Çimen Özge, Sürme Yeliz
Erciyes University, Kayseri, Turkey.
Faculty of Health Sciences, Erciyes University, Kayseri, Türkiye.
Perioper Med (Lond). 2025 Jan 20;14(1):8. doi: 10.1186/s13741-025-00491-2.
Patients with a brain tumor experience high levels of anxiety because of the fear of remaining functional and neuropsychological sequelae. This situation affects the postoperative quality of recovery. This study was conducted to determine the effect of surgical fear and sleep quality on the postoperative quality of recovery and pain.
This cross-sectional study was completed with 101 patients who met the inclusion criteria and underwent craniotomy under general anesthesia for a brain tumor between October 2020 and August 2021 in a university hospital. The data were collected using the Patient Information Form, Surgical Fear Scale, Richard Champell Sleep Scale, Quality of Recovery Questionnaire, and Patient Follow-up Form. Hierarchical regression analysis was used to reveal the determinants of postoperative quality of recovery.
The mean fear of surgery score of women was higher than men, and sleep quality and postoperative quality of recovery were lower than men (p = 0.045). A moderate negative correlation between fear of surgery and sleep quality was found (r = -0.377; p = 0.000). There was a weak negative correlation between fear of surgery and postoperative recovery quality (r = -0.252; p = 0.011), and a weak positive correlation between preoperative sleep quality and recovery quality (r = 0.297; p = 0.003). The variables of fear, sleep, duration of hospital stay, pain, and age were found to be statistically the best predictors of postoperative quality of recovery (R2 = 0.295; p = 0.000).
As a result, surgical fear, sleep deprivation, and pain during the perioperative period negatively impact recovery quality and prolong the healing process. Psychological preparation by starting from the pre-operative period, providing sleep and rest, evaluation, and management of postoperative pain would contribute to the early recovery and discharge of patients.
脑肿瘤患者因担心遗留功能障碍和神经心理后遗症而经历高度焦虑。这种情况会影响术后恢复质量。本研究旨在确定手术恐惧和睡眠质量对术后恢复质量及疼痛的影响。
本横断面研究纳入了101例符合纳入标准的患者，这些患者于2020年10月至2021年8月在一家大学医院接受全身麻醉下的脑肿瘤开颅手术。使用患者信息表、手术恐惧量表、理查德·钱佩尔睡眠量表、恢复质量问卷和患者随访表收集数据。采用分层回归分析来揭示术后恢复质量的决定因素。
女性的手术恐惧平均得分高于男性，睡眠质量和术后恢复质量低于男性（p = 0.045）。发现手术恐惧与睡眠质量之间存在中度负相关（r = -0.377；p = 0.000）。手术恐惧与术后恢复质量之间存在弱负相关（r = -0.252；p = 0.011），术前睡眠质量与恢复质量之间存在弱正相关（r = 0.297；p = 0.003）。发现恐惧、睡眠、住院时间、疼痛和年龄等变量在统计学上是术后恢复质量的最佳预测因素（R2 = 0.295；p = 0.000）。
结果表明，围手术期的手术恐惧、睡眠剥夺和疼痛会对恢复质量产生负面影响，并延长愈合过程。从术前开始进行心理准备、提供睡眠和休息、评估和管理术后疼痛将有助于患者早日康复和出院。
