Predictors of preoperative anxiety in surgical patients

Abstract

In clinical practice for diagnosis of anxiety it is very useful to know various predictors which increase the risk of preoperative anxiety in patients. The aim of the study is to identify which predictors (gender, age, type of surgery, type of anaesthesia, previous experience with surgery, time before surgery, and medical diagnosis) are significant predictors of preoperative anxiety.A total of 278 respondents with medical diagnoses requiring abdominal surgery, aged between 18 and 86 years (AM = 46.04; SD = 16.5) participated in the study. To assess anxiety in the patients we used the scale Anxiety Level-12 which was designed by modification of the measurement tool Anxiety Level from the Nursing Outcomes Classification (NOC) and had been validated in the conditions of the Slovak Republic. Anxiety assessment in the patients was carried out before their surgeries in various times (AM = 8 h; SD = 5; Mdn = 6.50). The research was approved by the Ethics Committee. The software SPSS 22.0, multiple linear regression analysis, was used for the statistical data analysis.Gender, type of surgery, type of anaesthesia, and time before surgery are significant predictors of preoperative anxiety; previous experience with surgery, age, and medical diagnosis are non-significant predictors.Knowing the predictors of preoperative anxiety would help nurses identify atrisk patients, thus early implement effective intervention strategies to reduce it and ensure smooth surgery and postoperative period.

Assosiation between Serum Cortisol Levels and Anxiety levels In Elective and Emergency Cesarean Section

“…However, the anxiety increased significantly during skin suturing and then decreased significantly at 2 hours postoperatively. 5,6 Anxiety before surgery can lead to difficult venous access and an increased need for anesthetic drugs. Intraoperatively, anxiety can also cause hypertension, an increased heart rate that can increase the risk of bleeding.…”

“…3 research on anxiety before caesarean section by combining subjective (eg questionnaires) and objective (eg anxiety-related hormones) parameters. [4][5][6] Based on the reasons above, to anticipate the occurrence of anxiety and its adverse effects on the mother and fetus, this study was conducted to examine the relationship between serum cortisol levels in pregnant women and anxiety during elective cesarean sections and emergency cesarean sections. We hoped that the results of this study can be applied to detect anxiety earlier so we can prevent adverse effects on mothers and babies undergoing cesarean section.…”