Nursing Department, Faculty of Health Sciences, Sivas Cumhuriyet University, Sivas, Turkey.
Ir J Med Sci. 2023 Oct;192(5):2095-2103. doi: 10.1007/s11845-023-03475-7. Epub 2023 Aug 7.
Preoperative anxiety is a challenging problem in the preoperative care of patients. Identifying risk factors helps nurses provide psychological support during the pre-operative visit so that stress can be reduced.
This study aimed to determine the prevalence of surgical anxiety and related factors in hospitalized surgical patients.
This research was designed as a point-prevalence study. The study was completed with 223 patients hospitalized in the surgical clinics of a tertiary hospital in Turkey. Surgical anxiety questionnaire (SAQ) and State-trait anxiety inventory (STAI) were used for the assessment of anxiety.
Preoperative anxiety prevalence was 69.5% according to the SAQ and 49.3% according to STAI. Women, participants with no primary school education, those who were unemployed and had low income, those with no previous surgery, those living in fear of surgery, the participants who underwent major surgery and general anesthesia, and those who did not have knowledge about the surgical procedure and anesthesia had higher anxiety according to the two scales. A highly significant and positive correlation was found between total STAI and total SAQ.
The importance of surgical anxiety for the health system, which affects two out of every three hospitalized patients, should not be underestimated. Therefore, national and global plans should be made to prevent and manage surgical anxiety.
术前焦虑是患者术前护理中的一个难题。识别风险因素有助于护士在术前访视时提供心理支持，从而减轻压力。
本研究旨在确定住院手术患者的手术焦虑发生率及相关因素。
本研究设计为现况研究。研究对象为土耳其一家三级医院外科诊所的 223 名住院患者。采用手术焦虑问卷（SAQ）和状态-特质焦虑量表（STAI）评估焦虑。
根据 SAQ，术前焦虑发生率为 69.5%；根据 STAI，发生率为 49.3%。女性、未接受过小学教育、失业、收入低、对手术感到恐惧、接受大手术和全身麻醉、对手术过程和麻醉缺乏了解的患者，根据这两种量表，焦虑程度更高。STAI 总分与 SAQ 总分呈高度显著正相关。
术前焦虑对影响每三名住院患者中的两名的卫生系统非常重要，不应被低估。因此，应制定国家和全球计划来预防和管理手术焦虑。
