骨科患者手術前後焦慮程度與不確定感之相關性研究

The Relation between Pre-and Postoperative Anxiety and Uncertainty in Orthopaedic Surgical Patients

黃光琪(Kuang-Chi Huang) ； 吳興盛(Shing-Sheng Wu) ； 梁挋(Jane Liang) ； 蔡高宗(Kao-Chung Tsai)

《台灣復健醫學雜誌》 33卷1期 (2005/03) Pp. 1-10

https://doi.org/10.6315/2005.33(1)01

摘要

To understand the concerns of orthopaedic surgical patients and to enhance the quality of nursing care, the pre-and postoperative anxiety and uncertainty levels of orthopaedic surgical patients were determined and the relations among these factors explored. A descriptive correlation design was used and 44 adult orthopaedic surgical patients were selected by convenience sampling from a medical center in Taipei. Data were collected through structured questionnaires to obtain relevant demographic variables, the State-Trait Anxiety Inventory (STAI), and Mishel's Uncertainty in Illness Scale (MUIS). The main results included: (1) Mean scores of pre-and postoperative anxiety of 40.68 (SD=13.39) and 37.94 (SD=9.87), respectively; moderate levels of pre- and postoperative anxiety were found for all respondents. (2) The pre-and postoperative mean scores of uncertainty per item were 2.61 and 2.32, respectively; moderate levels of pre-and postoperative uncertainty were obtained for all respondents. (3) Significant positive correlations existed between pre-and postoperative anxiety (p＜.001), pre- and postoperative uncertainty (p＜.001), and preoperative anxiety and preoperative uncertainty (p＜.001). A significant difference between pre- and postoperative uncertainty levels was found (p＜.001). (4) Most respondents worried about factors such as surgical procedure, anaesthesia method and risk, postoperative pain, and the rehabilitation program needed. In conclusion, moderate levels of preoperative anxiety and uncertainty were found in orthopaedic surgical patients. It is suggested that rehabilitation professionals provide complete information about the rehabilitative training program to orthopaedic surgical patients before surgery to reduce patients' anxiety and uncertainty levels.

關鍵字

手術前後 ； 焦慮 ； 不確定感

並列摘要

To understand the concerns of orthopaedic surgical patients and to enhance the quality of nursing care, the pre-and postoperative anxiety and uncertainty levels of orthopaedic surgical patients were determined and the relations among these factors explored. A descriptive correlation design was used and 44 adult orthopaedic surgical patients were selected by convenience sampling from a medical center in Taipei. Data were collected through structured questionnaires to obtain relevant demographic variables, the State-Trait Anxiety Inventory (STAI), and Mishel's Uncertainty in Illness Scale (MUIS). The main results included: (1) Mean scores of pre-and postoperative anxiety of 40.68 (SD=13.39) and 37.94 (SD=9.87), respectively; moderate levels of pre- and postoperative anxiety were found for all respondents. (2) The pre-and postoperative mean scores of uncertainty per item were 2.61 and 2.32, respectively; moderate levels of pre-and postoperative uncertainty were obtained for all respondents. (3) Significant positive correlations existed between pre-and postoperative anxiety (p＜.001), pre- and postoperative uncertainty (p＜.001), and preoperative anxiety and preoperative uncertainty (p＜.001). A significant difference between pre- and postoperative uncertainty levels was found (p＜.001). (4) Most respondents worried about factors such as surgical procedure, anaesthesia method and risk, postoperative pain, and the rehabilitation program needed. In conclusion, moderate levels of preoperative anxiety and uncertainty were found in orthopaedic surgical patients. It is suggested that rehabilitation professionals provide complete information about the rehabilitative training program to orthopaedic surgical patients before surgery to reduce patients' anxiety and uncertainty levels.

並列關鍵字

pie-and postoperation ； anxiety ； uncertainty