Department of Anesthesiology and Reanimation, Van Yuzuncu Yıl University School of Medicine , Van, Turkey.
Department of Biostatistics, Van Yuzuncu Yıl University School of Medicine , Van, Turkey.
Clin Exp Hypertens. 2020 Aug 17;42(6):553-558. doi: 10.1080/10641963.2020.1723619. Epub 2020 Feb 2.
Anxiety is one of the most important causes of hypertension, increasing direct blood pressure and affecting postoperative morbidity and mortality. The aim of this study was to investigate the effects of showing the operating room on preoperative anxiety and hemodynamics among patients with hypertension.
We enrolled 90 patients with hypertension undergoing cholecystectomy in this trial. Patients were randomly divided into two groups using a sealed-envelope system. Group STOR was shown the operating room the day before surgery, while Group No STOR was not shown the operating room.
State-Trait Anxiety Inventory scores measured on the day of surgery were lower for Group STOR (43.2 ± 6.0) than Group No STOR (49.8 ± 7.9) ( = .001). Systolic ( = .001, = .006, respectively), diastolic ( = .001, = .004, respectively), and heart rate ( = .018, = .031, respectively) values in the operation room and preoperative unit were lower in Group STOR than in Group No STOR. The number of postponed operations in Group STOR was lower than in Group No STOR ( = .043), and the patient satisfaction score in Group STOR was higher than in Group No STOR ( = .031).
In patients with hypertension, preoperative anxiety, blood pressure, heart rate, and respiratory rate all increase in the preoperative unit and operation room. Our findings indicate that showing the operating room to patients with hypertension decreases preoperative anxiety, as well as blood pressure and heart rate inside the operating room and preoperative unit. It also reduces the number of postponed operations and increases patient satisfaction.
焦虑是高血压的重要原因之一，它会直接升高血压，并影响术后发病率和死亡率。本研究旨在探讨在高血压患者中展示手术室对术前焦虑和血液动力学的影响。
我们招募了 90 名接受胆囊切除术的高血压患者参加这项试验。患者采用密封信封系统随机分为两组。STOR 组在手术前一天展示手术室，而 No STOR 组不展示手术室。
手术当天的状态-特质焦虑量表评分在 STOR 组（43.2 ± 6.0）低于 No STOR 组（49.8 ± 7.9）（ =.001）。STOR 组在手术室和术前单元的收缩压（ =.001， =.006，分别）、舒张压（ =.001， =.004，分别）和心率（ =.018， =.031，分别）值均低于 No STOR 组。STOR 组推迟手术的数量低于 No STOR 组（ =.043），STOR 组的患者满意度评分高于 No STOR 组（ =.031）。
在高血压患者中，术前焦虑、血压、心率和呼吸率在术前单元和手术室中均会增加。我们的研究结果表明，向高血压患者展示手术室可以降低术前焦虑，以及手术室和术前单元中的血压和心率。它还可以减少推迟手术的数量并提高患者满意度。
