and postoperative pain, patient satisfaction and the stay period at the hospital.
A descriptive study.
General Surgery, Faculty of Medicine, Trakya University, Edirne, Turkey, from December 2015 to February 2016.
Seventy-two patients were operated for elective cholecystectomy. They were asked to answer state-trait anxiety inventory (STAI) questionnaire. The patients were classified into two groups as high and low anxiety levels. The targeted variables were compared.
There has not been found any significant relationship between the level of anxiety and age, gender, marial status, level of education, profession, general anesthesia, comobidity and postoperative shivering. However, patients with high preoperative anxiety scores had unstable hemodynamic parameters (arterial pressure, heart rate, peripheral oxygen saturation) intraoperatively, increased postoperative pain and analgesic consumption with dissatisfaction.
Preoperative anxiety might cause hemodynamic problems in the intraoperative period, increased analgesic need and lower postoperative satisfaction of the patients in the postoperative period. It would be better to dispel the preoperative anxiety by conselling patient regar anesthesia, surgeon, and the institute.
确定患者焦虑水平对术中血流动力学参数、术后疼痛、患者满意度及住院时间的影响。
描述性研究。
土耳其埃迪尔内特拉凯亚大学医学院普通外科，2015年12月至2016年2月。
72例行择期胆囊切除术的患者，被要求回答状态-特质焦虑量表（STAI）问卷。患者被分为高焦虑水平和低焦虑水平两组，对目标变量进行比较。
未发现焦虑水平与年龄、性别、婚姻状况、教育程度、职业、全身麻醉、合并症及术后寒战之间存在显著关系。然而，术前焦虑评分高的患者术中血流动力学参数（动脉压、心率、外周血氧饱和度）不稳定，术后疼痛加剧、镇痛药物用量增加且满意度低。
术前焦虑可能在术中引起血流动力学问题，增加术后镇痛需求并降低患者术后满意度。通过向患者咨询麻醉、外科医生及医疗机构相关情况以消除术前焦虑可能更好。
