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术前口头咨询与使用麻醉信息表进行术前咨询对择期手术患者焦虑影响的比较:一项随机对照研究。

Comparison Between Effect of Preoperative Verbal Counseling Versus Preoperative Counseling Using Anesthesia Information Sheet on Anxiety of Patients Undergoing Elective Surgeries: A Randomized Comparative Study.

作者信息

Bagle Aparna, Yerramshetty Mounika, Garud Ishan G

机构信息

Anesthesiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, IND.

出版信息

Cureus. 2024 Jul 16;16(7):e64667. doi: 10.7759/cureus.64667. eCollection 2024 Jul.

DOI:10.7759/cureus.64667
PMID:39149646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11326750/
Abstract

Introduction Preoperative anxiety refers to the feelings of unease, fear, or nervousness experienced by individuals before undergoing a surgical procedure. This anxiety can stem from various sources, including fear of the unknown, concerns about the surgical outcome, worries about pain or complications, and separation from loved ones during the procedure. Healthcare professionals can help minimize preoperative anxiety by employing various strategies and promoting better surgical experiences and outcomes. Hence, this study was designed to compare the effect of conventional preoperative verbal counseling versus preoperative verbal counseling using an anesthesia information sheet (AIS) on pre‑operative anxiety of patients.  Methods A total of 80 patients were randomly placed into two groups of 40 each - preoperative verbal counseling (PC) and verbal counseling using an AIS. The Hamilton Anxiety Scale (HAM-A) was used to assess preoperative anxiety in both the group's pre- and post-counseling. Data was collected and compiled. Data was analyzed using SSPS software. Pearson correlation coefficient was used for the correlation of age, gender, education status, and ASA grading with pre- and post-counseling anxiety scores. Results A significant difference was seen in anxiety score pre- and post-counseling between group PC and AIS (p-value <0.05). The anxiety score after counseling in group PC was 16.27±4.57, which was significantly higher compared to group AIS (14.25±2.42; p-value=0.016). Conclusion As we continue to explore innovative ways to improve patient experiences and outcomes, integrating AISs into counseling practices stands as a promising strategy that can lead to more confident and well-informed patients, ultimately enhancing the quality of healthcare delivery.

摘要

引言 术前焦虑是指个体在接受外科手术前所经历的不安、恐惧或紧张情绪。这种焦虑可能源于多种因素,包括对未知的恐惧、对手术结果的担忧、对疼痛或并发症的顾虑以及手术过程中与亲人的分离。医疗保健专业人员可以通过采用各种策略并促进更好的手术体验和结果来帮助尽量减少术前焦虑。因此,本研究旨在比较传统术前口头咨询与使用麻醉信息表(AIS)进行术前口头咨询对患者术前焦虑的影响。

方法 总共80名患者被随机分为两组,每组40人——术前口头咨询(PC)组和使用AIS进行口头咨询组。采用汉密尔顿焦虑量表(HAM-A)在两组咨询前和咨询后评估术前焦虑情况。收集并整理数据。使用SSPS软件进行数据分析。采用Pearson相关系数分析年龄、性别、教育程度和美国麻醉医师协会(ASA)分级与咨询前后焦虑评分的相关性。

结果 PC组和AIS组在咨询前后的焦虑评分存在显著差异(p值<0.05)。PC组咨询后的焦虑评分为16.27±4.57,显著高于AIS组(14.25±2.42;p值=0.016)。

结论 随着我们不断探索创新方法以改善患者体验和结果,将AIS纳入咨询实践是一种有前景的策略,可使患者更加自信且信息充分,最终提高医疗服务质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/c307fe4a9fbe/cureus-0016-00000064667-i11.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/7e59dd22171e/cureus-0016-00000064667-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/c307fe4a9fbe/cureus-0016-00000064667-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/ffbc50865082/cureus-0016-00000064667-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/5895aaefd462/cureus-0016-00000064667-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/eddccc6ede98/cureus-0016-00000064667-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/5c0ce12d3a36/cureus-0016-00000064667-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/2e9733e0d7ea/cureus-0016-00000064667-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/72c152fbfac6/cureus-0016-00000064667-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/b144532806c0/cureus-0016-00000064667-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/1714291f245d/cureus-0016-00000064667-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/1b9ad108e4ad/cureus-0016-00000064667-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/7e59dd22171e/cureus-0016-00000064667-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c80/11326750/c307fe4a9fbe/cureus-0016-00000064667-i11.jpg

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