| Abstract |
[Abstract] Objective: to analyze the relationship between preoperative uncertainty and anxiety level in patients with total hip replacement. Methods: 200 patients with total hip arthroplasty in our hospital from November 2018 to November 2019 were selected. The uncertainty of disease was assessed by MUIs (Disease Uncertainty Scale), and anxiety level was assessed by SAS (self rating Anxiety Scale). Spearman correlation analysis was used to analyze the correlation between the dimensions of MUIs and anxiety. Results: the MUIs score of 200 patients ranged from 71.5 to 139.4 (105.26 ± 4.64). Among them, 21 cases had high level uncertainty, accounting for 10.50%, and Musi score was (60.25 ± 4.14); 118 cases were medium level uncertainty, accounting for 59.00%, and Musi score was (92.52 ± 10.44); 61 cases were low level uncertainty, accounting for 30.50%, and Musi score was (138.26 ± 6.44). The musi score of the high level group was higher than that of the medium level group, and the musi score of the middle level group was higher than that of the low level group, and the differences were statistically significant (P<0.05). Among the 200 patients, 46 cases had mild anxiety, accounting for 23.00%; 101 cases had moderate anxiety, accounting for 50.50%; 53 cases had severe anxiety, accounting for 26.50%. SAS score of mild anxiety group was lower than that of moderate anxiety group, and SAS score of moderate anxiety group was lower than that of severe anxiety group, the differences were statistically significant (P<0.05). The unpredictability, lack of information, uncertainty, complexity of MUIs scale were positively correlated with anxiety level, and the differences were statistically significant (P<0.05). Conclusion: preoperative uncertainty and anxiety levels of patients with total hip replacement are in the medium level, and the levels of uncertainty and anxiety are positively correlated. Clinical treatment should be targeted as soon as possible to reduce the uncertainty and anxiety level of patients, so as to ensure the smooth operation.
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