Woldegerima Berhe Yophtahe, Belayneh Melkie Tadesse, Fitiwi Lema Girmay, Getnet Marye, Chekol Wubie Birlie
Department of Anesthesia, University of Gondar, Gondar, Ethiopia.
Department of Emergency and Critical Care Nursing, University of Gondar, Gondar, Ethiopia.
Front Med (Lausanne). 2022 Aug 2;9:912743. doi: 10.3389/fmed.2022.912743. eCollection 2022.
Anxiety was repeatedly reported as the worst aspect of the perioperative time. The objective of this study was to assess the prevalence of preoperative anxiety among adult surgical patients at University of Gondar Comprehensive Specialized Hospital (UoGCSH), Northwest Ethiopia.
A hospital-based cross-sectional study was conducted among surgical patients at the university hospital. After obtaining ethical approval, 407 surgical patients were approached during the preoperative period. Preoperative anxiety was assessed by State-Trait Anxiety Inventory. The association between variables was determined by using binary logistic regression analysis. Strength of association was described in adjusted odds ratio (AOR), and a -value < 0.05 at 95% confidence interval was considered statistically significant.
A total of 400 patients were included in this study with a 98.3% response rate. Preoperative anxiety was observed among 237 (59.3%) patients, and the median (IQR) STAI score was 50 (40-56.7); age, ≥ 60 years (AOR: 5.7, CI: 1.6-20.4, : 0.007); emergency surgery (AOR: 2.5, CI: 1.3-4.7, : 0.005); preoperative pain (AOR: 2.6, CI: 1.2-5.4, : 0.005); and rural residency (AOR: 1.8, CI: 1.1-2.9, : 0.031) were found significantly associated with preoperative anxiety.
The prevalence of preoperative anxiety among surgical patients was high. Older age (≥ 60 years), emergency surgery, preoperative pain, and rural residency were found significantly associated with preoperative anxiety. Assessment for preoperative anxiety should be a routine component of preoperative assessment of both elective and emergency surgical patients. Preoperative pain should be appropriately managed as it can help to reduce preoperative anxiety. Optimal anxiety reduction methods should be investigated and implemented in the hospital.
焦虑反复被报道为围手术期最糟糕的方面。本研究的目的是评估埃塞俄比亚西北部贡德尔大学综合专科医院（UoGCSH）成年外科手术患者术前焦虑的患病率。
在大学医院的外科手术患者中进行了一项基于医院的横断面研究。获得伦理批准后，在术前阶段对407名外科手术患者进行了调查。采用状态-特质焦虑量表评估术前焦虑。使用二元逻辑回归分析确定变量之间的关联。关联强度用调整后的优势比（AOR）描述，95%置信区间内的P值<0.05被认为具有统计学意义。
本研究共纳入400例患者，应答率为98.3%。237例（59.3%）患者存在术前焦虑，状态-特质焦虑量表（STAI）评分中位数（四分位间距）为50（40 - 56.7）；年龄≥60岁（AOR：5.7，CI：1.6 - 20.4，P = 0.007）；急诊手术（AOR：2.5，CI：1.3 - 4.7，P = 0.005）；术前疼痛（AOR：2.6，CI：1.2 - 5.4，P = 0.005）；以及农村居民身份（AOR：1.8，CI：1.1 - 2.9，P = 0.031）被发现与术前焦虑显著相关。
外科手术患者术前焦虑的患病率较高。年龄较大（≥60岁）、急诊手术、术前疼痛和农村居民身份被发现与术前焦虑显著相关。术前焦虑评估应成为择期和急诊手术患者术前评估的常规组成部分。术前疼痛应得到适当管理，因为它有助于减轻术前焦虑。应在医院研究并实施最佳的焦虑减轻方法。
