Preoperative anxiety and its associated factors among patients undergoing cardiac catheterization at saint peter Specialized Hospital and Addis Cardiac Center, Addis Ababa, Ethiopia

Arfasa, Neway; Kassa, Rahel Nega; Legesse, Tesfaye Girma

doi:10.1016/j.ijans.2022.100430

Cited by 5 publications

(4 citation statements)

References 23 publications

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“…The phenomenon of preoperative anxiety among individuals awaiting surgical procedures has been recognized as a critical concern within the medical community, attributable to its association with negative surgical outcomes such as increased risk of bleeding, heightened pain perception, and elevated morbidity and mortality rates (1). Annually, the global medical field undertakes approximately 243.2 million major surgeries, with reports indicating that between 60% to 80% of these patients experience varying degrees of preoperative anxiety (2,3). This condition is marked by a spectrum of psychological and physiological manifestations, ranging from elevated tension and worry to more tangible symptoms such as increased blood pressure, nervousness, irritability, feelings of isolation, nausea, excessive sweating, breathlessness, accelerated heartbeat, and cognitive impairments (4,5).…”

Section: Introductionmentioning

confidence: 99%

Frequency Of Anxiety in Pre-Operative Surgical Patients in the Tertiary Care Hospitals, Karachi

Parveen,

Khan,

Waseem

et al. 2024

JHRR

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Background: Preoperative anxiety significantly impacts patient outcomes and healthcare delivery, with varying degrees of prevalence reported globally. Understanding and managing this anxiety are crucial for improving surgical experiences and patient recovery. This study focuses on tertiary care hospitals in Karachi, aiming to elucidate the frequency and determinants of preoperative anxiety among elective surgery patients. Objective: To ascertain the prevalence of preoperative anxiety among patients awaiting elective surgeries in various surgical units of tertiary care hospitals in Karachi and to identify significant contributing factors. Methods: In a prospective cross-sectional design, 400 patients scheduled for elective surgeries across six surgical units were assessed using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). SPSS version 24 facilitated the analysis, focusing on global anxiety prevalence and its associations with demographic and clinical variables. Results: The study revealed a 62.0% prevalence of preoperative global anxiety. The APAIS scores indicated higher anxiety related to the surgery (mean = 7.27 ± 2.31) compared to anesthesia (mean = 5.14 ± 2.35). Significant associations were found between anxiety levels and age groups (p=0.002), surgical procedures (p<0.001), and type of anesthesia (p<0.001). ENT and urology patients exhibited notably higher anxiety, at 75.0% and 68.0% respectively. Multivariate analysis demonstrated a significant impact of gender on preoperative anxiety, with females showing increased vulnerability [aOR 1.91 (95% CI 1.13-3.21); p=0.015]. Conclusion: Preoperative anxiety remains a prevalent concern, with female patients exhibiting higher levels of anxiety than their male counterparts. The findings advocate for targeted counseling and informational support for patients, especially females, prior to surgery and anesthesia consultations, underscoring the need for healthcare professionals to address and mitigate preoperative anxiety effectively.

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Section: Introductionmentioning

confidence: 99%

Frequency Of Anxiety in Pre-Operative Surgical Patients in the Tertiary Care Hospitals, Karachi

Parveen,

Khan,

Waseem

et al. 2024

JHRR

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“…In this sense, diagnostic exams such as cardiac catheterization are performed to verify the structure and functioning of the coronary arteries and cardiac muscle [ 2 ], and can generate anxiety in clients due to fear of pain, the nature of the invasive procedure and possible negative prognosis [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Music to relieve pain and anxiety in cardiac catheterization: A systematic review and meta-analysis

Santos,

Dantas,

Fernandes

et al. 2024

Heliyon

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“…According to a meta-analysis, preoperative anxiety was present in 48% of surgical patients globally [ 8 ], with low and middle-income countries(LMICs) accounting for 55.7% of these cases [ 9 ]. In Ethiopia, the prevalence of anxiety among surgical patients ranges between 47% and 70% [ 10 , 11 ]. On the other hand, manifestations of anxiety symptoms among patients with chronic medical illnesses like cancer, HIV/AIDS, hypertension, diabetes mellitus, and kidney disease range between 28.5% and 64.9% [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Anxiety and associated factors among medical and surgical patients in Ethiopia: A systematic review and meta-analysis

Rtbey,

Mihertabe,

Andualem

et al. 2024

PLoS ONE

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Background Individuals diagnosed with chronic medical conditions and patients appointed to undergo surgery face various degrees of anxiety as a result of doubts related to the outcome of surgery, and the psycho-socioeconomic costs of the medical illness. This can affect the treatment process and even the outcome of patients with medical and surgical cases. Though different studies were conducted on anxiety and associated factors among medical and surgical patients in Ethiopia, the findings were found to be inconsistent and had a wide discrepancy. So, this systematic review and meta-analysis estimated the pooled effect size of anxiety among this population and guides to plan appropriate intervention at a national level. Methods Studies conducted on anxiety and associated factors among medical and surgical patients in Ethiopia were included. Data was extracted using Microsoft Excel and analyzed using STATA version 11. The random-effects model was used to estimate the pooled effect size of anxiety and its determinants with 95% confidence intervals. Funnel plots and Egger’s regression tests were employed to check publication bias. Sub-group and sensitivity analyses were also conducted. Results The pooled prevalence of anxiety among medical and surgical patients in Ethiopia was found to be 48.82% with a 95% CI (42.66, 54.99). Being female[OR = 2.84(2.02, 4.01)], fear of death [OR = 2.93(1.57, 5.50)], and history of surgery[OR = 0.42(0.27, 0.065)], among surgical patients and being female[OR = 2.35(1.94, 2.850], having poor social support[OR = 2.22(1.62, 3.05)], perceived stigma[OR = 4.25(1.97, 9.18)] and family history of mental illness[OR = 1.86(1.21, 2.86)] among medical patients were significantly associated with anxiety in this systematic review and meta-analysis. Conclusion and recommendation The pooled prevalence of anxiety among medical and surgical patients in Ethiopia was found to be high. Therefore, it would be good for professionals to screen patients for anxiety besides managing their medical or surgical cases to detect them early and address them.

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Preoperative anxiety and its associated factors among patients undergoing cardiac catheterization at saint peter Specialized Hospital and Addis Cardiac Center, Addis Ababa, Ethiopia

Cited by 5 publications

References 23 publications

Frequency Of Anxiety in Pre-Operative Surgical Patients in the Tertiary Care Hospitals, Karachi

Frequency Of Anxiety in Pre-Operative Surgical Patients in the Tertiary Care Hospitals, Karachi

Music to relieve pain and anxiety in cardiac catheterization: A systematic review and meta-analysis

Anxiety and associated factors among medical and surgical patients in Ethiopia: A systematic review and meta-analysis

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