RỐI LOẠN LO ÂU TRƯỚC PHẪU THUẬT VÍT QUA DA CỦA NGƯỜI BỆNH CHẤN THƯƠNG CỘT SỐNG NGỰC, THẮT LƯNG TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Introduction and Objective: Preoperative anxiety and depression occurs in about one-third of patients, particularly in those with acute trauma, even when the surgery is minimally invasive and the patient does not have neurological injury. The aim of this study was to evaluate the levels of preoperative anxiety and depression in patients with spinal trauma undergoing percutaneous pedicle screw fixation. Subjects and Methods: Cross- sectional descriptive study was conducted on 112 patients with thoracic or lumbar spinal trauma without neurological compression, who underwent percutaneous pedicle screw fixation at Hanoi Medical University Hospital from January 2019 to December 2022. Results: The proportion of patients with real anxiety was 41,1%, and real stress was 21,4%. The average anxiety and stress scores were 8.24±3.67 and 6.78±4.38, respectively. Age ≥ 60, without health insurance, a poor understanding of the condition, associated injuries, and multilevel injuries were risk factors for anxiety and stress with statistical significance at p < 0.05.  Conclusion: The rate of preoperative anxiety and depression in patients with spinal trauma was still high and there are many related factors of this conditions. Patients need attention and explanation before surgery.