评估术前焦虑：护士与医疗助理。

Assessing Preoperative Anxiety: Nurses Versus Health Care Assistants.

机构信息

Department of Anaesthesia and Intensive Care, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Paris, France.

出版信息

J Perianesth Nurs. 2021 Oct;36(5):514-517. doi: 10.1016/j.jopan.2020.09.021. Epub 2021 Jul 21.

DOI:10.1016/j.jopan.2020.09.021

PMID:34303612

Abstract

PURPOSE

Our objective was to compare the difference in anxiety levels self-reported by patients and those estimated by health care assistants and nurses in two ambulatory surgery settings.

DESIGN

We performed a prospective study.

METHODS

Patients' preoperative anxiety was graded using a visual analog scale.

FINDINGS

Between September 1 and November 31, 2019, a total of fifteen health care assistants and fourteen nurses assessed anxiety scores of 170 patients, including 92 women and 78 men. At admission, the mean visual analog scale anxiety score declared to health care assistants and nurses was 5.3 (SD = 2.9) and 4.2 (SD = 3.1), respectively (P = .02). The correlation between health care assistants' assessment of the patients' anxiety and the declared level of anxiety was significantly higher than nurses' assessment (r = 0.83 vs r = 0.12; P < .001).

CONCLUSIONS

Nurse assistants estimate patients' preoperative anxiety with more accuracy than nurses in our hospital. Nursing education curriculum should continue to include addressing preoperative patient anxiety.

摘要

目的

本研究旨在比较两种门诊手术环境下，患者自我报告的焦虑水平与医护助理和护士评估的焦虑水平之间的差异。

设计

前瞻性研究。

方法

采用视觉模拟评分法评估患者术前焦虑程度。

结果

2019 年 9 月 1 日至 11 月 31 日，共 15 名医护助理和 14 名护士评估了 170 名患者的焦虑评分，其中女性 92 名，男性 78 名。入院时，医护助理和护士报告的平均视觉模拟评分焦虑值分别为 5.3（SD=2.9）和 4.2（SD=3.1）（P=0.02）。医护助理评估患者焦虑程度与患者自我报告的焦虑程度之间的相关性显著高于护士（r=0.83 与 r=0.12；P<0.001）。