Risk factors for anxiety status of patients undergoing breast surgery in waiting area
10.3760∕cma.j.issn.0254-1416.2018.03.016
- VernacularTitle:乳腺手术患者等候区状态焦虑的危险因素
- Author:
Lingeer WU
1
;
Deming TIAN
;
Lijian PEI
;
Yuguang HUANG
Author Information
1. 100730,中国医学科学院 北京协和医学院 北京协和医院麻醉科
- Keywords:
Breast neoplasms;
Anxiety;
Risk factors;
Waiting area
- From:
Chinese Journal of Anesthesiology
2018;38(3):316-319
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the risk factors for the anxiety status of the patients undergoing breast surgery in the waiting area. Methods A total of 214 female patients scheduled for elective breast surgery, underwent biopsy under local anesthesia, were selected. When the patients were waiting for the pathological results in the waiting area, they filled in the questionnaire independently, read and understood the questionnaire of this study, showed cooperation and voluntarily received investigation including State-Trait Anxiety Inventory (STAI), self-evaluation questionnaire, etc. Anxiety was assessed and scored by the patients themselves. The patients were divided into state anxiety group and non-state anxiety group ac-cording to State-Anxiety scale. The variables were compared, and the variables of which P values less than 0. 05 would enter the logistic regression analysis to stratify the risk factors for the anxiety status of the pa-tients undergoing breast surgery in the waiting area. Results The incidence of state anxiety in the wait-ing area was 62. 6％. Compared with non-state anxiety group, significant change was found in the larger possibility of malignant breast lesions in preoperative conversation, preoperative anxiety, self anxiety score, STAI score and no understanding of disease prognosis in state anxiety group (P<0. 05). Logistic regression analysis showed that the larger possibility of malignant breast lesions in preoperative conversation, preoperative anxiety, self anxiety score and STAI score were all independent risk factors for the anxiety status of the patients undergoing breast surgery in the waiting area. Among all the patients involved in the investigation, 144 patients felt anxiety before surgery, 100％ patients expected help from the doctor in charge, and 60. 4％ patients expected the company of family in the waiting area. Conclusion Larger possibility of ma-lignant breast lesions in preoperative conversation, preoperative anxiety, self anxiety score and STAI score are independent risk factors for the anxiety status of the patients undergoing breast surgery while waiting for the pathological results in the waiting area after biopsy under local anesthesia.
