CĂNG THẲNG, LO ÂU VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở NGƯỜI BỆNH TRƯỚC PHẪU THUẬT TIÊU HOÁ CÓ CHƯƠNG TRÌNH TẠI BỆNH VIỆN ĐA KHOA XANH PÔN

Abstract

Stress and anxiety are common symptoms prior to surgery, which can increase the need for pain medication, prolong recovery, and raise treatment costs. Objective: To describe the status of stress and anxiety and identify related factors in patients undergoing scheduled gastrointestinal surgery at Saint Paul General Hospital in 2025. Subjects and Methods: A cross-sectional descriptive study on 279 patients aged ≥18 years, who were hospitalized and had an indication for gastrointestinal surgery (01–06/2025). Stress and anxiety were assessed using the DASS-21; illness perception using BIPQ; and social support using MDSS. Descriptive statistics and Chi-square/t-test were used, with a p-value of <0.05. Results: The mean age was 52.9 ± 17.2. The rates of stress and anxiety were 12.9% and 15.8%, respectively, mostly at mild-to-moderate levels. The mean DASS-21 scores were 5.16 ± 7.47 for stress and 3.14 ± 4.87 for anxiety. Related factors included: female gender, age <50, and illness perception. Social support from family/friends (MDSS) had the highest predictive value (AUC 59.7%; OR 2.75; p<0.05). Conclusion: Pre-operative psychological screening and intervention are needed, especially for high-risk groups