Effects of showing the operating room on preoperative anxiety and hemodynamics among patients with hypertension: A randomized controlled trial

Yüzkat, Nureddin; Soyalp, Celaleddin; Turk, Omer; Keskin, Sıddık; Gülhaş, Nurçin

doi:10.1080/10641963.2020.1723619

Cited by 11 publications

(9 citation statements)

References 21 publications

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“…A large proportion of included studies were conducted within the United States, 30 , 36 , 43 , 45 , 46 , 48 , 50 , 51 , 56 , 58 , 59 , 63 with other studies originating in Iran, 34 , 61 India, 31 , 62 China, 38 , 60 Turkey, 39 , 44 the United Kingdom, 64 Germany, 41 , 55 Taiwan, 47 , 54 Hong Kong, 35 the Netherlands, 37 Denmark, 40 Canada, 29 Portugal, 52 Thailand, 49 Greece, 53 Australia, 42 and Italy. 57 Sample sizes ranged from 38 to 652 participants, aged 18 years and older, with an equal proportion of men and women, except for obstetric studies.…”

Section: Resultsmentioning

confidence: 99%

“…Six studies implemented in-person education only 37 , 39 , 41 , 52 , 61 , 62 and another five added paper resources to in-person education, 29 , 49 , 50 , 53 , 56 including brochures, booklets, and information cards, with one of these studies also including follow-up phone calls. 29 Only one study relied solely on a paper resource.…”

Section: Resultsmentioning

confidence: 99%

“… 29 Only one study relied solely on a paper resource. 55 In-person education was typically delivered by a healthcare provider, including nursing staff, 29 , 35 , 41 , 47 , 52 , 53 , 61 physicians (e.g., anesthesiologists, surgeons), 35 , 39 , 49 , 50 , 56 a physiotherapist, 37 and a music therapist. 63 Two studies used a patient-centered technique, 49 , 52 providing patients with the information necessary to participate in medical decision making.…”

Section: Resultsmentioning

confidence: 99%

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The Impact of Preoperative Patient Education on Postoperative Pain, Opioid Use, and Psychological Outcomes: A Narrative Review

Darville-Beneby,

Lomanowska,

et al. 2023

Canadian Journal of Pain

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Background Recent studies have shown that preoperative education can positively impact postoperative recovery, improving postoperative pain management and patient satisfaction. Gaps in preoperative education regarding postoperative pain and opioid use may lead to increased patient anxiety and persistent postoperative opioid use. Objectives The objective of this narrative review was to identify, examine, and summarize the available evidence on the use and effectiveness of preoperative educational interventions with respect to postoperative outcomes. Method The current narrative review focused on studies that assessed the impact of preoperative educational interventions on postoperative pain, opioid use, and psychological outcomes. The search strategy used concept blocks including “preoperative” AND “patient education” AND “elective surgery,” limited to the English language, humans, and adults, using the MEDLINE ALL database. Studies reporting on preoperative educational interventions that included postoperative outcomes were included. Studies reporting on enhanced recovery after surgery protocols were excluded. Results From a total of 761 retrieved articles, 721 were screened in full and 34 met criteria for inclusion. Of 12 studies that assessed the impact of preoperative educational interventions on postoperative pain, 5 reported a benefit for pain reduction. Eight studies examined postoperative opioid use, and all found a significant reduction in opioid consumption after preoperative education. Twenty-four studies reported on postoperative psychological outcomes, and 20 of these showed benefits of preoperative education, especially on postoperative anxiety. Conclusion Preoperative patient education interventions demonstrate promise for improving postoperative outcomes. Preoperative education programs should become a prerequisite and an available resource for all patients undergoing elective surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The Impact of Preoperative Patient Education on Postoperative Pain, Opioid Use, and Psychological Outcomes: A Narrative Review

Darville-Beneby,

Lomanowska,

et al. 2023

Canadian Journal of Pain

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“…Systolic (p = .001, p = .006, respectively); diastolic (p = .001, p = .004, respectively); and heart rate (p = .018, p = .031, respectively) values in the operation room and the preoperative unit were lower in the interventional group than in the noninterventional group. In fact, the number of postponed operations was also lower, recording better patient satisfaction scores in the interventional group [ 16 ]. Doering et al showed a videotape of a patient undergoing a total hip replacement surgery that covered the time period from hospital admission to discharge, strictly keeping the patient’s perspective in relation to the enrolled patients.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Controlled Trial to Assess the Efficacy of a Pre-operative Virtual Operation Theatre Tour on Anxiety and Patient Satisfaction in Adults Undergoing Elective Surgery

Kumar¹,

Yadav²,

Bangarwa³

et al. 2022

Cureus

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Background: The study objective involves the evaluation of preoperative audiovisual information on the operation theater environment as a tool to relieve anxiety in patients posted for infra umbilical elective surgery under spinal anesthesia. Perioperative anxiety is detrimental to both intraoperative hemodynamic instability and postoperative recovery.Material and methods: The design was a single-center, prospective, randomized control trial. There were 120 patients in this study within the 18-60-year-old age range who were American Society of Anaesthesiologists (ASA) class I-II admitted for infra-umbilical surgery excluding lower segment cesarean section (LSCS) under spinal anesthesia. Patients were randomized into two groups: those who were not exposed to an audiovisual tour (NA) (n = 60) and those who were exposed to an audiovisual tour (A) (n = 60). The measurements are based on the demographic details of the patient; the visual analogue score (VAS); and the Amsterdam Preoperative Anxiety and Information Scale (APAIS) for anxiety, hemodynamic parameters i.e., blood pressure (BP), heart rate (HR), respiratory rate (RR), and patient satisfaction score (PSS) on a five-point Likert scale were noted perioperatively for both the groups.Results: The main results showed a significant (p-value <0.05) decrease in VAS and APAIS for anxiety, HR, and PSS. This was observed during the intraoperative and postoperative periods in the A group in comparison to the NA group. Conclusion:The preoperative audiovisual virtual tour of the operation theater effectively reduces perioperative anxiety and stabilizes HR; it also improves the satisfaction of patients undergoing elective surgery under spinal anesthesia.

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“…12 Furthermore, preoperative administration of anxiolytic medications, such as midazolam, may reduce anxiety and prevent mildto-moderate preoperative increases in blood pressure. 13,14 In addition, Yuzkat et al 15 suggest that showing patients the operating room the day before surgery decreases preoperative anxiety, as well as lowering blood pressure and heart rate inside the operating room. Anesthesia management in patients with hypertension should be performed by considering the dysfunction of each organ, the use of current anti-hypertensive treatments, and the preoperative baseline blood pressure.…”

Section: Introductionmentioning

confidence: 99%

Effects of cranial electrotherapy stimulation on preoperative anxiety and blood pressure during anesthetic induction in patients with essential hypertension

Kang

Kim

et al. 2020

J Int Med Res

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Objective Cranial electrotherapy stimulation (CES) is a non-invasive treatment that improves symptoms such as anxiety and pain. The purpose of this study was to analyze the effect of CES pretreatment on levels of preoperative anxiety, pain, and hemodynamic responses—especially changes in blood pressure—during anesthetic induction in patients with essential hypertension. Methods Eighty patients undergoing general anesthesia were randomly assigned to receive either no pretreatment (control group, n = 40) or CES pretreatment (CES group, n = 40). Anxiety scores, systolic and diastolic blood pressures, mean arterial pressure, and heart rate were measured in the general ward the evening before surgery, as well as in the preoperative holding area, operating room, and after intubation. Withdrawal responses to rocuronium injection were also measured. Results Anxiety scores in the operating room were significantly lower in the CES group. Withdrawal responses to rocuronium injection were also significantly lower in the CES group. There were no significant differences in hemodynamic values between the two groups. Conclusions CES pretreatment reduces both preoperative anxiety levels and withdrawal responses to rocuronium injection. However, it does not have a significant effect on hemodynamic responses.

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Effects of showing the operating room on preoperative anxiety and hemodynamics among patients with hypertension: A randomized controlled trial

Cited by 11 publications

References 21 publications

The Impact of Preoperative Patient Education on Postoperative Pain, Opioid Use, and Psychological Outcomes: A Narrative Review

The Impact of Preoperative Patient Education on Postoperative Pain, Opioid Use, and Psychological Outcomes: A Narrative Review

A Randomized Controlled Trial to Assess the Efficacy of a Pre-operative Virtual Operation Theatre Tour on Anxiety and Patient Satisfaction in Adults Undergoing Elective Surgery

Effects of cranial electrotherapy stimulation on preoperative anxiety and blood pressure during anesthetic induction in patients with essential hypertension

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