Parris W C, Matt D, Jamison R N, Maxson W
Anesth Prog. 1988 Mar-Apr;35(2):61-4.
There has been a growing trend toward one-day ambulatory surgery. Unfortunately, there has been little research evaluating how patients recover at home after one-day surgery. This study examined the relationship between preoperative anxiety and postoperative recovery in ambulatory surgery patients. Fifty women who were scheduled for a laparascopy completed a series of questionnaires on the day before surgery and on each of three days after surgery. One month after surgery, the patients were telephoned and reported on their recovery. The surgeon rated each patient on their estimated degree of anxiety and length of recovery. The results showed that preoperative anxiety partially predicted the patients' psychological and physiological reaction to surgery. Identification of those patients who show high anxiety and distress may help to prevent postoperative complications. These patients may benefit from patient education and psychological interventions to decrease their fears and anxiety and they may benefit from more intensive observation periods following their surgery.
一日门诊手术的趋势日益增长。不幸的是，很少有研究评估患者在一日手术后在家中的恢复情况。本研究调查了门诊手术患者术前焦虑与术后恢复之间的关系。五十名计划接受腹腔镜检查的女性在手术前一天以及术后三天中的每一天都完成了一系列问卷调查。手术后一个月，对患者进行电话随访并报告其恢复情况。外科医生根据估计的焦虑程度和恢复时长对每位患者进行评分。结果表明，术前焦虑部分预测了患者对手术的心理和生理反应。识别出那些表现出高度焦虑和痛苦的患者可能有助于预防术后并发症。这些患者可能会从患者教育和心理干预中受益，以减轻他们的恐惧和焦虑，并且他们可能会从术后更密集的观察期受益。
