Ahmadipour Maryam, Sattari Hossein, Nejad Mehdi Ahmadi
Faculty of Medicine, Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman.
Medical school of Kerman University of. Medical sciences, Kerman.
Eur J Transl Myol. 2022 May 13;32(2):10449. doi: 10.4081/ejtm.2022.10449.
The goal of this study was to evaluate the preoperative anxiety in children and adolescents and to identify some of the risk factors associated with the incidence of anxiety in 9-18 years old group. Children and adolescents 9-18 years old hospitalized the night before elective surgeries were analyzed in terms of incidence and severity of anxiety using the State-Trait Anxiety Inventory (STAI) measure. Of the 164 patients, 111 (67.6%) suffered from preoperative anxiety. The incidence of anxiety in children aged 9-12 was 2.88 times the anxiety of those aged 12-18 (OR = 2.88) (1.65, 5.98). Moreover, the incidence of anxiety in only children was 0.65 times that of children with siblings (OR = 0.78) (0.11,2.93) , and in patients with a history of hospitalization, the incidence was 1.85 times the stress in children without hospitalization history (OR = 1.85)(1.31,3.99); finally, the incidence of anxiety in children of higher socioeconomic status was lower compared with those of lower socioeconomic status (OR = 0.13) (0.08,0.35). Having close frend or family in the healthcare staff decreased the prevalence (OR = 0.64 (0.23,1.79) and severity of anxiety (47.02 ± 5.48 vs. 54.18 ± 7.18) (P-value = 0.001). There was no relationship between gender and the incidence of anxiety (OR = 1). Incidence of preoperative anexiety in foriner was1.72 times of persion patients (OR=1.72) (0.99,4.25). The severity of anxiety was lower in boys (46.22 ± 6.68) compared with girls (52.55 ± 7.52) (P-value = 0.002) and lower in patients of medium-to-high socioeconomic status (43.64 ± 5.45) compared with those with lower socioeconomic status (49.66 ± 6.49) (P-value = 0.003). There was no relationship between being an only child and severity of anxiety (P-value = 0.54) (48.31 ± 5.05 vs. 48.12 ± 6.81). However, anxiety was more severe in patients with a history of hospitalization (50.55 ± 4.64) (49.2 ± 6.23) (P-value = 0.09). Severity of anexiety was not dependent to nationality of patients(P-value = 0.6) .Taken together, our data suggest that various methods should be used to reduce anxiety and associated complications, regarding the high prevalence of anxiety in mentioned groups of children and adolescents.
本研究的目的是评估儿童和青少年术前焦虑情况，并确定9至18岁组中与焦虑发生率相关的一些风险因素。对择期手术前一晚住院的9至18岁儿童和青少年，使用状态-特质焦虑量表（STAI）来分析焦虑的发生率和严重程度。在164例患者中，111例（67.6%）患有术前焦虑。9至12岁儿童的焦虑发生率是12至18岁儿童的2.88倍（OR = 2.88）（1.65，5.98）。此外，独生子女的焦虑发生率是有兄弟姐妹儿童的0.65倍（OR = 0.78）（0.11，2.93），有住院史患者的焦虑发生率是无住院史儿童的1.85倍（OR = 1.85）（1.31，3.99）；最后，社会经济地位较高儿童的焦虑发生率低于社会经济地位较低者（OR = 0.13）（0.08，0.35）。医护人员中有亲密朋友或家人可降低焦虑患病率（OR = 0.64（0.23，1.79））和严重程度（47.02±5.48 vs. 54.18±7.18）（P值 = 0.001）。性别与焦虑发生率无关（OR = 1）。前者术前焦虑发生率是后者患者的1.72倍（OR = 1.72）（0.99，4.25）。男孩的焦虑严重程度（46.22±6.68）低于女孩（52.55±7.52）（P值 = 0.002），社会经济地位中高的患者（43.64±5.45）低于社会经济地位低的患者（49.66±6.49）（P值 = 0.003）。独生子女与焦虑严重程度无关（P值 = 0.54）（48.31±5.05 vs. 48.12±6.81）。然而，有住院史患者的焦虑更严重（50.55±4.64）（49.2±6.23）（P值 = 0.09）。焦虑严重程度与患者国籍无关（P值 = 0.6）。综上所述，鉴于上述儿童和青少年群体中焦虑患病率较高，我们的数据表明应采用各种方法来减轻焦虑及相关并发症。
