Chmaj-Wierzchowska Karolina, Jasielska Aleksandra, Wszołek Katarzyna, Lach Agnieszka, Stankowska-Mazur Izabela, Tomczyk Katarzyna, Mruczyński Adrian, Niegłos Martyna, Wilczyńska Aleksandra, Bednarek Kinga, Wierzchowski Marcin, Wilczak Maciej
Department of Maternal and Child Health and Minimally Invasive Surgery, Poznan University of Medical Sciences, 60-535 Poznan, Poland.
Faculty of Psychology and Cognitive Science, Adam Mickiewicz University, 60-568 Poznan, Poland.
J Clin Med. 2025 May 23;14(11):3659. doi: 10.3390/jcm14113659.
The purpose of this study is to evaluate the role of disease acceptance and stress intensity in explaining anxiety levels and the need for information among patients undergoing a minihysteroscopy procedure under local anesthesia, in the period preceding operative hysteroscopy. The study included 116 patients who were admitted to the Center for Hysteroscopy under Local Anesthesia at the Heliodor Święcicki Gynecological and Obstetrical Clinical Hospital of Karol Marcinkowski Medical University in Poznań, Poland, from December 2024 to January 2025, for operative hysteroscopy using the GUBBINI Mini Hystero-Resectoscope under local anesthesia (paracervical block with lignocaine). A low level of preoperative anxiety (χ = 19.9; < 0.001) and a moderate need for information about the procedure (χ = 31.8; < 0.001) were statistically significant among the majority of patients ( = 82; 71% vs. = 67; 58%) in the study group before undergoing minihysteroscopy under local anesthesia. Stress and anxiety are inherent aspects of surgical intervention and hospitalization. Therefore, it is reasonable to develop preoperative support standards to help reduce stress levels, which, in turn, can lead to better adaptation to surgical intervention.
本研究的目的是评估疾病接受度和应激强度在解释局部麻醉下接受微型宫腔镜手术的患者在手术宫腔镜检查前焦虑水平和信息需求方面的作用。该研究纳入了116例患者，他们于2024年12月至2025年1月被收治到波兰波兹南卡罗尔·马尔钦科夫斯基医科大学赫利奥多尔·斯维奇茨基妇产科临床医院的局部麻醉宫腔镜中心，接受使用古比尼微型宫腔镜在局部麻醉下（用利多卡因进行宫颈旁阻滞）的手术宫腔镜检查。在研究组中，大多数患者（n = 82；71%）在局部麻醉下进行微型宫腔镜检查前，术前焦虑水平较低（χ = 19.9；P < 0.001），对手术信息的需求为中等水平（χ = 31.8；P < 0.001）（n = 67；58%）。应激和焦虑是手术干预和住院的固有方面。因此，制定术前支持标准以帮助降低应激水平是合理的，这反过来又可以更好地适应手术干预。
