Wu Shenhe, He Zhenping, Zhu Huaqun
Operating Department, Changxing Hospital of Zhejiang Medical and Health Group, 313117 Changxing, Zhejiang, China.
Department Urology, Changxing Hospital of Zhejiang Medical and Health Group, 313117 Changxing, Zhejiang, China.
Arch Esp Urol. 2025 Jun;78(5):562-571. doi: 10.56434/j.arch.esp.urol.20257805.76.
Ureteral stones are a common urological disorder that often requires surgical intervention. However, preoperative anxiety is a prevalent issue among surgical patients and can negatively affect their postoperative recovery. As a form of nursing intervention, preoperative visits have been shown to effectively alleviate preoperative anxiety; However, research on their effect on patients undergoing ureteral stone surgery is limited. This study aims to assess the effect of preoperative visits on preoperative anxiety in patients undergoing ureteral stone surgery.
This retrospective cohort study involved patients who underwent ureteral stone surgery at Changxing Hospital of Zhejiang Medical and Health Group between January 2022 and November 2024. The patients were divided into an observation group (48 cases) and a control group (59 cases) according to whether they received a preoperative visit. Preoperative anxiety was assessed using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Univariate and multivariate linear regression analyses were used to evaluate the effect of preoperative visits.
The observation group showed significantly lower total anxiety scores, total information demand scores and overall APAIS scores 48 hours before surgery compared with the control group ( < 0.05 for all). Multivariate regression analysis revealed that preoperative visits had a significant impact on the APAIS anxiety score (β = -1.560, < 0.001), APAIS information demand score (β = -1.058, = 0.002) and overall APAIS score (β = -2.610, < 0.001). Female patients, rural residents and patients with low education levels had high anxiety scores and may require additional support.
Preoperative visits are effective in reducing preoperative anxiety in patients undergoing ureteral stone surgery, particularly for female patients, rural residents and those with low educational levels. Preoperative visits should be widely implemented in clinical practice.
输尿管结石是一种常见的泌尿系统疾病，通常需要手术干预。然而，术前焦虑是手术患者中普遍存在的问题，会对其术后恢复产生负面影响。作为一种护理干预形式，术前访视已被证明能有效缓解术前焦虑；然而，关于其对输尿管结石手术患者影响的研究有限。本研究旨在评估术前访视对输尿管结石手术患者术前焦虑的影响。
本回顾性队列研究纳入了2022年1月至2024年11月在浙江医疗健康集团长兴医院接受输尿管结石手术的患者。根据是否接受术前访视，将患者分为观察组（48例）和对照组（59例）。采用阿姆斯特丹术前焦虑与信息量表（APAIS）评估术前焦虑。采用单因素和多因素线性回归分析评估术前访视的效果。
与对照组相比，观察组在术前48小时的总焦虑评分、总信息需求评分和APAIS总分均显著降低（均P<0.05）。多因素回归分析显示，术前访视对APAIS焦虑评分（β=-1.560，P<0.001）、APAIS信息需求评分（β=-1.058，P=0.002）和APAIS总分（β=-2.610，P<0.001）有显著影响。女性患者、农村居民和低学历患者焦虑评分较高，可能需要额外支持。
术前访视可有效降低输尿管结石手术患者的术前焦虑，尤其是对女性患者、农村居民和低学历患者。术前访视应在临床实践中广泛开展。
