Prediction of anxiety and depression in general surgery inpatients: A prospective cohort study of 200 consecutive patients

Başak, Fatih; Hasbahçeci, Mustafa; Guner, Sunay; Şişik, Abdullah; Acar, Aylin; Yücel, Metin; Kılıç, Ali; Baş, Gürhan

doi:10.1016/j.ijsu.2015.09.040

Cited by 40 publications

(41 citation statements)

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“…Consequently, the surgery might be the first and worst health situation that they have encountered. Contrary to this study, older patients in Iran, [15] and Turkey [16] had a higher anxiety level than younger patients, and a study in Ethiopia found no association between age and preoperative anxiety. [4] This vital factor implies that healthcare providers should focus on interventions to relieve preoperative anxiety for younger patients.…”

Section: Discussioncontrasting

confidence: 99%

“…[20] Furthermore, the surgery may involve excision of the traumatised body organ or insertion of an implant or immobilisation of the affected bone with external fixators. [11,16] Additionally, the healing process for patients with orthopaedic conditions could be extensive and may result in many complications including limited activities of daily living, impairment, and deformities. [11,16] This factor hints that patients who wait for orthopaedic surgery need more attention, such as more information about the surgical process and active listening, in order to decrease preoperative anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…[11,16] Additionally, the healing process for patients with orthopaedic conditions could be extensive and may result in many complications including limited activities of daily living, impairment, and deformities. [11,16] This factor hints that patients who wait for orthopaedic surgery need more attention, such as more information about the surgical process and active listening, in order to decrease preoperative anxiety. In contrast, other studies have found no statistical significance associated with preoperative anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…The Pre-operative Intrusive Thoughts Inventory (PITI) was an anxiety scale developed by Crockett, Gumley and Longmate (2007). [16] The scale was considered a valid and reliable tool with a Cronbach's Alpha score of 0.91. Permission was obtained from the author to use the instrument.…”

Section: Methodsmentioning

confidence: 99%

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Assessment of anxiety in patients awaiting surgery in a referral hospital in Rwanda

Ryamukuru¹,

Ndateba²,

Mukamana³

et al. 2019

Rwanda Journal of Medicine and Health Sciences

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BackgroundPreoperative anxiety is a common occurrence in patients awaiting surgery. Preoperative anxiety adversely affects anaesthesia and surgical process and increases the risk of postoperative complications. Level of anxiety in patients awaiting surgical procedures in Rwanda is not well known or documented. Objective To assess preoperative anxiety and associated factors of patients awaiting surgery at a teaching hospital in Kigali. Methods A cross-sectional study design was adopted. A convenience sampling method was used to recruit 151 adult patients, and the instrument entitled "Pre-operative Intrusive Thoughts Inventory (PITI)" anxiety scale was used to assess anxiety. Descriptive and inferential statistics were used to analyse data. ResultsNearly three quarters (72.8%) of participants had a high level of clinically significant preoperative anxiety. Patients awaiting orthopaedic surgery were 10 times more likely to have clinically significant pre-operative anxiety (OR 10.22; 95%; CI 1.144 -91.304; P= 0.037), whereas participants with impending Cesarean (OR: 0.03; 95% CI-0.002-0.568; P=0.018), and older participants had decreased pre-operative anxiety levels (OR: 0.22; 95% CI 0.075 -0.650; P=0.006). ConclusionPatients awaiting surgery had clinically significant pre-operative anxiety level (72.8%) associated with age, medical diagnosis and type of surgical intervention. A preoperative intervention incorporating individual characteristics is needed to reduce preoperative anxiety.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Assessment of anxiety in patients awaiting surgery in a referral hospital in Rwanda

Ryamukuru¹,

Ndateba²,

Mukamana³

et al. 2019

Rwanda Journal of Medicine and Health Sciences

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“…Personality type, depression status and anxiety of a patient affect his/her health condition [23][24][25]. Depression and anxiety may also affect patient satisfaction level and judgement in various ways [26]. In our study, we found some obscure data in survey at some point.…”

Section: Discussionmentioning

confidence: 57%

Evaluation of information, expectation and satisfaction in hospitalized patients; Observational survey study

Çalışkan¹,

Başak²

2019

Journal of Surgery and Medicine

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This is an open access article distributed under the terms of the CreativeCommons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. AbstractAim: Evaluating the satisfaction of hospitalized patients can be worth as much as the service quality provided. For the improvements to be made in this regard, satisfaction, knowledge and expectations should be determined. In this study we wanted to determine the current situation in a tertiary hospital. Methods: Survey-based observational study was planned. A two-stage questionnaire was developed for hospitalization and discharge, respectively. After the number of samples was determined, the patients who were treated for at least three days in the surgical clinic were taken to the study. In the analysis, descriptive statistics (number, percent), mean (standard deviation) for appropriate numerical data for normal distribution were used. Results: One-hundred-and-fifteen patients were included in the study and questionnaires were administered. The mean age of the patients was 43.2 (16.2), 44 were male and 71 were female. Education and monthly income were found to be low in most of the patients. The most important situation in choosing our hospital was found to be inadequate economic situation. Although 60% of patients do not admit that every procedure is a risk, only 35.7% of patients in any complication stated that they could trust their doctor. When the satisfaction of the hospital was questioned in the exit questionnaire, an average of 7.5 (2) out of 10 was found. Conclusion: It is necessary to increase the level of satisfaction, to question different dimensions of services, to give importance to patient demands, to question quality work of hospital employees, to determine difficulties and to reevaluate patient satisfaction at regular intervals. Öz Amaç: Hastanede yatarak tedavi gören hastaların memnuniyetini değerlendirmek, verilen hizmet kalitesi kadar değer kazanabilmektedir. Bu konuda yapılacak iyileştirmeler için öncelikle hastanelerin; memnuniyet, bilgi ve beklentilerin belirlenmesi gerekli görülmektedir. Bu çalışmada bir üçüncü basamak hastanedeki mevcut durumu belirlemek istedik. Yöntemler: Anket bazlı gözlemsel çalışma planlandı. Hastaneye yatış ve taburcu sırasında yapılmak üzere iki aşamalı anket oluşturuldu. Örneklem sayısı belirlendikten sonra cerrahi kliniğinde en az üç gün yatarak tedavi gören hastalar çalışmaya alındı. Analizde tanımlayıcı istatistikler (sayı, yüzde), normal dağılım için uygun sayısal verilerde ortalama (standart sapma) kullanılmıştır. Bulgular: 115 hasta çalışmaya alındı ve anketler uygulandı. Hastaların yaş ortalaması 43,2 (16,2), 44'ü erkek, 71'i kadındı. Eğitim ve aylık gelir hastaların çoğunda düşük bulundu. Hastanemizi seçmedeki en önemli durumun yetersiz ekonomik durum olduğu görüldü. Hastaların %60'ı her ameliyatın riski olduğunu ...

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Symptoms of anxiety and depression in surgical patients at the hospital, 6 weeks and 6 months postsurgery: A questionnaire study

et al. 2020

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Aims To describe prevalence of symptoms of anxiety and depression in surgical patients at three time points: at hospital postsurgery (T1), 6 weeks (T2) and 6 months (T3) postdischarge from hospital; and detect situations and experiences that predict symptoms of anxiety and depression at T2 and T3. Design Prospective, explorative two‐site follow‐up study. Methods Patients having selected surgeries from January–July 2016 were invited to participate. Final participation was 390 patients. Participation involved answering questionnaires, including the Hospital Anxiety and Depression Scale (HADS). A stepwise multiple linear regression model was employed to calculate predictors of anxiety and depression. Results The proportion of patients presenting with moderate‐to‐severe anxiety or depression ranged from 5.4%–20.2% at different times. Major predictors of anxiety at both times were not feeling rested upon awakening and higher scores on HADS‐Anxiety at T1 and T2 and at T2 also experiencing more distressing postoperative symptoms. For depression, the major predictors were at both times higher scores on HADS‐Depression at T2 and T3 and also at T2 not feeling rested upon awakening and at T3 reporting delayed or very delayed recovery. The four models explained from 43.9%–55.6% of the variance in symptoms of anxiety and depression. Our findings show that patients presenting with psychological distress at the hospital are in a vulnerable position. Also, that benefits of good sleep during the recovery should be emphasized during hospital stay.

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Prediction of anxiety and depression in general surgery inpatients: A prospective cohort study of 200 consecutive patients

Abstract: Healthcare providers should be aware of their patients' psychology and, therefore, it is recommended to consider predictive factors for anxiety and depression.

Cited by 40 publications

References 25 publications

Assessment of anxiety in patients awaiting surgery in a referral hospital in Rwanda

Assessment of anxiety in patients awaiting surgery in a referral hospital in Rwanda

Evaluation of information, expectation and satisfaction in hospitalized patients; Observational survey study

Symptoms of anxiety and depression in surgical patients at the hospital, 6 weeks and 6 months postsurgery: A questionnaire study

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