Impact of doctor-patient communication on preoperative anxiety: Study at industrial township, Pimpri, Pune

Nikumb, Vandana B; Banerjee, Amitav; Kaur, Gurleen; Chaudhury, Suprakash

doi:10.4103/0972-6748.57852

Cited by 19 publications

(16 citation statements)

References 12 publications

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“…11 In a study with 79 patients in India, the prevalence of pre-operative anxiety was 45.7%. 12 But in our study, the prevalence was 31% which is lower than these reported studies.…”

Section: Discussioncontrasting

confidence: 81%

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Pre-operative anxiety amongst patients in a tertiary care hospital in India- a prevalence study

Vadhanan

Tripaty

Balakrishnan

2017

J. Soc. Anesth. Nep.

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Background: The prospect of undergoing surgery under anaesthesia can induce significant anxiety in patients. Excess anxiety can lead to several deleterious effects like perioperative cardiac events, increased anaesthetic requirements, higher postoperative pain scores and prolonged hospital stay. Various factors can influence the anxiety levels during surgery. The aim of the study was to estimate the prevalence of anxiety in adult patients scheduled for surgery in a suburban teaching institute in India where the majority of patients belong to lower socioeconomic strata.Methods: One hundred consecutive patients scheduled for various elective surgeries were asked 6 questions according to the Amsterdam preoperative anxiety and information scale to assess their anxiety levels just before shifting into the Operating room. Probable contributing factors noted were age, sex, socioeconomic status, type of surgery, duration of hospital stay, and history of previous surgery. Any specific factors causing anxiety like failure or complications of surgery, recovery from anaesthesia, needle pricks were also asked with leading questions.Results: The overall prevalence of anxiety was 31%. The prevalence in male patients and female patients were 21.2% and 39.5% respectively. There was a moderate correlation between the anxiety scores and need to know scores. The effects of sex, previous surgery, the length of hospital stay were not significant upon the anxiety scores.Conclusion: The overall prevalence of anxiety in the southern part of India was lower when compared to many of the reported studies; however, the prevalence was higher among the female patients.

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“…11 In a study with 79 patients in India, the prevalence of pre-operative anxiety was 45.7%. 12 But in our study, the prevalence was 31% which is lower than these reported studies.…”

Section: Discussioncontrasting

confidence: 81%

“…11 Well-informed patients are less anxious. 12 Preoperative anxiety among adults is an under-reported problem in India and only a few studies have addressed the issue. 13 The Amsterdam preoperative anxiety and Information scale is a validated tool for measurement of anxiety.…”

Section: Introductionmentioning

confidence: 99%

Pre-operative anxiety amongst patients in a tertiary care hospital in India- a prevalence study

Vadhanan

Tripaty

Balakrishnan

2017

J. Soc. Anesth. Nep.

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“…Study done in Pimpri, India, teaching hospital indicated that patients who were well informed about the surgical procedure in advance had significantly less preoperative anxiety than those unaware of the procedure [ 33 ]. This is consistent finding with the present study.…”

Section: Discussionmentioning

confidence: 99%

Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital, South Western Ethiopia

2014

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BackgroundHospitalization and surgery are critical negative life events that lead to the experience of considerable anxiety in patients. Patients may perceive the day of surgery as the biggest and the most threatening day in their lives. There is paucity of information on predictors of anxiety in the current study area. The main objective of this study is to assess predictors of preoperative anxiety among patients scheduled for surgery in Jimma University Specialized Teaching Hospital.MethodsA facility based cross-sectional study was conducted using quantitative data collection technique in Jimma University Specialized Teaching Hospital from February 13 to April 13, 2012 on 239 patients scheduled for surgery. The data were collected by five trained diploma nurses using structured interviewer administered questionnaires that were prepared based on state trait anxiety inventory measurement scale. The quantitative data were entered into SPSS for windows version 16. 0 and descriptive, simple and multiple linear regression analyses were performed.ResultsA total of 239 patients were enrolled in the study with a response rate of 93.0%. Their mean age was 42.7 ± 1.8 years (range 16 to 85 years). Nearly over half 53.6% were females, while 48.1% illiterate, 72.4% Oromo and 56.5% were Muslim followers. Significant preoperative anxiety was seen in 70.3% patients. The most common factors that lead to anxiety were fear of death 38.1% and fear of unknown origin 24.3% and the most common strategy mentioned by patient in reducing anxiety were talking to other patient 79.8% and religious belief.ConclusionsIn the present study, two third 70.3% of preoperative patients had anxiety. Factors which were positively correlated with anxiety were trait anxiety, single and divorced, time of operation and income. Factors which were shown to reduce anxiety were preoperative anxiety related information provision and afternoon operation. Health professionals working in the hospital should provide anxiety related information for patients.

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“…[5] Anesthetic challenges on account of preoperative anxiety include difficult venous access, delayed jaw relaxation and coughing during induction of anesthesia, intraoperative autonomic fluctuations along with increased pain, and nausea and vomiting in the postoperative period. [67] There are also increased anesthetic requirement, prolonged recovery, and prolonged hospital stays.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Anxiety in Surgical Patients:An Observational Study

2019

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Context:Preoperative anxiety in surgical patients imposes stress and dissatisfaction. It results in altered neuroendocrine response and various perioperative complications.Aims:This study was conducted to determine the changes in anxiety level and need for information about the anesthetic and the surgical procedures at three different time points before surgery and evaluate the correlating factors.Settings and Design:A prospective observational study in a university hospital.Materials and Methods:Five hundred adults, American Society of Anesthesiologists Physical Status Class 1 and 2 patients were included in this study. Level of anxiety and need for information were assessed with the Amsterdam Preoperative Anxiety and Information Scale at three time points before the surgery: Evening before surgery in the ward (T1); on the day of surgery, in the preoperative holding area (T2); and in the operating room, after being positioned on the operating table (T3). T-test was applied to compare the mean between two groups, and the Chi-square test for independence of association between two categorical variables. Mann–Whitney–Wilcoxon test was applied to test the equality of distribution between two groups. Kruskal–Wallis test was applied for one-way analysis for comparing median score, and Friedman test was applied for two-way analysis of comparing score among three time points.Results:Total anxiety score recorded was significantly different over the time period (P = 0.023), with an increasing trend over the time. Need for information did not change significantly over time period.Conclusions:Preoperative anxiety continues to increase from ward to operation table. The factors responsible are nonmodifiable.

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Impact of doctor-patient communication on preoperative anxiety: Study at industrial township, Pimpri, Pune

Cited by 19 publications

References 12 publications

Pre-operative anxiety amongst patients in a tertiary care hospital in India- a prevalence study

Pre-operative anxiety amongst patients in a tertiary care hospital in India- a prevalence study

Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital, South Western Ethiopia

Assessment of Anxiety in Surgical Patients:An Observational Study

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