Preoperative anxiety about spinal surgery under general anesthesia

Lee, Jung Hoon; Park, Young Jun; Ha, Kee-Yong; Cho, Sung-Wook; Bak, Geun-Hyeong; Kim, Ki-Won

doi:10.1007/s00586-015-3788-2

Cited by 43 publications

(32 citation statements)

References 35 publications

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“…A significant difference in anxiety was found between male and female patients; the level of anxiety among female patients was significantly greater than that of male patients ( p = .048). This result is similar to that of past studies (Bener et al, ; Lee et al, ). Sagheer et al () examined the correlation between anxiety and depression among 140 patients with LBP and found that anxiety ( p < .01) and depression ( p < .01) were significantly correlated with gender; however, no correlation was found between anxiety, depression and age ( p > .05).…”

Section: Discussionsupporting

confidence: 93%

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Hsu

Chang

Tung³

et al. 2019

Journal of Clinical Nursing

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Aim and objective To explore the disability, emotional distress and well‐being of patients with lumbar spondylolisthesis. Background Few studies have investigated the correlations between disability, emotional distress and well‐being of patients with lumbar spondylolisthesis. Design This study used a cross‐sectional research design. Methods Participants were 133 patients aged over 50 years who were experiencing lumbar spondylolisthesis. The research instruments included a demographic information questionnaire; the Numeric Rating Scale (NRS); the Charlson Comorbidity Index (CCI); the Chinese versions of the Oswestry Disability Index (ODI), State‐Trait Anxiety Inventory‐State (STAI‐S) and Center for Epidemiological Study‐Depression (CES‐D); and the Psychological Well‐being (PWB) Scale. Emotional distress was measured by the STAI‐S and CES‐D. Pearson's correlations coefficient, multiple linear regression and a mediating effect model were introduced to explore correlations between the variables and predictors of psychological well‐being, and details of the methods are reported in coherence to STROBE criteria. Results Eighty‐six participants (64.6%) had moderate and severe anxiety, and 42 (31.6%) experienced depression. Participants reported medium to high levels of well‐being; “satisfaction with interpersonal relationships” was rated the highest and “physical and mental health” the lowest. Disability, depression and anxiety had significant negative correlations with well‐being. Depression and anxiety mediated the relationship between disability and well‐being. Moreover, depression, family support, educational background and anxiety were predictors of well‐being, accounting for 39.1% of the total variance. Conclusions Disability and emotional distress among patients with lumbar spondylolisthesis had a negative impact on well‐being. Anxiety and depression were closely correlated with and substantially influenced well‐being. Relevance to clinical practice Health professionals will enhance the understanding of important factors influencing well‐being among patients with lumbar spondylolisthesis. This study suggests the conduct of depression and anxiety evaluations at outpatient clinics and prior to surgery, so that clinicians will be aware of the emotional distress status of patients with lumbar spondylolisthesis and, therefore, enhance their well‐being.

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Section: Discussionsupporting

confidence: 93%

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Hsu

Chang

Tung³

et al. 2019

Journal of Clinical Nursing

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“…A recently published study reported on the preoperative anxiety that patients experienced before spinal surgery under general anesthesia. 16 The authors stated that among the 157 patients they included for their study, spinal surgery was the main cause of the anxiety in 74%. General anesthesia was the main cause of anxiety for the other 26% of the patients awaiting laminectomy or discectomy.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes after percutaneous transforaminal endoscopic discectomy for lumbar disc herniation: a prospective case series

Gadjradj

Tulder²,

Dirven

et al. 2016

FOC

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OBJECTIVE Throughout the last decades, full-endoscopic techniques to treat lumbar disc herniation (LDH) have gained popularity in clinical practice. To date, however, no Class I evidence on the efficacy of percutaneous transforaminal endoscopic discectomy (PTED) has been published, and studies describing its safety and short- and long-term efficacy are scarce. In this study the authors aimed to evaluate the clinical outcomes and safety in patients undergoing PTED for LDH. METHODS Patients who underwent PTED for LDH between January 2009 and December 2012 were prospectively followed. The primary outcomes were the visual analog scale (VAS) score for leg pain and the score on the Quebec Back Pain Disability Scale (QBPDS). Secondary outcomes were the perceived experience with the local anesthesia used and satisfaction with the results after 1 year using Likert-type scales. The pretreatment means were compared with the means obtained 6 and 52 weeks after surgery using paired t-tests. RESULTS A total of 166 patients underwent surgery for a total of 167 LDHs. The mean duration of surgery (± SD) was 51.0 ± 9.0 minutes. The 1-year follow-up rate was 95.2%. The mean reported scores on the VAS and QBPDS were 82.5 ± 17.3 mm and 60.0 ± 18.4 at baseline, respectively. Six weeks after surgery, the scores on the VAS and QBPDS were significantly reduced to 28.8 ± 24.5 mm and 26.7 ± 20.6, respectively (p < 0.001). After 52 weeks of follow-up, the scores were further reduced compared with baseline scores (p < 0.001) to 19.6 ± 23.5 mm on the VAS and 20.2 ± 18.1 on the QBPDS. A total of 4 complications were observed, namely 1 dural tear, 1 deficit of ankle dorsiflexion, and 2 cases of transient paresis in the foot due to the use of local anesthetics. CONCLUSIONS PTED appears to be a safe and effective intervention for LDH and has similar clinical outcomes compared to conventional open microdiscectomy. High-quality randomized controlled trials are required to study the efficacy and cost-effectiveness of PTED.

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“…Median APAISa level in the acupuncture group, but not in the control group: 10 (6-13 [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]) to 7 (4-10 [4-18]), p < 0.001 vs. 9 (6-13 [4-18]) to 8.5 (6-12 [4-18]), p = 0.872, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Neurosurgical patients have a higher incidence of pre-operative anxiety than other surgical populations, with studies suggesting that over 87% of patients awaiting intracranial [8] or spinal [9] procedures suffer from anxiety. The administration of anxiolytic medication, such as benzodiazepines, has been the traditional method for reducing pre-operative anxiety.…”

Section: Introductionmentioning

confidence: 99%

A randomised controlled trial examining the effect of acupuncture at the EX-HN3 (Yintang) point on pre-operative anxiety levels in neurosurgical patients

et al. 2017

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Pre-operative anxiety is an unpleasant state of psychological distress that occurs in up to 87% of patients awaiting neurosurgical procedures. Sedative medication is undesirable in this population due to the need for early postoperative neurological assessment. Acupuncture has previously been shown to reduce pre-operative anxiety, but studies involving neurosurgical patients are lacking. This single-centre, prospective, randomised controlled trial was designed to determine the effect of acupuncture at the EX-HN3 (Yintang point) on pre-operative anxiety levels in neurosurgical patients. The study was prospectively registered before participant recruitment. After measuring baseline anxiety levels, 128 patients were randomly allocated in a 1:1 ratio by a web-based computer program to receive either acupuncture at the EX-HN3 (Yintang) point (acupuncture group) or no intervention (control group). Participants were not blinded, but all analyses were performed by a member of the research team who was unaware of the group allocation. The primary outcome measure was anxiety level after 30 min, as measured by the six-item short form of the State-Trait Anxiety Inventory (possible score range 20-80). Sixty-two patients in each group were subsequently analysed. Median (IQR [range]) anxiety State-Trait Anxiety Inventory score reduced significantly in the acupuncture group (46.7 (36.7-53.3 [23.3-70.0]) to 40.0 (30.0-46.7) [20.0-53.3]), p < 0.001), with no change seen in the control group (41.7 (33.3-53.3 [20.0-76.7]) to 43.3 (36.7-50.0 [20.0-76.7]), p = 0.829). There were no adverse events in either group. Acupuncture at the EX-HN3 point reduces pre-operative anxiety levels in patients awaiting neurosurgery.

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Preoperative anxiety about spinal surgery under general anesthesia

Abstract: Patients awaiting laminectomy or discectomy feared spinal surgery more than general anesthesia. This study also found that medical staff and surgeons play important roles in overcoming and reducing patient anxiety during the perioperative period.

Cited by 43 publications

References 35 publications

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Clinical outcomes after percutaneous transforaminal endoscopic discectomy for lumbar disc herniation: a prospective case series

A randomised controlled trial examining the effect of acupuncture at the EX-HN3 (Yintang) point on pre-operative anxiety levels in neurosurgical patients

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