A pathway study on the influence of surgical decision-making participation and doctor-patient trust on preoperative anxiety in orthopedic patients
FENG Qian
LIU Panpan
LI Hong
YAN Xiaodong
CAI Pan
Abstract：Objective To explore the influencing pathway of surgical decision-making participation and doctor-patient trust on preop-erative anxiety in orthopedic patients.Methods A total of 231 orthopedic surgery patients were investigated with the general information questionnaire,the Amsterdam Preoperative Anxiety and Information Scale,the Scale of Patient Satisfaction with Medical Decision-Making Participation and the Wake Forest Physician Trust Scale.Results The incidence of preoperative anxiety in patients undergoing orthopedic surgery was 37.66％.The score of satisfaction with surgical decision-making participation was 78.96(70.42,81.46),and the score of doctor-patient trust was 34.00(27.00,40.00).The structural equation model showed that satisfaction with surgical decision-making participation(β=-0.165,P=0.017)and doctor-patient trust(β=-0.238,P＜0.001)had a direct predictive effect on preoperative anxiety in patients.Satisfaction with surgical decision-making participation could also indirectly affect the preoperative anxiety in patients by influencing doctor-patient trust[indirect effect 95％CI(-0.221,-0.028)],with an indirect effect proportion of 36.54％.Conclusion The satisfaction of surgi-cal decision-making participation and doctor-patient trust affect the preoperative anxiety of orthopedic patients.It is recommended to take a variety of measures to improve the satisfaction of surgical decision-making participation and doctor-patient trust,so as to reduce the preopera-tive anxiety of patients.
Keywords：orthopedic patientssatisfaction with surgical decision-making participationdoctor-patient trustpreoperative anxietystructure equation model
Publication Date：2023-05-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 370-375 )