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术前焦虑评估:第二部分。

Measures of preoperative anxiety: Part two.

机构信息

Department of Family Medicine, Faculty of Medicine, Medical University of Gdańsk, Poland.

Department of Cardiac Surgery, Kashubian Centre for Cardiac and Vascular Diseases, Florian Ceynowa Specialist Hospital, Wejherowo, Poland.

出版信息

Anaesthesiol Intensive Ther. 2024;56(1):9-16. doi: 10.5114/ait.2024.136508.

Abstract

The current literature indicates that routine evaluation of preoperative anxiety, its determinants, and patient-specific concerns is universally advocated. This aligns with the increasingly acknowledged importance of prehabilitation - a comprehensive process preparing patients for surgery. A crucial component of prehabilitation is assessing patients' mental health. Recommendations for psychological evaluations in prehabilitation encompass, inter alia, determining the severity of anxiety. This work builds on a 2019 article, which presented scales for preoperative anxiety assessment: the State Trait Anxiety Inventory (STAI), the Hospital Anxiety and Depression Scale (HADS), the Amsterdam Preoperative Anxiety and Information Scale (APAIS), and the Visual Analogue Scale (VAS). This article extends the possibilities of preoperative anxiety assessment by introducing four additional methods: the Surgical Fear Questionnaire (SFQ), the Anxiety Specific to Surgery Questionnaire (ASSQ), the Surgical Anxiety Questionnaire (SAQ), and Anesthesia- and Surgery-dependent Preoperative Anxiety (ASPA). The authors provide comprehensive details on these instruments, including scoring, interpretation, availability, and usefulness both in scientific research and clinical practice. The authors also provide the data on the availability of Polish versions of the presented methods and preliminary data on the reliability of SFQ in patients awaiting cardiac surgery. This review seems relevant for professionals in multiple disciplines, including anesthesiology, surgery, clinical psychology, nursing, primary care and notably prehabilitation. It emphasizes the necessity of individualizing anxiety assessment and acknowledging patient subjectivity, which the presented methods facilitate through a thorough evaluation of specific patient concerns. The literature review also identifies concerns and future research avenues in this area. The importance of qualitative studies and those evaluating prehabilitation intervention is emphasized.

摘要

目前的文献表明,普遍提倡常规评估术前焦虑、其决定因素和患者特定关注点。这与日益认识到术前康复的重要性相一致——术前康复是一个全面的过程,旨在为手术做准备。术前康复的一个关键组成部分是评估患者的心理健康。术前康复中的心理评估建议包括确定焦虑的严重程度。这项工作是基于 2019 年的一篇文章,该文章提出了用于术前焦虑评估的量表:状态-特质焦虑量表(STAI)、医院焦虑和抑郁量表(HADS)、阿姆斯特丹术前焦虑和信息量表(APAIS)和视觉模拟量表(VAS)。本文通过引入另外四种方法扩展了术前焦虑评估的可能性:手术恐惧问卷(SFQ)、特定于手术的焦虑问卷(ASSQ)、手术焦虑问卷(SAQ)和麻醉和手术相关术前焦虑(ASPA)。作者提供了这些工具的详细信息,包括评分、解释、可用性以及在科学研究和临床实践中的实用性。作者还提供了所提出方法的波兰语版本可用性的数据以及 SFQ 在等待心脏手术的患者中的可靠性的初步数据。这篇综述似乎与多个学科的专业人士相关,包括麻醉学、外科学、临床心理学、护理学、初级保健,特别是术前康复。它强调了个性化焦虑评估和承认患者主观性的必要性,而所提出的方法通过对特定患者关注点的全面评估来促进这一点。文献综述还确定了该领域的关注点和未来研究方向。强调了定性研究和评估术前康复干预的研究的重要性。

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