Analysis of preoperative anxiety and postoperative recovery restlessness in patients with gastrointestinal cancer and their influencing factors
Objective To investigate the incidence of preoperative anxiety and postoperative recovery restlessness in patients with gastrointestinal cancer,and to analyze the influencing factors and their correlations.Methods Using the single center prospective cohort study method,gastrointestinal cancer patients who underwent surgical treatment in Nuclear Industry 416 Hospital from January 1,2020 to December 31,2022 were selected as the research subjects.All patients were evaluated for preoperative anxiety state using the Hamilton Anxiety Scale(HAMA),and for postoperative recovery restlessness using the Richmond Agitation-Sedation Scale(RASS).Clinical data was collected from patients,and univariate and multivariate logistic regression analysis was used to analyze the factors influencing preoperative anxiety and postoperative recovery restlessness in gastrointestinal cancer patients.The correlation between preoperative anxiety and postoperative recovery restlessness was analyzed.Results A total of 202 gastrointestinal cancer patients were enrolled in this study.The preoperative anxiety score was(10.68±2.18)points,and the incidence of preoperative anxiety was 64.85%.Univariate and multivariate logistic regression analysis showed that age,education level,expected surgical duration,and payment method were independent factors affecting preoperative anxiety in patients with gastrointestinal cancer(P<0.05).The postoperative recovery RASS score of gastrointestinal cancer patients was(0.35±0.06)points,and the incidence of postoperative recovery restlessness was 14.35%.Univariate and multivariate logistic regression analysis showed that age,surgical time,anesthesia method,and intraoperative hypothermia were independent factors for postoperative recovery restlessness in gastrointestinal cancer patients(P<0.05).There was a significant correlation between preoperative anxiety and postoperative recovery restlessness in patients with gastrointestinal cancer(r=0.511,P<0.001).Conclusion For patients with gastrointestinal cancer,age,education level,expected surgical duration,and payment method are independent risk factors for preoperative anxiety.Age,surgical time,anesthesia method,and intraoperative hypothermia are independent risk factors for postoperative recovery restlessness.There is a significant correlation between preoperative anxiety and postoperative recovery restlessness.
NETL
NSTL
万方数据
