一家三级教学医院择期手术成年患者的术前焦虑：新冠疫苗接种时代的横断面研究
Preoperative Anxiety among Adult Patients Undergoing Elective Surgeries at a Tertiary Teaching Hospital: A Cross-Sectional Study during the Era of COVID-19 Vaccination.
作者信息
Aloweidi Abdelkarim, Abu-Halaweh Sami, Almustafa Mahmoud, Marei Zaineh, Yaghi Sara, Hababeh Lina, Al-Gallab Neebal, Al-Jaberi Shatha, Ghattas Lina, Alrabadi Sham Romeo, Al-Oweidi Anas, Bsisu Isam
机构信息
Department of Anesthesia and Intensive Care, School of Medicine, The University of Jordan, Amman 11942, Jordan.
Department of Undergraduate Studies, School of Medicine, The University of Jordan, Amman 11942, Jordan.
出版信息
Healthcare (Basel). 2022 Mar 11;10(3):515. doi: 10.3390/healthcare10030515.
Anxiety in the perioperative period has significant impact on both the flow of surgery and the post-operative recovery process. The aim of this cross-sectional study is to determine the prevalence of preoperative anxiety among adult patients undergoing elective surgical procedures at a tertiary teaching hospital and the effect of COVID-19 and COVID-19 vaccines on preoperative anxiety. We used the Amsterdam Preoperative Anxiety and Information Scale (APAIS) to assess patients’ anxiety toward surgery and their need for more information. Patients with APAIS about anesthesia and surgery (APAIS-A-T) total score <10 were considered as the low preoperative anxiety group, while patients with APAIS-A-T ≥11 were considered as the high preoperative anxiety group. The overall APAIS-A-T score of the 794 included patients was 8.5 ± 4.5. The mean APAIS-A-T score was 7.0 ± 3.8 among males and 9.6 ± 4.6 among female patients (p < 0.001). The APAIS-A-T score for those who had previously underwent surgery under anesthesia was 8.3 ± 4.4, compared to 9.5 ± 4.8 for those who had not (p = 0.002). No significant difference was found between those with a previous history of COVID-19 and those without (p = 0.105), nor between those who were vaccinated and those who were not (p = 0.550). Sixty-four (26.8%) highly anxious patients were afraid of becoming infected with COVID-19 during their hospital stay (p = 0.009). This fear of COVID-19 in-hospital transmission made 19 (7.9%) highly anxious patients and 36 (4.5%) of the total sample hesitant to undergo this surgery (p = 0.002). In conclusion, this study demonstrated that 30.1% of patients had high preoperative anxiety, with fear of pain after surgery being the most common factor related to anxiety on the day of surgery. Controlling the spread of COVID-19 can play a crucial role in decreasing preoperative anxiety during this pandemic.
围手术期焦虑对手术流程和术后恢复过程均有重大影响。本横断面研究的目的是确定在一家三级教学医院接受择期手术的成年患者术前焦虑的患病率，以及新冠病毒病（COVID-19）和COVID-19疫苗对术前焦虑的影响。我们使用阿姆斯特丹术前焦虑与信息量表（APAIS）来评估患者对手术的焦虑程度以及他们对更多信息的需求。APAIS麻醉与手术量表（APAIS-A-T）总分<10分的患者被视为术前低焦虑组，而APAIS-A-T≥11分的患者被视为术前高焦虑组。纳入研究的794例患者的APAIS-A-T总分平均为8.5±4.5。男性患者的APAIS-A-T平均分为7.0±3.8，女性患者为9.6±4.6（p<0.001）。既往接受过麻醉下手术的患者APAIS-A-T评分为8.3±4.4，未接受过的患者为9.5±4.8（p=0.002）。既往有COVID-19病史的患者与无该病史的患者之间无显著差异（p=0.105），接种疫苗的患者与未接种疫苗的患者之间也无显著差异（p=0.550）。64例（26.8%）高度焦虑患者担心住院期间感染COVID-19（p=0.009）。这种对COVID-19院内传播的恐惧导致19例（7.9%）高度焦虑患者和占总样本36例（4.5%）的患者对接受该手术犹豫不决（p=0.002）。总之，本研究表明30.1%的患者有较高的术前焦虑，术后疼痛恐惧是手术当天与焦虑相关的最常见因素。在本次疫情期间，控制COVID-19的传播对降低术前焦虑可起到关键作用。
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