A multidisciplinary approach to improve preoperative understanding and reduce anxiety

Granziera, Elisa; Guglieri, Irene; Bianco, Paola Del; Capovilla, Eleonora; Dona, Barbara; Ciccarese, Angelo Antonio; Kilmartin, Denise; Manfredi, Valentina; Salvo, Gian Luca De

doi:10.1097/eja.0b013e3283652c0c

Cited by 42 publications

(27 citation statements)

References 35 publications

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“…There was an effect of verbal empathy accompanied by intentional touch in participants with baseline anxiety on the VAS of ≥60 mm, and verbal empathy with touch as well as verbal empathy without touch reduced anxiety in participants with baseline anxiety on the VAS of ≥70 mm. This observation can be understood in the context of previous studies suggesting that patients with higher preintervention anxiety levels are more vulnerable to the aggravation of anxiety, or more susceptible to anxiety relief by intervention [17, 27,28]. …”

Section: Discussionmentioning

confidence: 99%

Effect of Verbal Empathy and Touch on Anxiety Relief in Patients Undergoing Flexible Bronchoscopy: Can Empathy Reduce Patients' Anxiety?

et al. 2016

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Background: Patients undergoing flexible bronchoscopy usually experience anxiety before and during the procedure. Objectives: We performed this study to investigate whether verbal empathy and intentional touch from a bronchoscopist could reduce anxiety in patients undergoing flexible bronchoscopy. Methods: We conducted a prospective randomized trial in a university-affiliated hospital. Participants were randomly assigned to one of the following groups: a control group, a verbal empathy group, or a verbal empathy and touch group. The staff pulmonologist performing bronchoscopy expressed verbal empathy and used touch by speaking to the patient (using predefined short statements) and making eye contact, and by laying his/her left hand on the patient's right shoulder. We assessed the level of patient anxiety with a visual analog scale before and after the intervention. Results: Participants were 267 patients with a median age of 65 years; 62.2% were men. Although there were no differences in changes in anxiety between the three groups, subgroup analysis of the visual analog scale including participants with higher baseline anxiety (empathy and touch group participants with anxiety ≥60 mm; empathy group and empathy and touch group participants with anxiety ≥70 mm) showed a larger reduction in anxiety than the control group. Conclusions: Verbal empathy and touch given by a bronchoscopist before bronchoscopy reduced anxiety in patients with high baseline anxiety levels.

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Section: Discussionmentioning

confidence: 99%

Effect of Verbal Empathy and Touch on Anxiety Relief in Patients Undergoing Flexible Bronchoscopy: Can Empathy Reduce Patients' Anxiety?

et al. 2016

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“…Many studies investigating fear in cancer patients so far have focused on anxiety in terms of mental health or on fear of progression [5,7,8,9,10]. However, patients are not only afraid of the malignant disease itself but also of the treatments involved in cancer care.…”

Section: Introductionmentioning

confidence: 99%

Breast Cancer Patients' Fear of Treatment: Results from the Multicenter Longitudinal Study BRENDA II

et al. 2015

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Background: Fear of cancer treatment can become overwhelming. It is important to understand what patients are mainly afraid of and what factors are correlated with intense fear of treatment. Methods: Patients with primary breast cancer (n = 761) completed questionnaires about fear of treatment before surgery (t1), and before (t2) and after (t3) adjuvant treatment. Psychological co-morbidity was assessed using the Patient Health Questionnaire. Logistic regression identified predictors of intense fear of treatment. Results: Patients were most afraid of chemotherapy (mean score 3.5), and fear remained high throughout follow-up; fear of radiotherapy and of surgery was lower and decreased over time (from 2.7 to 2.2, p < 0.0001; and from 2.6 to 2.2, p < 0.0001, respectively). Patients with psychological co-morbidity (odds ratios (OR) 1.7-3.0) and those who had heard reports of negative experiences with cancer treatments from others (OR 3.8-16.2) were more likely to have intense fear of all the treatments. Patients with a previous cancer less often expressed fear of surgery (OR 0.6, 95% confidence interval 0.4-1.0). Conclusion: Fear of treatment, especially of chemotherapy, is prevalent in many patients with primary breast cancer. Patients with psychological co-morbidity and those who have heard reports of negative experiences with cancer treatment are at higher risk of experiencing intense fear.

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“…Por otro lado la visita preoperatoria en si reduce de manera importante la ansiedad, incluso en mayor medida que la premedicación. (15) Recientemente, Granciera et al, (16) demuestran que una intervención multifactorial, con una intervención psico-oncológica, mejora la comprensión de la información proporcionada por el anestesista y reduce la ansiedad del paciente.…”

Section: Discussionunclassified

The aim of the study is to evaluate the anxiety level in patients that will go trough surgery and that were properly informed during the pre-anesthesia meeting

Guillén-Perales¹,

Luna²,

Costela-Villodres³

et al. 2016

Actual. Med.

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¿Es posible disminuir la ansiedad del paciente quirúrgico? Papel de la información en la consulta de preanestesia ResumenObjetivos. Se pretende valorar el grado de ansiedad que presentan distintos tipos de pacientes que van a ser sometidos a un proceso quirúrgico y que previamente han sido informados en la consulta de preanestesia y la influencia que sobre él ejerce dicha información. Métodos. Estudio transversal de una muestra de pacientes oncológicos ingresados para cirugía en el Hospital Universitario San Cecilio de Granada durante el año 2011. Tras comprobar los criterios de inclusión y recabar su consentimiento, se recogieron datos demográficos y del proceso. A todos ellos se les entregaron cuestionarios autoadministrados que valoran el estado de ansiedad (STAI) y un breve cuestionario diseñado "ad hoc" para valorar la información recibida y la comprensión de la misma. Resultados. Las mujeres presentaron un mayor grado de ansiedad tanto de estado (STAI E), como de rasgo (STAI R) que los hombres. En estos se observa un nivel de ansiedad mayor en aquellos que dijeron no haber recibido información sobre los posibles problemas derivados de la anestesia (p<0,05) y en los que no recordaban que les hubieran comentado ningún problema o complicación de la anestesia (p<0,05). Sin embargo en las mujeres es la propia información la que contribuye a crear mayor ansiedad en su variante estado, al mismo tiempo que se asocia, como en hombres, a menor ansiedad rasgo. Conclusión. La ansiedad preoperatoria se asocia con la calidad de la información recibida. En general, los pacientes que consideran haber recibido una información suficiente, identifican correctamente al profesional que les proporciona la información y han comprendido mejor dicha información son los que presentan los niveles más bajos de ansiedad. AbstractMethods. The patients were chosen from the oncology section of the San Cecilio Universitary Hospital of Granada (Spain) during year 2011 that were planned to be operated. After validating the inclusion criteria and collect their informed agreement, other data were collected such as demographic and about the process. Patients were given a form including questions to evaluate the anxiety (STAI) and "ad hoc" questions to evaluate the information received and how much they understood it. Results. Female patients showed a higher anxiety level (both STAI E and STAI R) than male ones. Among this last ones, there is a higher level of anxiety in the ones that state that no information of problems derivated with the anesthesia (p<0.05) was told to them or do not remember that anesthesia could imply complications or further problems (p<0,05). There is a hint that suggests that information is better understood when is given by the anesthesilogist although there are no significant results. On the other hand, in women, the more they know, the higher their anxiety levels are. Conclusion. This study remarks the importance and utility of the pre-anesthesia meeting in order to study and control anxiety levels, promote decision ...

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A multidisciplinary approach to improve preoperative understanding and reduce anxiety

Abstract: In breast cancer surgical patients with high levels of preoperative anxiety, a multidisciplinary approach with psycho-oncological intervention proved to be useful at the preoperative anaesthesiology interview.

Cited by 42 publications

References 35 publications

Effect of Verbal Empathy and Touch on Anxiety Relief in Patients Undergoing Flexible Bronchoscopy: Can Empathy Reduce Patients' Anxiety?

Effect of Verbal Empathy and Touch on Anxiety Relief in Patients Undergoing Flexible Bronchoscopy: Can Empathy Reduce Patients' Anxiety?

Breast Cancer Patients' Fear of Treatment: Results from the Multicenter Longitudinal Study BRENDA II

The aim of the study is to evaluate the anxiety level in patients that will go trough surgery and that were properly informed during the pre-anesthesia meeting

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