RESUMO
OBJECTIVE: To assess the magnitude of the different causes of anxiety in patients and families, facing surgery. METHODS: Cross-sectional multicenter national survey recruiting 1,260 participants between patients and companions, analyzing the impact of 14 areas selected based on scientific publications aimed at the general public, concerning patients and/or companions, focused on concern about surgery. Patient sex, age, type of surgery (minor/major) and expected inpatient or ambulatory surgery were analyzed. For the companions sex and age, and relationship to patient were analyzed. In both cases it was assessed based on a unidimensional scale of 0 to 10, with 0 being be minimal cause for concern and 10, maximum. RESULTS: The most prominent have been the fear of the unknown, possible complications, the impact on quality of life, the accuracy of diagnosis and possible malignancy of the disease, as well as anesthesia and pain control. There are significant differences in the involvement of patients and companions; and are also differences by sex and age of the patient; type of surgery (minor/major) and expected hospital admission or not. CONCLUSIONS: The patient faces surgery with a number of fears that can be reduced with increased information.
Assuntos
Medo , Ansiedade , Estudos Transversais , Humanos , Qualidade de Vida , Inquéritos e QuestionáriosRESUMO
OBJETIVO: Valorar la magnitud de las diferentes causas de inquietud en pacientes y familiares, de cara a la intervención quirúrgica. MÉTODOS: Estudio transversal mediante encuesta multicéntrica nacional, que reclutó a 1.260 participantes entre pacientes y acompañantes y analiza el impacto de 14 aspectos seleccionados a partir de publicaciones científicas y dirigidas al público general, referidas a pacientes o acompañantes, como causa de esta inquietud ante las intervenciones quirúrgicas. Del paciente se indicaba sexo, edad, tipo de cirugía (menor/mayor) e ingreso previsto o no. Del acompañante, sexo y edad, así como parentesco con el paciente. En ambos casos se valoró a partir de una escala unidimensional del 0 al 10, en la que el 0 corresponda a ser mínima causa de inquietud y 10, máxima. RESULTADOS: Las más destacadas han sido el miedo a lo desconocido, a las posibles complicaciones, a la afectación de la calidad de vida, la veracidad del diagnóstico y posible malignidad de la enfermedad, así como a la anestesia y control del dolor. Hay diferencias significativas en la afectación de pacientes y acompañantes, así como también se aprecian según el sexo y edad del paciente, tipo de cirugía (menor/mayor) e ingreso previsto o no. CONCLUSIONES: El paciente se enfrenta a la cirugía con una serie de temores que pueden reducirse con una mayor información
OBJECTIVE: To assess the magnitude of the different causes of anxiety in patients and families, facing surgery. METHODS: Cross-sectional multicenter national survey recruiting 1,260 participants between patients and companions, analyzing the impact of 14 areas selected based on scientific publications aimed at the general public, concerning patients and/or companions, focused on concern about surgery. Patient sex, age, type of surgery (minor/major) and expected inpatient or ambulatory surgery were analyzed. For the companions sex and age, and relationship to patient were analyzed. In both cases it was assessed based on a unidimensional scale of 0 to 10, with 0 being be minimal cause for concern and 10, maximum. RESULTS: The most prominent have been the fear of the unknown, possible complications, the impact on quality of life, the accuracy of diagnosis and possible malignancy of the disease, as well as anesthesia and pain control. There are significant differences in the involvement of patients and companions; and are also differences by sex and age of the patient; type of surgery (minor/major) and expected hospital admission or not. CONCLUSIONS: The patient faces surgery with a number of fears that can be reduced with increased information