Yan F, Yuan LH, He X, Yu KF. Correlation between pre-anesthesia anxiety and emergence agitation in non-small cell lung cancer surgery patients. World J Psychiatry 2024; 14(6): 930-937 [PMID: 38984337 DOI: 10.5498/wjp.v14.i6.930]
Corresponding Author of This Article
Kai-Feng Yu, MM, Professor, Department of Anesthesiology, Wuhan Pulmonary Hospital, Wuhan Institute for Tuberculosis Control, No. 28 Baofeng Road, Qiaokou District, Wuhan 430000, Hubei Province, China. yukf2213@163.com
Research Domain of This Article
Psychiatry
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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World J Psychiatry. Jun 19, 2024; 14(6): 930-937 Published online Jun 19, 2024. doi: 10.5498/wjp.v14.i6.930
Table 1 Riker Sedation Agitation Scale
Point
Classify
Describe
1
Can't be awakened
The patient has a mild or no response to stimuli and is unable to communicate or follow instructions
2
Very calm
The patient responds to somatic stimuli but is unable to communicate and follow instructions
3
Calm
The patient is drowsy, can be awakened by verbal stimulation or gentle shaking, and can obey simple commands
4
Quiet cooperation
The patient is quiet, easily aroused, and obeys instructions
5
Agitation
The patient is anxious or physically agitated, tries to roll over and get up, can be quieted by verbal cues to discourage him or her
6
Very agitated
The patient requires protective restraint and repeated verbal prompts to discourage
7
Dangerous agitation
The patient pulls on the endotracheal tube, attempts to remove the internal catheter, rolls over the bed rails, unconsciously assaults healthcare workers, and struggles to roll over in the bed, requiring forcible restriction of his movements
Table 2 Riker Sedation Agitation Scale scores of patients with non-small cell lung cancer after surgery
Point
n
%
1
0
0
2
2
2.5
3
8
10
4
43
53.75
5
10
12.5
6
10
12.5
7
7
8.75
Sum
80
100.00
Table 3 Differences in anxiety subscale of the Hospital Anxiety and Depression Scale scores between emergence agitation and non-emergence agitation patients
Time
EA (n = 27)
non-EA (n = 53)
t
P value
T1
7.59 ± 2.10
7.19 ± 2.41
-0.739
0.462
T2
7.63 ± 1.71
8.17 ± 2.43
1.030
0.306
T3
9.67 ± 3.02
7.23 ± 2.31
-4.015
< 0.001
T4
12.56 ± 4.10
6.23 ± 2.05
-7.556
< 0.001
Table 4 Partial correlation analysis of anxiety and emergence agitation
Time
Partial correlation analysis
r
P value
T1
0.098
0.396
T2
0.042
0.713
T3
0.296
0.008
T4
0.314
0.005
Citation: Yan F, Yuan LH, He X, Yu KF. Correlation between pre-anesthesia anxiety and emergence agitation in non-small cell lung cancer surgery patients. World J Psychiatry 2024; 14(6): 930-937