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手术患者对手术的恐惧与影响因素之间的关系。

The relationship between fear of surgery and affecting factors in surgical patients.

作者信息

Akutay Seda, Ceyhan Özlem

机构信息

Department of Surgical Diseases Nursing, Erciyes University Faculty of Health Sciences, Kayseri, 38030, Turkey.

Department of Internal Medicine Nursing, Erciyes University Faculty of Health Sciences, Kayseri, 38030, Turkey.

出版信息

Perioper Med (Lond). 2023 Jun 9;12(1):22. doi: 10.1186/s13741-023-00316-0.

Abstract

BACKGROUND

This study aimed to explain the fear of surgery in surgical patients, the affecting factors, and their relationship.

METHODS

This study was conducted as a descriptive and cross-sectional study. The study population consists of 300 patients undergoing surgical intervention. Data were collected using the "patient information form" and "Surgical Fear Questionnaire." Parametric and nonparametric tests were used to evaluate the data. The relationship between the fear questionnaire and age, number of previous surgeries, and pre-operative pain was evaluated using Spearman correlation analysis. The relationship with emotional stress was evaluated with multiple linear regression analysis.

RESULTS

In this study, it was determined that the predictors of the surgical fear level of the patients were age, gender, anesthesia type, and pre-operative pain experience. There was a negative correlation between the age of the patients and the fear of surgery score and a positive correlation between the pre-operative pain severity and the fear of surgery score. It was determined that the factors most associated with pre-operative fear levels were the patients' pre-operative sense of inadequacy (p < 0.001), feeling anxious and unhappy, and confusion about the surgery decision (p < 0.05).

CONCLUSION

According to the results of this study, it has been determined that the emotional states and fears of the patients before the surgery have significant effects on the fear of surgery. For this, it is recommended to determine the emotional states and fears of the patients before the surgery and to make appropriate interventions, as it will facilitate compliance with the surgical process.

摘要

背景

本研究旨在解释外科手术患者对手术的恐惧、影响因素及其相互关系。

方法

本研究为描述性横断面研究。研究对象包括300例接受外科手术干预的患者。使用“患者信息表”和“手术恐惧问卷”收集数据。采用参数检验和非参数检验对数据进行评估。使用Spearman相关分析评估恐惧问卷与年龄、既往手术次数和术前疼痛之间的关系。采用多元线性回归分析评估与情绪压力的关系。

结果

本研究确定患者手术恐惧水平的预测因素为年龄、性别、麻醉类型和术前疼痛经历。患者年龄与手术恐惧评分呈负相关,术前疼痛严重程度与手术恐惧评分呈正相关。确定与术前恐惧水平最相关的因素是患者术前的不足感(p < 0.001)、焦虑和不开心的感觉以及对手术决策的困惑(p < 0.05)。

结论

根据本研究结果,已确定患者手术前的情绪状态和恐惧对手术恐惧有显著影响。为此,建议在手术前确定患者的情绪状态和恐惧,并进行适当干预,因为这将有助于患者配合手术过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af28/10251663/43d9c23d57fc/13741_2023_316_Fig1_HTML.jpg

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