Qu L, Ma R, Ma YK, Zhao X, Jin J, Zhu QQ, Chen XY, Xu GP. Influence of preoperative comprehensive education on anxiety, depression, pain, and sleep in elderly patients operated under general anesthesia. World J Psychiatry 2024; 14(12): 1845-1853 [DOI: 10.5498/wjp.v14.i12.1845]
Corresponding Author of This Article
Gui-Ping Xu, MM, Doctor, Department of Anesthesia, People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Clinical Research Center for Anesthesia Management, No. 91 Tianchi Road, Tianshan District, Urumqi 830001, Xinjiang Uygur Autonomous Region, China. xgpsyl@yeah.net
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Dec 19, 2024; 14(12): 1845-1853 Published online Dec 19, 2024. doi: 10.5498/wjp.v14.i12.1845
Table 1 Comparative analysis of general data, n (%)
Indicators
Research group (n = 86)
Control group (n = 77)
χ2/t
P value
Age (years old)
57.63 ± 7.39
58.44 ± 6.81
0.725
0.469
Body mass index (kg/m2)
21.31 ± 2.37
21.55 ± 2.24
0.662
0.509
Sex
1.086
0.297
Male
45 (52.33)
34 (44.16)
Female
41 (47.67)
43 (55.84)
ASA grading
0.034
0.983
Grade I
34 (39.53)
30 (38.96)
Grade II
29 (33.72)
27 (35.06)
Grade III
23 (26.74)
20 (25.97)
Surgical grading
0.237
0.972
Grade I
21 (24.42)
18 (23.38)
Grade II
25 (29.07)
22 (28.57)
Grade III
24 (27.91)
24 (31.17)
Grade IV
16 (18.60)
13 (16.88)
Anesthesia mode
0.547
0.908
Epidural anesthesia
27 (31.40)
23 (29.87)
Subarachnoid block
15 (17.44)
11 (14.29)
Block anesthesia
18 (20.93)
19 (24.68)
Combined spinal-epidural anesthesia
26 (30.23)
24 (31.17)
Table 2 Inter-group comparison of surgical indicators
Groups
n
Operation time (minute)
Time to complete regain of consciousness (minute)
Temperature immediately after the procedure (°C)
Temperature upon recovery from anesthesia (°C)
Research group
86
143.17 ± 13.31
27.90 ± 2.66
36.38 ± 1.04
36.85 ± 0.49
Control group
77
188.12 ± 19.26
43.09 ± 3.17
35.62 ± 0.82
36.09 ± 0.64
t
-
17.480
33.250
5.139
8.562
P value
-
< 0.001
< 0.001
< 0.001
< 0.001
Table 3 Inter-group comparison of sleep disturbances, n (%)
Indicators
Research group (n = 86)
Control group (n = 77)
χ2
P value
Difficulty in falling asleep for the first time
3 (3.49)
7 (9.09)
-
-
Difficulty in falling asleep again after waking up frequently at night
2 (2.33)
8 (10.39)
-
-
Difficulty in falling asleep again after waking up early
2 (2.33)
5 (6.49)
-
-
Difficulty in falling asleep all night
0 (0.00)
3 (3.90)
-
-
Total
7 (8.14)
23 (29.87)
12.771
< 0.001
Table 4 Inter-group comparison of the incidence of adverse events, n (%)
Indicators
Research group (n = 86)
Control group (n = 77)
χ2
P value
Respiratory tract obstruction
1 (1.16)
4 (5.19)
-
-
Catheter detachment
2 (2.33)
4 (5.19)
-
-
Aspiration
1 (1.16)
5 (6.49)
-
-
Asphyxia
0 (0.00)
2 (2.60)
-
-
Total
4 (4.65)
15 (19.48)
8.676
0.003
Citation: Qu L, Ma R, Ma YK, Zhao X, Jin J, Zhu QQ, Chen XY, Xu GP. Influence of preoperative comprehensive education on anxiety, depression, pain, and sleep in elderly patients operated under general anesthesia. World J Psychiatry 2024; 14(12): 1845-1853