目的:探讨县级基层医院白内障患者术前焦虑情况,以便改善护理流程。方法:本研究为回顾性研究,收集河源光明眼科医院2017年1至9月2 182例行白内障复明手术患者的术前焦虑视觉模拟量表(The Anxiety Visual Analogue Scale,VAS-A)评分及阿姆斯特丹术前焦虑与信息需求表(Amsterdam Preoperative Anxiety and Information Scale,APAIS)评分,采用t检验和Spearman相关性检验进行术前焦虑情况分析。结果:2 182例白内障手术患者VAS-A焦虑评分为4.74±1.93,APAIS焦虑评分为6.46±1.66,男性患者术前焦虑程度低于女性患者,患者术前焦虑程度与年龄呈低度负相关。结论:两种术前焦虑评分均能反映患者术前焦虑程度,可根据其对麻醉或手术信息需求度的不同选择相应的护理对策,以缓解患者术前焦虑,改善护理质量。
Objective: To investigate the preoperative anxiety in patients with cataract in a township hospital. Methods: A retrospective study was conducted on preoperative anxiety of 2 182 patients with cataract according to the Anxiety Visual Analogue Scale (VAS-A) and Amsterdam Preoperative Anxiety and Information Scale (APAIS) from Jan 1, 2017 to Sep 30, 2017 in Heyuan Guangming Eye Hospital. Student’s t-test and Spearman correlation were used to evaluate the preoperative anxiety. Results: The score of preoperative anxiety was 4.74±1.93 with the VAS-A and was 6.46±1.66 with the APAIS. The preoperative anxiety in male was lower than that in female, and the degree of the preoperative anxiety was negatively correlated with age. Conclusion:The preoperative anxiety of patients with cataract can be properly evaluated using either the VAS-A or the APAIS.The nursing care should be adjusted corresponding to patients’ different needs of the information about anesthesia and surgery in order to alleviate the preoperative anxiety and improve the nursing care.