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术前患者焦虑对骨科手术后术后焦虑和康复质量的影响。

The Impact of Preoperative Patient Anxiety on Postoperative Anxiety and Quality of Recovery After Orthopaedic Surgery.

机构信息

Surgery Department, Östersund Hospital, Östersund, Sweden.

Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden.

出版信息

J Perianesth Nurs. 2020 Jun;35(3):260-264. doi: 10.1016/j.jopan.2019.11.008. Epub 2020 Mar 5.

DOI:10.1016/j.jopan.2019.11.008
PMID:32147278
Abstract

PURPOSE

To study how preoperative anxiety affects postoperative recovery in orthopaedic surgery based on two specific issues: does preoperative anxiety affect postoperative anxiety, pain, and nausea in the postanesthesia care unit (PACU) and does preoperative anxiety affect the quality of recovery.

DESIGN

This was a nonexperimental quantitative observational study.

METHODS

Patients (N = 37) were included through consecutive selection. Anxiety, pain, and nausea were measured preoperatively, 30 minutes after arrival at PACU and before discharge from PACU. Three days after discharge, participants completed the Quality of Recovery Questionnaire by telephone.

FINDINGS

There was a significant correlation between preoperative anxiety and anxiety in PACU as well as anxiety, sadness, and depression 3 days after discharge from PACU.

CONCLUSIONS

Patients who experience preoperative anxiety also experience anxiety in PACU. The quality of recovery 3 days after surgery is also affected by preoperative anxiety. Patients experience continued anxiety as well as sadness and depression.

摘要

目的

基于两个具体问题,研究术前焦虑如何影响骨科手术后的恢复:术前焦虑是否会影响术后麻醉后护理病房(PACU)中的焦虑、疼痛和恶心,以及术前焦虑是否会影响恢复质量。

设计

这是一项非实验性定量观察研究。

方法

通过连续选择纳入患者(N=37)。在术前、到达 PACU 后 30 分钟和离开 PACU 前测量焦虑、疼痛和恶心。出院后 3 天,通过电话让参与者完成恢复质量问卷。

结果

术前焦虑与 PACU 中的焦虑以及出院后 3 天的焦虑、悲伤和抑郁之间存在显著相关性。

结论

经历术前焦虑的患者在 PACU 中也会感到焦虑。术后 3 天的恢复质量也受到术前焦虑的影响。患者会持续感到焦虑以及悲伤和抑郁。

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