飞秒激光小切口角膜微透镜取出术病人围术期焦虑变化趋势及其影响因素OACSTPCD

Objective:To explore the dynamic change trend and influencing factors of perioperative anxiety in SMILE patients at different times.Method:A total of 226 patients in the optometry center of a hospital in Zhengzhou were selected as the study subjects.General information questionnaire,Psychological Resilience Scale,Medical Coping Style Questionnaire,Trait-Anxiety Scale were used to investigate factors before operation and State-Anxiety Scale was used to investigate anxiety before operation(T0),on the day of operation(T1),one day after operation(T2),one week after operation(T3)and one month after operation(T4).The scores of anxiety were analyzed by repeated measurement analysis of variance to explore the temporal effects of anxiety,correlation analysis to explore the relevant factors of each anxiety and generalized estimation equation to explore the influencing factors of perioperative period.Results:208 patients were enrolled.The anxiety levels of SMILE patients at five time points during the perioperative period were(34.25±8.77),(38.22±9.25),(36.89±11.28),(34.04±11.02)and(30.50±9.91)respectively.The results of correlation analysis showed that the degree of myopia,the relationship with family,the yielding face style,resilience,and trait anxiety were all correlated with anxiety at five time points,while the gender was correlated with anxiety at T0,T1,T2,and T4,while the living environment was only correlated with anxiety at T4.The results of the generalized estimation equation showed that the influencing factors of perioperative anxiety included gender,monthly income,age,educational level,living environment,surgical history,resilience,yielding coping style and trait anxiety.Conclusion:Perioperative anxiety of SMILE patients increased first and then decreased,and the influencing factors were different at different time points.Therefore,nurses could formulate targeted nursing measures according to different characteristics of patients at different time points to reduce anxiety,which also provides a reference for reducing the anxiety of other surgical patients in the outpatient department.