Abstract：
BACKGROUND: Gonarthrosis is a chronic degenerative joint disease characterised by prolonged pain, affecting ~10% of men and 18% of women aged 60 and older worldwide. Surgical interventions are commonly employed in patients with gonarthrosis to minimise disability, alleviate pain, and improve overall quality of life. However, surgical treatment remains a feared experience. This study was conducted to identify the levels of spiritual well-being and surgical anxiety in elderly patients diagnosed with gonarthrosis who are scheduled for surgical intervention. The aim was to examine the relationship between these factors and identify influencing elements.
METHODS: This descriptive and correlational study was conducted between September 2022 and June 2023 in the orthopaedics and traumatology service of a state hospital, involving 105 patients aged 65 and above with gonarthrosis and admitted for treatment. Data were collected using the Personal Information Form, Surgical Fear Questionnaire, and Three-Factor Spiritual Well-being Scale. Data were analyzed with descriptive statistical tests, Mann-Whitney U-test, Kruskal-Wallis test, and Spearman correlation analysis.
RESULTS: The short-term surgical fear of patients was 11.69 ± 7.55, the long-term surgical fear was 10.70 ± 9.53, and the total surgical fear was 22.40 ± 14.69 points, indicating a low level. Single and inexperienced elderly patients had higher levels of surgical fear (P < 0.05). The spiritual well-being levels of elderly patients (transcendence, 59.65 ± 12.20; harmony with nature, 29.10 ± 4.65; anomy, 26.34 ± 5.28; total score, 115.10 ± 17.83) were high. The spiritual well-being levels of elderly individuals whose income matched their expenses were higher (P < 0.05). There was a statistically significant negative relationship between the level of anomy in elderly patients with gonarthrosis and surgical fear (P < 0.05).
CONCLUSIONS: In elderly patients with planned surgical interventions for gonarthrosis. It was determined that the levels of surgical fear were low, and the levels of spiritual well-being were high. The study identified that the level of anomy had an impact on surgical fear. It is recommended that healthcare professionals be aware of the influence of spiritual well-being on surgical fear and provide spiritual support to elderly patients.
METHODS: This descriptive and correlational study was conducted between September 2022 and June 2023 in the orthopaedics and traumatology service of a state hospital, involving 105 patients aged 65 and above with gonarthrosis and admitted for treatment. Data were collected using the Personal Information Form, Surgical Fear Questionnaire, and Three-Factor Spiritual Well-being Scale. Data were analyzed with descriptive statistical tests, Mann-Whitney U-test, Kruskal-Wallis test, and Spearman correlation analysis.
RESULTS: The short-term surgical fear of patients was 11.69 ± 7.55, the long-term surgical fear was 10.70 ± 9.53, and the total surgical fear was 22.40 ± 14.69 points, indicating a low level. Single and inexperienced elderly patients had higher levels of surgical fear (P < 0.05). The spiritual well-being levels of elderly patients (transcendence, 59.65 ± 12.20; harmony with nature, 29.10 ± 4.65; anomy, 26.34 ± 5.28; total score, 115.10 ± 17.83) were high. The spiritual well-being levels of elderly individuals whose income matched their expenses were higher (P < 0.05). There was a statistically significant negative relationship between the level of anomy in elderly patients with gonarthrosis and surgical fear (P < 0.05).
CONCLUSIONS: In elderly patients with planned surgical interventions for gonarthrosis. It was determined that the levels of surgical fear were low, and the levels of spiritual well-being were high. The study identified that the level of anomy had an impact on surgical fear. It is recommended that healthcare professionals be aware of the influence of spiritual well-being on surgical fear and provide spiritual support to elderly patients.
摘要：
背景：膝关节病是一种慢性退行性关节病，以长期疼痛为特征，影响全球约10%的60岁及以上的男性和18%的女性。关节病患者通常采用手术干预措施，以最大程度地减少残疾。缓解疼痛,提高整体生活质量。然而,手术治疗仍然是一种令人恐惧的经历。进行这项研究是为了确定计划进行手术干预的被诊断为膝关节病的老年患者的精神幸福感和手术焦虑水平。目的是检查这些因素之间的关系并确定影响因素。
方法：这项描述性和相关性研究于2022年9月至2023年6月在一家州立医院的骨科和创伤服务部门进行，涉及105名年龄在65岁及以上的关节炎患者，并接受治疗。数据是使用个人信息表格收集的，手术恐惧问卷，和三因素精神幸福感量表。数据分析采用描述性统计检验，Mann-WhitneyU-test,Kruskal-Wallis测试,和Spearman相关分析。
结果:患者短期手术恐惧为11.69±7.55,长期手术恐惧为10.70±9.53,总手术恐惧为22.40±14.69分,表示低水平。单身和缺乏经验的老年患者手术恐惧水平较高(P<0.05)。老年患者的精神福祉水平(超越，59.65±12.20；与自然和谐，29.10±4.65；异体，26.34±5.28；总分，115.10±17.83）为高。收入与支出相匹配的老年人的精神幸福感水平较高（P<0.05）。老年膝关节病患者手术恐惧程度与手术恐惧程度呈负相关(P<0.05)。
结论：对于有计划的手术干预的老年患者而言。确定手术恐惧的水平很低，精神健康水平很高。该研究发现，失态水平对手术恐惧有影响。建议医疗保健专业人员意识到精神健康对手术恐惧的影响，并为老年患者提供精神支持。
方法：这项描述性和相关性研究于2022年9月至2023年6月在一家州立医院的骨科和创伤服务部门进行，涉及105名年龄在65岁及以上的关节炎患者，并接受治疗。数据是使用个人信息表格收集的，手术恐惧问卷，和三因素精神幸福感量表。数据分析采用描述性统计检验，Mann-WhitneyU-test,Kruskal-Wallis测试,和Spearman相关分析。
结果:患者短期手术恐惧为11.69±7.55,长期手术恐惧为10.70±9.53,总手术恐惧为22.40±14.69分,表示低水平。单身和缺乏经验的老年患者手术恐惧水平较高(P<0.05)。老年患者的精神福祉水平(超越，59.65±12.20；与自然和谐，29.10±4.65；异体，26.34±5.28；总分，115.10±17.83）为高。收入与支出相匹配的老年人的精神幸福感水平较高（P<0.05）。老年膝关节病患者手术恐惧程度与手术恐惧程度呈负相关(P<0.05)。
结论：对于有计划的手术干预的老年患者而言。确定手术恐惧的水平很低，精神健康水平很高。该研究发现，失态水平对手术恐惧有影响。建议医疗保健专业人员意识到精神健康对手术恐惧的影响，并为老年患者提供精神支持。
