目的 探讨择期手术患者在手术等候区焦虑程度及其影响因素.方法 采用一般情况调查间卷、焦虑自评量表(SAS)调查患者的基本人口学特征、临床特征及术前焦虑状况,Logistic回归法分析相关因素.结果 619例择期手术患者手术等候区SAS评分(49.32±10.61)分,焦虑检出率48.95％,轻度焦虑65.35％、中度焦虑28.71％、重度焦虑5.94％.单因素分析性别、职业、教育程度、医疗费支付方式、疾病性质等是手术等候区患者焦虑的影响因素.Logistic回归分析显示女性、家庭收入越低、局部麻醉、性质未特指患者更易发生焦虑.结论 择期手术患者术前在手术等候区存在明显焦虑,以轻度焦虑为主,且受多种因素影响.医务人员应积极探索应对措施,改善手术患者术前焦虑状态.%Objective To explore anxiety level and influencing factors of the elective surgery patients in surgical waiting room.Methods The basic demographic characteristics,clinical features and preoperative anxiety of the patients were investigated by "the general situation questionnaire" and "the SAS anxiety scale".The related factors were identified by univariate and multivariate logistic regression.Results Elective surgery of patients with preoperative in surgical waiting room SAS score was (49.32 ± 10.61).The detection rate of anxiety was 48.95％,65.35％ subjects with low mild anxiety,28.71％ subjects with moderate anxiety and 5.94％ subjects with severe anxiety.Single factor analysis of gender,occupation,education level,medical expenses payment and the nature of the disease were the influencing factors of preoperative anxiety place of residence.In the multivariate logistic regression model,the related factors of preoperative anxiety were female sex,Family income was low.Malignant neoplasm of unspecified.Conclusions Patients with elective surgery before operation has obvious anxiety in the waiting area,with mild anxiety,which was affected by many other factors.Medical personnel should explore actively the countermeasures to relieve the anxiety of patients before surgery.
展开▼
