The effects of intraday operation time on pain and anxiety of patients undergoing septoplasty

Abstract Introduction Anxiety and pain levels of septoplasty patients may vary according to intraday operation time. Objective To investigate the effects of septoplasty operation and intraday operation time on anxiety and postoperative pain. Methods Ninety-eight voluntary patients filled out the hospital anxiety and depression scale to measure the anxiety level three weeks before, one hour before and one week after surgery. Forty-nine patients were operated at 8:00 am (morning group); other 49 were operated at 03:00 pm (afternoon group). We used a visual analogue scale to measure postoperative pain. Preoperative and postoperative scores were compared, as were the scores of the groups. Results Median hospital anxiety and depression scale scores one hour before the operation [6 (2-10)] were significantly higher compared to the median scores three weeks before the operation [3 (1-6)] (p摘要 引言：鼻中隔成形术（septoplasty）患者的焦虑与疼痛程度可能随当日手术时段的不同而存在差异。目的 探讨鼻中隔成形术及当日手术时段对患者焦虑状态与术后疼痛的影响。方法 招募98名自愿参与的患者，分别于术前3周、术前1小时及术后1周采用医院焦虑抑郁量表（Hospital Anxiety and Depression Scale, HADS）评估其焦虑水平。其中49例患者于上午8:00接受手术（晨间组），剩余49例于下午3:00接受手术（午后组）。采用视觉模拟评分法（Visual Analogue Scale, VAS）评估术后疼痛程度。对比术前与术后的评分以及组间评分差异。结果 术前1小时的医院焦虑抑郁量表评分中位数[6（2-10）]显著高于术前3周的评分中位数[3（1-6）]（p