Anesthetic assessment in an outpatient consultation clinic reduces preoperative anxiety

Klopfenstein, Claude-Eric; Forster, A.; Gessel, E. Van

doi:10.1007/bf03018941

Cited by 93 publications

(75 citation statements)

References 27 publications

(26 reference statements)

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“…There is evidence in the literature that the practice of giving preoperative information can reduce patient anxiety [4][5][6][7][8] . However, some controversy still remains, since for cardiac surgery, information delivered either personally or by pamphlets produced no benefit [9][10][11] .…”

Section: Discussionmentioning

confidence: 99%

Surgery information reduces anxiety in the pre-operative period

et al. 2004

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PURPOSE:Patients preparing to undergo surgery should not suffer needless anxiety. This study aimed to evaluate anxiety levels on the day before surgery as related to the information known by the patient regarding the diagnosis, surgical procedure, or anesthesia.METHOD: Patients reported their knowledge of diagnosis, surgery, and anesthesia. The Spielberger State-Trait Anxiety Inventory (STAI) was used to measure patient anxiety levels.RESULTS: One hundred and forty-nine patients were selected, and 82 females and 38 males were interviewed. Twentynine patients were excluded due to illiteracy. The state-anxiety levels were alike for males and females (36.10 ± 11.94 vs. 37.61 ± 8.76) (mean ± SD). Trait-anxiety levels were higher for women (42.55 ± 10.39 vs. 38.08 ± 12.25, P = 0.041). Patient education level did not influence the state-anxiety level but was inversely related to the trait-anxiety level. Knowledge of the diagnosis was clear for 91.7% of patients, of the surgery for 75.0%, and of anesthesia for 37.5%. Unfamiliarity with the surgical procedure raised state-anxiety levels (P = 0.021). A lower state-anxiety level was found among patients who did not know the diagnosis but knew about the surgery (P = 0.038).CONCLUSIONS: Increased knowledge of patients regarding the surgery they are about to undergo may reduce their state-anxiety levels.

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Section: Discussionmentioning

confidence: 99%

Surgery information reduces anxiety in the pre-operative period

et al. 2004

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“…There are few PAC's on the continent and only one in Eastern Africa and as such there is a scarcity of studies on preoperative anxiety from the African continent and modes of managing this problem are primarily drawn from western practices. Anxiety was described in 2 forms by Spielberger et al 12 …”

Section: Introductionmentioning

confidence: 99%

“…STAI has been found to have positive correlations with other scoring systems, namely Multiple Affect Adjective Checklist(MACCL) , Edwards Personal Preference Scale(EPPS), Minnesota Multiphasic personality Inventory, Cornell Medical Index and Army Beta Intelligence Test. 12 There is little evidence in the current literature suggesting the best timing of a preanaesthesia review. An observational study by Pollard et al done to investigate if there is a difference in cancellation rates between a preoperative evaluation done a day before surgery and a preoperative evaluation done 2 to 30 days prior to surgery concluded that there was no difference in cancellation rates between the two groups.…”

mentioning

confidence: 99%

The effect of a preanaesthesia clinic consultation on adult patient anxiety at a tertiary hospital in Kenya: a cohort study

Kamau¹,

Mung’ayi²,

Yonga³

2017

Afr H. Sci.

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Background: Preoperative anxiety is a common perioperative complication seen in approximately 11-80% of adults undergoing surgery. One of the goals of the preanaesthesia clinic is to allay anxiety. A preanaesthesia clinic evaluation has been shown to reduce anxiety however current studies on anxiety and the preanaesthesia clinic have not quantified this reduction. Objective: To determine the reduction in anxiety in patients evaluated in the clinic versus those evaluated in the ward. Methods: Fifty one adult patients with 28 patients in anaesthesia clinic (AC) group and 23 in the ward (W) group were sequentially recruited from both the surgical, gynaecology and antenatal outpatient clinics and the wards. The patient's State Trait Anxiety Index (STAI) was taken once the patient was booked for theatre. The patients then had a preanaesthesia evaluation either in the preanaesthesia outpatient clinic (PAC) or in the wards. Another STAI score was taken in the preoperative area in theatre on the day of surgery. The difference in the change of STAI scores in both groups was then analysed. Results: Fifty one adult patients were recruited with 28 in the AC group and 23 in the W group. The majority of patients were female (n=38). Statistically significant difference was seen in the reduction of the anxiety scores between the clinic group 2.143 (C.I=1.384-2.902) and ward group 0.74(C.I=0.17-1.31) with a p value=0.0051.There was also significant difference in reduction in anxiety scores within ward group in the patients with no prior anaesthetic experience having a greater reduction than those with prior anaesthetic experience. There were no other significant differences between the two groups. Conclusion: Patients evaluated in the anaesthesia clinic had a greater reduction in their anxiety but it was not as much as hypothesised which may be due to the multi-factorial nature of preoperative anxiety. A larger multicenter study is recommended to increase generalizability to the population.

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“…It is often accompanied by restlessness, fatigue, problems in concentration, and muscular tension. Perioperative anxiety is described as a vague, uneasy feeling, the source of which is often nonspecific and unknown to the individual [1] but known to cause abnormal hemodynamics as a consequence of sympathetic, parasympathetic and endocrine stimulation. Perioperative period is one of the stressful events in their lifetime.…”

Section: Introductionmentioning

confidence: 99%

Perioperative Anxiety

2015

J Clin Trials Pat

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Anesthetic assessment in an outpatient consultation clinic reduces preoperative anxiety

Cited by 93 publications

References 27 publications

Surgery information reduces anxiety in the pre-operative period

Surgery information reduces anxiety in the pre-operative period

The effect of a preanaesthesia clinic consultation on adult patient anxiety at a tertiary hospital in Kenya: a cohort study

Perioperative Anxiety

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