Shawahna Ramzi, Jaber Mohammad, Maqboul Iyad, Hijaz Hatim, Tebi Marah, Ahmed Nada Al-Sayed, Shabello Ziyad
Department of Physiology, Pharmacology and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Clinical Research Center, An-Najah National University Hospital, Nablus, Palestine.
Perioper Med (Lond). 2023 Aug 24;12(1):47. doi: 10.1186/s13741-023-00336-w.
Preoperative anxiety is a health concern among patients scheduled for surgical interventions. Little is known about the prevalence of preoperative anxiety among patients in different healthcare systems of developing countries. This study was conducted to determine the prevalence of preoperative anxiety among patients undergoing surgery in Palestine. Another objective was to identify the factors associated with preoperative anxiety.
This study was conducted in a cross-sectional descriptive design. Patients scheduled for surgical interventions were interviewed using an interviewer-administered questionnaire. The questionnaire collected the demographic, clinical, and surgical variables of the patients. The questionnaire also contained the Amsterdam preoperative anxiety and information scale (APAIS), and a short version of the Spielberger state-trait anxiety inventory (STAIS-5/STAIT-5).
A total of 280 patients were included. The mean APAIS total score was 13.6 ± 5.9, the mean APAIS anxiety domain score was 8.3 ± 4.3, and the mean APAIS need for information domain was 1.6 ± 0.50. Of the patients, 76 (27.1%) had high anxiety and 160 (57.1%) expressed a high need for information. The higher APAIS anxiety scores were predicted by being female, having chronic diseases, being scheduled to be operated on within 24 h, and having experienced surgical complications. The mean STAIS-5 score was 10.0 ± 4.2 and the mean STAIT-5 was 10.3 ± 3.8. Of the patients, 140 (50.0%) had high state anxiety and 56 (20.0%) had high trait anxiety. Higher STAIS-5 scores were predicted by being female, younger than 42 years, and scheduled to be operated on within 24 h. Higher STAIT-5 scores were predicted by being female. A positive correlation was identified between APAIS total, APAIS anxiety, APAIS need for information, STAIS-5, and STAIT-5 scores.
Preoperative anxiety was prevalent among patients scheduled for surgical operations in Palestinian hospitals. Anesthesiologists and other providers of perioperative care should screen preoperative patients who are female, have chronic diseases, are scheduled to be operated on within 24 h, and having had experienced surgical complications for preoperative anxiety. More studies are still needed to investigate the effects of the implemented measures on the prevalence of preoperative anxiety.
术前焦虑是计划接受手术治疗的患者所面临的一个健康问题。对于发展中国家不同医疗体系中患者术前焦虑的患病率了解甚少。本研究旨在确定巴勒斯坦接受手术患者的术前焦虑患病率。另一个目标是确定与术前焦虑相关的因素。
本研究采用横断面描述性设计。使用访谈者管理的问卷对计划接受手术治疗的患者进行访谈。问卷收集了患者的人口统计学、临床和手术变量。问卷还包含阿姆斯特丹术前焦虑与信息量表（APAIS）以及斯皮尔伯格状态-特质焦虑量表简版（STAIS-5/STAIT-5）。
共纳入280例患者。APAIS总分平均为13.6±5.9，APAIS焦虑领域得分平均为8.3±4.3，APAIS信息需求领域得分平均为1.6±0.50。其中76例（27.1%）患者存在高度焦虑，160例（57.1%）患者表示对信息有高度需求。女性、患有慢性病、计划在24小时内进行手术以及曾经历手术并发症的患者，其APAIS焦虑得分更高。STAIS-5平均得分为10.0±4.2，STAIT-5平均得分为10.3±3.8。其中140例（50.0%）患者存在高度状态焦虑，56例（20.0%）患者存在高度特质焦虑。女性、年龄小于42岁以及计划在24小时内进行手术的患者，其STAIS-5得分更高。女性的STAIT-5得分更高。APAIS总分、APAIS焦虑、APAIS信息需求、STAIS-5和STAIT-5得分之间存在正相关。
巴勒斯坦医院中计划接受手术的患者术前焦虑普遍存在。麻醉医生和其他围手术期护理提供者应对女性、患有慢性病、计划在24小时内进行手术以及曾经历手术并发症的术前患者进行术前焦虑筛查。仍需要更多研究来调查所实施措施对术前焦虑患病率的影响。
