Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Department of Dermatology, Broward Health, Fort Lauderdale, Florida; and.
Dermatol Surg. 2022 Jul 1;48(7):711-715. doi: 10.1097/DSS.0000000000003455. Epub 2022 Apr 18.
Mohs micrographic surgery (MMS)-associated anxiety is an important issue that remains poorly discussed. Identifying risk factors for MMS-associated anxiety will better equip physicians to manage patients' preoperative anxiety and result in improved patient satisfaction and outcomes.
This study aims in identification of risk factors that may play a role in MMS-associated anxiety among patients with nonmelanoma skin cancer.
A cross-sectional case series was conducted among MMS patients collect information on patient demographics and surgical locations and to measure perioperative anxiety and quality of life (QoL). In addition, adjusted linear and logistic regression analyses were performed to identify potential risk factors that predict MMS-associated anxiety.
Significant increases in perioperative anxiety were associated with the eyelid area compared with the noneyelid facial area and nonfacial area ( p ≤ .05). Patients with graduate degrees exhibited less anxiety compared with ones who received less education ( p ≤ .05). Higher perioperative anxiety was associated with a greater impact on QoL ( p ≤ .05).
This study identified that surgical location and the patient's educational level are 2 critical predicting factors for perioperative anxiety. Furthermore, perioperative anxiety could negatively affect a patient's quality of life and warrants further investigation into effective management.
Mohs 显微外科手术（MMS）相关焦虑是一个尚未得到充分讨论的重要问题。确定与 MMS 相关的焦虑的风险因素将使医生更好地管理患者术前焦虑，并提高患者满意度和治疗效果。
本研究旨在确定非黑素瘤皮肤癌患者 MMS 相关焦虑的可能相关风险因素。
进行了一项 MMS 患者的横断面病例系列研究，收集患者人口统计学和手术部位信息，并测量围手术期焦虑和生活质量（QoL）。此外，还进行了调整后的线性和逻辑回归分析，以确定可能预测与 MMS 相关的焦虑的潜在风险因素。
与非眼睑面部区域和非面部区域相比，眼睑区域的围手术期焦虑显著增加（p≤.05）。与接受较低教育程度的患者相比，具有研究生学历的患者焦虑程度较低（p≤.05）。较高的围手术期焦虑与对 QoL 的更大影响相关（p≤.05）。
本研究确定手术部位和患者的教育水平是围手术期焦虑的两个关键预测因素。此外，围手术期焦虑可能会对患者的生活质量产生负面影响，需要进一步研究有效的管理方法。
