Comparison of the effectiveness of two different interventions to reduce preoperative anxiety: A randomized controlled study

Ertuğ, Nurcan; Ulusoylu, Özge; Bal, A. S.; Özgür, Hazal

doi:10.1111/nhs.12339

Cited by 21 publications

(38 citation statements)

References 38 publications

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“…The findings of this study demonstrated that Benson's relaxation method reduces preoperative trait anxiety in patients undergoing cataract surgery. These results are consistent with those reported by other researchers (5,12).…”

Section: Discussionsupporting

confidence: 94%

Effect of Benson’s Relaxation Technique on Propofol Consumption and Preoperative Anxiety of Patients Undergoing Cataract Surgery

et al. 2020

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Background: Benson’s relaxation (BR) technique is a suitable non-pharmacological approach to reduce preoperative anxiety (PA). Objectives: This study aimed to investigate the effect of BR therapy on PA and the induction and maintenance dose of propofol during cataract surgery (CS). Methods: Seventy-two patients were randomly divided into two experiments or BR and control groups. The Amsterdam and Spielberger State-Trait Anxiety inventory (STAI) scores were used to assess PA directly two days and a half-hour before the CS. The control group did not receive any preoperation intervention or relaxation. Benson’s relaxation method was performed three times, each time for 20 minutes, including two days before surgery, a night before surgery, and an hour before the surgery in the presence of a researcher by an audio file. The induction and maintenance dose of anesthetic drug was recorded and compared between the two groups. Results: The mean propofol consumption was significantly reduced during the induction of anesthesia in the intervention group compared to the control group (0.99 ± 0.29 versus 1.29 ± 0.49; P = 0.005) as well as the maintenance of anesthesia (84.66 ± 17.98 versus 108.33 ± 34.38, P = 0.001). The results of the post-intervention Amsterdam anxiety score showed a significant decrease in the intervention group compared to the control group (P = 0.032, F = 9.61, Eta2 = 0.12). The control group showed a higher Spielberger state score compared to the intervention group as well as the Spielberger trait (P < 0.001, F = 14.78, Eta2 = 0.18). Conclusions: The BR method effectively reduces the level of PA in patients undergoing CS. Moreover, it reduces the need for anesthetic drug, propofol, during surgery.

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Section: Discussionsupporting

confidence: 94%

Effect of Benson’s Relaxation Technique on Propofol Consumption and Preoperative Anxiety of Patients Undergoing Cataract Surgery

et al. 2020

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“…Prevention of anxiety, both from the patient and caregivers' perspective, was the most common primary outcome of interest, accounting for over a fifth of studies (n=20, 23%). 32,37,38,49,53,54,57,58,59,63,70,71,79,81,91,93,94,103,105,108 Prevention of anxiety was a secondary outcome of interest in a further nine (10%) studies. 22,23,25,47,50,55,69,73,80 Of the studies including anxiety prevention as the primary outcome, nine studies (47%) were focused on adult patients; 32,38,53,57,59,71,81,94,105 nine were focused on pediatric patients, 37,49,54,63,79,91,93,103,108 (with four of these also including caregivers as a sub-population, …”

Section: Prevention Of Caregiver and Patient Anxietymentioning

confidence: 99%

“…22,23,25,47,50,55,69,73,80 Of the studies including anxiety prevention as the primary outcome, nine studies (47%) were focused on adult patients; 32,38,53,57,59,71,81,94,105 nine were focused on pediatric patients, 37,49,54,63,79,91,93,103,108 (with four of these also including caregivers as a sub-population, 37,49,54,108 and another focused on adolescents 37 ); one study concentrated solely on caregiver (parent) anxiety. 70 The interventions of interest included music; 32,58,59,71,103 education (including videos); 37,70,81,94 visiting preoperative facilities; 54 play; 79,91,93,108 relaxation and sounds from nature; 57 aromatherapy; 53 photographic displays;…”

Section: Prevention Of Caregiver and Patient Anxietymentioning

confidence: 99%

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

Munday¹,

Higgins²,

Mathew³

et al. 2020

JMDH

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Purpose: Nurses provide care at each phase of the complex, perioperative pathway and are well placed to identify areas of care requiring investigation in randomized controlled trials. Yet, currently, the scope of nurse-led randomized controlled trials conducted within the perioperative setting are unknown. This scoping review aims to identify areas of perioperative care in which nurse-led randomized controlled trials have been conducted, to identify issues impacting upon the quality of these trials and identify gaps for future investigation. Methods: This scoping review was conducted in reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Searches were conducted in PubMed, Embase, Cumulative Index for Nursing and Allied Health Literature and the Cochrane Central Register of Controlled Trials, with a date range of 2014-19. Sources of unpublished literature included Open Grey, and ProQuest Dissertation and Theses, Clinical Trials.gov and the Australian and New Zealand Clinical Trials Registry. After title and abstract checking, full-text retrieval and data extraction, studies were appraised using the Joanna Briggs Institute Critical Appraisal Checklists for randomized controlled trials. Data were synthesized according to the main objectives. Key information was tabulated. Results: From the 86 included studies, key areas where nurses have led randomized controlled trials include patient or caregiver anxiety; postoperative pain relief; surgical site infection prevention: patient and caregiver knowledge; perioperative hypothermia prevention; postoperative nausea and vomiting; in addition to other diverse outcomes. Issues impacting upon quality (including poorly reported randomization), and gaps for future investigation (including a focus on vulnerable populations), are evident. Conclusion: Nurse-led randomized controlled trials in the perioperative setting have focused on key areas of perioperative care. Yet, opportunities exist for nurses to lead experimental research in other perioperative priority areas and within different populations that have been neglected, such as in the population of older adults undergoing surgery.

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“…Authors suggested future studies to combine music intervention with other nonpharmacologic methods considered apt to decrease sympathetic and increase parasympathetic nervous system activity. Ertuğ, N., Ulusoylu, Ö, Bal, A., & Özgür, H. (2017)…”

Section: Appendix A-3 Appendix A-4mentioning

confidence: 99%

“…Limitation: anesthetic drugs influence HRV values. Author Ertuğ, N., Ulusoylu, Ö, Bal, A., & Özgür, H. (2017).…”

Section: Appendix A-3 Appendix A-4mentioning

confidence: 99%

Music Therapy for Preoperative Anxiety in Surgical Patients: An Integrative Review

Deuel¹

2018

Preprint

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This integrative review compared the use of music interventions on the effects of preoperative anxiety in surgical patients. Preoperative anxiety can have detrimental effects such as increased blood pressure, increased heart rate, increased cortisol levels, increased infection risk, and delayed wound healing. Anesthetic complications include autonomic fluctuations, increased anesthetic requirements, tightening of the jaw, and possible coughing on induction of anesthesia. A search was completed using electronic databases including CINAHL, PubMed, and Medline. The PRISMA flowchart was utilized to identify research that was included and excluded in the review, with a final total of 10 studies. Studies were critically appraised using Polit and Beck's analysis tables and illustrated in individual tables identifying key aspects of the study. Outcomes included anxiety levels, vital signs, patient satisfaction including positive and negative emotions, length of procedure, and amount of medications used intraoperatively.Findings showed an overall decrease in anxiety levels when patients were exposed to some type of music intervention. Music interventions, including both live and prerecorded music, have been shown to have a positive impact on anxiety levels. Overall, this integrative review supported the use of music interventions as a safe, low-cost technique to help ease anxiety of patients awaiting surgery.

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Comparison of the effectiveness of two different interventions to reduce preoperative anxiety: A randomized controlled study

Cited by 21 publications

References 38 publications

Effect of Benson’s Relaxation Technique on Propofol Consumption and Preoperative Anxiety of Patients Undergoing Cataract Surgery

Effect of Benson’s Relaxation Technique on Propofol Consumption and Preoperative Anxiety of Patients Undergoing Cataract Surgery

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

Music Therapy for Preoperative Anxiety in Surgical Patients: An Integrative Review

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