A survey of anesthesiologists’ role, trust in anesthesiologists, and knowledge and fears about anesthesia among predominantly Hispanic patients from an inner-city county preoperative anesthesia clinic

Nagrampa, Dustin; Bazargan‐Hejazi, Shahrzad; Neelakanta, Gundappa; Law, Adrienne; Miller, Margaret

doi:10.1016/j.jclinane.2014.05.012

Cited by 21 publications

(32 citation statements)

References 14 publications

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“…We found that anxiety of death came only the third ( n = 59). Similar to our study, a recent survey study showed that the fear of pain was the most important cause of anxiety [ 20 ]. In another study with 800 patients by Sheved et al [ 13 ], similar results were reported on fear of pain.…”

Section: Discussionsupporting

confidence: 90%

Evaluation of preoperative anxiety and fear of anesthesia using APAIS score

Çelik

Edipoğlu²

2018

Eur J Med Res

158

120

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BackgroundPreoperative anxiety is one of the most important problems for the patients, because it causes emotional and psychiatric problems as well as physical problems. It is crucial to detect the patient’s existing anxiety to assist patients. Our primary aim in this study is to investigate how the patient’s age, gender, the operation, surgical briefing, type of anesthesia recommended for the operation ahead, and patient’s prior anesthesia experience affect the patient’s anxieties. Our secondary aim is to reveal the causes of the patient’s anxieties regarding anesthesia.MethodsOur study was conducted as a prospective cohort study between May 2016–2017. Interviews with the patients were performed in the anesthesia clinic for preoperative examination. For the study, The Amsterdam Preoperative Anxiety and Information Scale (APAIS) has been used. The answers were evaluated in two scales: the anxiety score and the desire for information score. Answers to the statements were evaluated with Likert Scale. In addition, our patients were asked whether they had received prior anesthesia, if so, the type of anesthesia, whether they received surgical briefing and anesthetic method we recommended. We also asked our patients about the cause of their anxiety regarding the anesthesia.ResultsA total of 637 patients were recruited to the study, after excluding the patients who do not meet the criteria for inclusion, and 499 patients were included. Between the age and desire for information sub-scores, a negative significant correlation was detected (r: − 0.241; p = 0.001). We found that the scores of graduates of university and higher were statistically significant than the primary school graduates (p = 0.003) and secondary school graduates (p = 0.034). Anxiety sub-scores of the patients who underwent general anesthesia were found to be significantly higher than the patients who underwent regional anesthesia (p = 0.029). Anxiety sub-scores of females were found to be significantly higher than the males (p = 0.001).ConclusionsWe think that being aware of the patients’ anxiety and finding appropriate approaches for their anxieties can be valuable. APAIS is an effective method to measure patient anxiety and it might be beneficial to use during preoperative visits. Patient satisfaction and superior outcomes can be achieved in this way.Trial registration ISRCTN43960422. Registered 19/02/2018—Retrospectively registered. http://www.isrctn.com/ISRCTN43960422

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Section: Discussionsupporting

confidence: 90%

Evaluation of preoperative anxiety and fear of anesthesia using APAIS score

Çelik

Edipoğlu²

2018

Eur J Med Res

158

120

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“…This is in line with the findings of the Sagün study in which the patients recognized less than two thirds of anesthetized personnel as doctors. This amount is between 99-90% in advanced countries and 6-50% in developing countries (17). In the present study, the frequency of people who had knowledge about anesthesia and its related factors was 46.47% in the patients and 43.50% in the companions' group, which contradicted with the findings of Garcianv et al (2014).…”

Section: Discussioncontrasting

confidence: 97%

Relationship between knowledge toward anesthesia and Fear of anesthesia in the patients and their Companions in Teaching Hospitals of Golestan University of Medical Sciences , 2017

Bakhsha¹,

Halakou²,

Jafari³

et al. 2018

J Res Dev Nurs Midw

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15(2):8-13. Relationship between knowledge toward anesthesia and Fear of anesthesia in the patients and their Companions in Teaching Hospitals of Golestan University of Medical Sciences , 2017Introduction: Surgery and anesthesia are the common practice for anesthetist on the one hand and very worrying for the patient and his family on the other. This fear can have potentially dangerous consequences. The aim of this study was to determine the relationship between the awareness and fear of patients and their companions towards anesthesia. Methods:The present study employed a descriptive-analytic design. The instrument was a questionnaire with 38 items consisting of 20 items for fear of anesthesia, 13 items for awareness of anesthesia, and 3 items for the role of anesthesia personnel. The research population included patients undergoing surgery and their companions. The sample population was selected using non-random sampling. Data was analyzed using SPSS software version 16.Results: In this study, 328 patients and 325 patients' companions (n = 653) were enrolled. The mean score of fear of anesthesia for patients and their companions was 77.56 ± 20.15 and 82.56 ± 20.51, respectively. The mean score of anesthesia awareness for patients and their companions was 6.27 ± 2.33, 33.6 ± 2.86, respectively. No significant correlation was found between fear and anesthesia awareness among patients. Conclusion:The results of the study showed that patients and their companions had a relatively high degree of fear towards anesthesia and did not have enough awareness about anesthesia and its related factors. Therefore, it seems that provision of educational and anesthetic counseling before surgery can be very helpful in order to improve the conditions.

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“…Results of studies concerning the relation between previous anesthesia experience and knowledge of anesthesia is conflicting. In a recent study by Nagrampa et al patients with previous anesthesia experience had higher knowledge scores [15]; however in other studies this relation could not be determined [5,16,17].…”

Section: Discussionmentioning

confidence: 87%

The Effect of an Informative Leaflet on Preoperative Anxiety and Patient’s Knowledge of Anesthesia and Anxiety

Uysal¹

2017

Ann Clin Anal Med

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ÖzetAmaç: Anesteziyoloji, genel toplum tarafından az bilinen bir tıbbi uzmanlık dalıdır. Her ne kadar gelişmiş ülkelerde hastaların %60-90 kadarı "anestezistin" tıp doktoru olduğunu biliyor olsa da, bu oran gelişmekte olan ülkelerde sadece %50 civarındadır. Bu çalışmanın amacı, basit ve okunabilir bir broşürün hastaların anesteziyle ve anestezistlerin sorumluluklarıyla ilgili bilgi düzeyinde gelişme sağlayıp sağlayamayacağını değerlendirmektir. Gereç ve Yöntem:Üniversite etik kurul onayı alındıktan sonra, anestezi polikliniğine yönlendirilen 815 hasta çalışmaya dahil edildi. Gönüllü hastalara, preoperatif muayene esnasında anestezi ve anestezistler hakkında basit bir anket uygulandı, daha sonra hastalara ameliyatları öncesi bilgilendirici broşürleri okuması söylendi. Ameliyattan bir gün sonra tüm hastalar serviste aynı anketi yeniden doldurdu. Hastaların preoperatif ve postoperatif anketlere verdikleri cevaplar kaydedildi. Bulgular: Preoperatif dönemde hastaların %83.1'i (n=677) broşürü okudu. Broşürü okuma, eğitim düzeyi ve yaşla direkt olarak ilişkiliydi (p<0.05). Preoperatif ve postoperatif cevaplar karşılaştırıldığında şu sorularda belirgin fark vardı; "anestezi bilgisi", "anestezi doktoru nerede çalışır", "anestezi tekniği hakkında bilgi", "anestezi doktoru ne yapar", "anesteziyi kim uygular", "rejyonel anestezi bilgisi ve rejyonel anesteziyi kim uygular".Ayrıca anestezi korkusuyla ilgili şu sorulardada da belirgin fark vardı: "Öleceğim", "Mide bulantısı ve kusma endişesi" (p<0.05). Tartışma: Hastaların anestezi riskleri ve uygulaması hakkında az düzeydeki bilgisi önemli bir sağlık sorunudur. Çalışmamızda, preoperatif dönemde bir bilgilendirme broşürü kullanımının yararlı olabileceğini bulduk. Hastalarımızın çoğu, broşürü okuma konusunda uyumlu görünmüştür. AbstractAim: Anesthesiology is a medical specialty that is not well understood by the general public. Although in developed countries 60-90% of patients know that an "anesthesiologist" is a medical doctor, this ratio is only about 50% in developing countries. The aim of this survey is to assess if a simple and readable leaflet can improve patients' knowledge of anesthesia and of the responsibilities of anesthesiologists. Material and Method: After university ethics committee approval, 815 patients admitted to an anesthesia clinic were included in the study. Patients who gave their consent filled out a simple questionnaire about anesthesia and anesthesiologists at the time of their preoperative examination. Patients were then asked to read an information leaflet before their surgeries. The day after surgery, all patients answered the same questionnaire at the ward. Patients' answers to the preoperative and postoperative questionnaires were recorded. Results: Preoperatively 83.1% (n=677) of the patients read the leaflet. Reading the leaflet was directly correlated to educational level and age (p<0.05). When we compare the preoperative and postoperative answers, there were significant differences for these questions: "anesthesia knowledge", "where anesthesia...

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A survey of anesthesiologists’ role, trust in anesthesiologists, and knowledge and fears about anesthesia among predominantly Hispanic patients from an inner-city county preoperative anesthesia clinic

Cited by 21 publications

References 14 publications

Evaluation of preoperative anxiety and fear of anesthesia using APAIS score

Evaluation of preoperative anxiety and fear of anesthesia using APAIS score

Relationship between knowledge toward anesthesia and Fear of anesthesia in the patients and their Companions in Teaching Hospitals of Golestan University of Medical Sciences , 2017

The Effect of an Informative Leaflet on Preoperative Anxiety and Patient’s Knowledge of Anesthesia and Anxiety

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