Wayne State University School of Medicine, 540 East Canfield Street, Detroit, MI, 48201, USA.
Department of Anesthesiology, University of Southern California Keck School of Medicine, Los Angeles, CA, 90089, USA.
Aesthetic Plast Surg. 2021 Aug;45(4):1929-1931. doi: 10.1007/s00266-021-02154-1. Epub 2021 Feb 17.
Preoperative anxiety is a common phenomenon in plastic surgery that has been associated with numerous negative patient outcomes. Little is known about the preferences of plastic surgeons regarding management of patient preoperative anxiety OBJECTIVE: To determine the preferences of plastic surgeons regarding the assessment and reduction of adult preoperative patient anxiety in their primary practice setting.
The membership of the American Council of Academic Plastic Surgeons (ACAPS) was surveyed using an anonymous, online questionnaire from April to June of 2020.
A total of 100 participants from a membership of 532 responded (19%). The majority of respondents (63%) did not formally assess patient anxiety but supported the use of standardized scales to measure anxiety (57%). Most plastic surgeons preferred patient education (81%), family member presence (69%), and visit from the anesthesiologist (54%) to reduce patient anxiety. Plastic surgeons also allocated the most responsibility to anesthesiologists (63%) and plastic surgeons (62%) to reduce preoperative anxiety.
Most plastic surgeon members of ACAPS did not assess their patients' anxieties preoperatively but appeared willing to use anxiety scales. Plastic surgeons also supported several measures to reduce anxiety, especially patient education, family member preferences, and anesthesiologist visits. Although plastic surgeons appeared to hold multiple parties responsible to manage preoperative anxiety, they held themselves and anesthesiologists most responsible. Future studies are needed to determine whether these views cohere with those of other healthcare providers and whether these preferences change for pediatric patients.
This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
术前焦虑是整形手术中常见的现象，与许多负面的患者结局有关。关于整形医生在其主要实践环境中管理患者术前焦虑的偏好，知之甚少。
确定整形医生对评估和减轻成人术前患者焦虑的偏好。
美国整形外科学会学术委员会（ACAPS）的成员通过 2020 年 4 月至 6 月的匿名在线问卷进行调查。
在 532 名会员中，共有 100 名（19%）人参与了调查。大多数受访者（63%）没有正式评估患者的焦虑，但支持使用标准化量表来测量焦虑（57%）。大多数整形医生更喜欢患者教育（81%）、家庭成员在场（69%）和麻醉师访问（54%）来减轻患者的焦虑。整形医生还将减轻术前焦虑的主要责任分配给麻醉师（63%）和整形医生（62%）。
大多数 ACAPS 的整形外科医生成员没有在术前评估患者的焦虑，但似乎愿意使用焦虑量表。整形医生还支持几种减轻焦虑的措施，尤其是患者教育、家庭成员的偏好和麻醉师的访问。尽管整形医生似乎认为多个团体负责管理术前焦虑，但他们认为自己和麻醉师最有责任。未来的研究需要确定这些观点是否与其他医疗保健提供者的观点一致，以及这些偏好是否会因儿科患者而改变。
证据水平 V：本杂志要求作者为每篇文章分配一个证据水平。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南 www.springer.com/00266。
