Preoperative Anxiety in Chinese Adult Patients Undergoing Elective Surgeries: A Multicenter Cross‐Sectional Study

Yu, Jiawen; Zhang, Yuelun; Tian, Yu; Mi, Weidong; Yao, Shanglong; Wang, Zhen; Li, Xu; Huang, Yuguang

doi:10.1007/s00268-022-06720-9

Cited by 9 publications

(8 citation statements)

References 47 publications

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“…In this study, having training was significantly associated with good preoperative patient education practices. These findings were consistent with the research done in Turkey, 6 China, 38 and Hong Kong. 35 This can be related to the increasing knowledge about the operation details and the specific perioperative care after attending the relevant surgical training courses; hence, they were much more eager and satisfied to use their newly equipped knowledge to teach and provide more preoperative information to patients.…”

Section: Discussionsupporting

confidence: 93%

Preoperative Patient Education Practices and Predictors Among Nurses Working in East Amhara Comprehensive Specialized Hospitals, Ethiopia, 2022

Tadesse¹,

Kumar²,

Girma³

et al. 2023

JMDH

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Background The time before surgery is a traumatic period for patients. Despite this fact, no research has been conducted on nurses’ preoperative patient education in Ethiopia. This study aimed to assess preoperative patient education practices and associated factors among nurses working in East Amhara comprehensive specialized hospitals, Ethiopia, 2022. Methods A hospital-based cross-sectional study was conducted with 416 nurses. Pretested, structured questionnaires were used to collect the data. Bivariable analysis was performed for each independent variable with a P-value < 0.25 on the data imported to multivariate logistic regression analysis. AOR with a 95% CI and a P-value < 0.05 at a 5% level of significance were considered. Results Only 38.5% of nurses were found to have good practices for preoperative patient education, with a response rate of 98%. Nurses with 6 years of work experience (AOR = 3.15, 95% CI: 1.692–5.874), adequate time (AOR = 2.33, 95% CI: 1.119–4.889), training (AOR = 4.27, 95% CI: 1.548–11.796), age 25–29 (AOR = 0.15, 95% CI: 0.070–0.331), age 30–34 (AOR = 0.25, 95% CI: 0.137–0.479), and knowledge (AOR = 3.73, 95% CI: 2.222–6.273) were significantly associated. Conclusion Preoperative patient education practices among nurses were poor. Work experience, knowledge, training, and adequate time were found to be significant. Organize preoperative patient education programs for nurses that share experiences and provide ongoing training.

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Section: Discussionsupporting

confidence: 93%

Preoperative Patient Education Practices and Predictors Among Nurses Working in East Amhara Comprehensive Specialized Hospitals, Ethiopia, 2022

Tadesse¹,

Kumar²,

Girma³

et al. 2023

JMDH

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“…Preoperative anxiety is not uncommon among patients undergoing elective surgery [ 35 ] and especially before cardiac surgery [ 36 ]. It is not rare to have concerns regarding the outcome and possible complications of an invasive procedure intended to treat a life-threatening condition such as AS.…”

Section: Discussionmentioning

confidence: 99%

Anxiety and depression in patients aged 80 years and older following aortic valve therapy. A six-month follow-up study

Eide,

Fridlund,

Hufthammer

et al. 2023

Aging Clin Exp Res

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Background Little is known about mental health following advanced cardiac procedures in the oldest patients. Aims To study changes in anxiety and depression from baseline to one- and six-month follow-up in older patients following transcatheter aortic valve implantation (TAVI) or surgical aortic valve replacement (SAVR). Methods Prospective cohort study of patients ≥ 80 years undergoing elective TAVI or SAVR in a tertiary university hospital. Anxiety and depression were assessed with the Hospital Anxiety and Depression Scale. Differences between TAVI/SAVR were analyzed using Welch’s t test or chi-squared. Changes over time and group differences were established with longitudinal models using generalized least squares. Results In 143 patients (83.5 ± 2.7 years), 46% (n = 65) received TAVI. Anxiety was identified in 11% of TAVI patients at baseline. One- and six-months later, percentages were 8% and 9%. In SAVR patients, 18% had baseline scores indicating anxiety. One and six-months later, percentages were 11% and 9%. Depression was identified in 15% of TAVI patients. One- and six-months later, percentages were 11% and 17%. At baseline, 11% of SAVR patients had scores indicating depression. One- and six-months after SAVR, percentages were 15% and 12%. Longitudinal analyses showed reductions (P < 0.001) in anxiety from baseline to one-month, and stable scores between one- and six-months for both treatment groups. There was no change over time for depression among treatment groups (P = 0.21). Discussion and conclusions SAVR or TAVI in patients ≥ 80 years was associated with anxiety reduction between baseline and follow-up. For depression, there was no evidence of change over time in either treatment group. Graphical abstract

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“…Surgical procedures are often associated with anxiety and stress . The incidence of preoperative anxiety varies widely, ranging from 11% in adult patients undergoing ear, nose, and throat surgical procedures to 80% in patients scheduled for neurosurgery . Although preoperative anxiety is considered a normal patient response, it can have negative physiological, emotional, and cognitive outcomes for patients .…”

Section: Introductionmentioning

confidence: 99%

“… 1 , 2 , 3 The incidence of preoperative anxiety varies widely, ranging from 11% in adult patients undergoing ear, nose, and throat surgical procedures to 80% in patients scheduled for neurosurgery. 4 , 5 Although preoperative anxiety is considered a normal patient response, it can have negative physiological, emotional, and cognitive outcomes for patients. 6 Preoperative anxiety can induce hypertension, increase heart rate and the risk of bleeding, 7 and affect surgical outcomes and patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality–Based Intervention to Reduce Preoperative Anxiety in Adults Undergoing Elective Surgery

Chiu,

Li,

Yap

et al. 2023

JAMA Netw Open

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IMPORTANCEPreoperative anxiety is common among adult patients undergoing elective surgery and is associated with negative outcomes. Virtual reality (VR)–based interventions have been considered simpler, safer, and more effective for reducing anxiety in patients undergoing surgery than conventional care.OBJECTIVETo examine the effectiveness of a VR-based intervention with preoperative education in reducing preoperative anxiety among adult patients undergoing elective surgery.DESIGN, SETTING, AND PARTICIPANTSAn assessor-blinded prospective randomized clinical trial was conducted to recruit adult patients aged 18 years or older who were scheduled for their first elective surgery procedure under general anesthesia within the next 2 to 4 weeks at a preanesthesia assessment clinic in Hong Kong from July to December 2022.INTERVENTIONSParticipants were randomly assigned to either an intervention group (an 8-minute immersive 360° VR video tour in the operating theater via a head-mounted display console) or a control group (standard care).MAIN OUTCOMES AND MEASURESThe primary outcome of preoperative anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (range, 6-30; higher scores indicate greater anxiety), and the secondary outcomes (ie, stress, preparedness, and pain) were assessed by Visual Analog Scale at 3 time points: baseline at beginning of clinical session (T0), at the end of the clinical session immediately after the intervention (T1), and before the surgery (T2). Pain, satisfaction levels, and postoperative length of stay were evaluated after the surgery (T3). Simulation sickness was assessed after the intervention by use of the Simulation Sickness Questionnaire. A generalized estimating equations model was applied to compare changes in outcomes over time.RESULTSA total of 74 participants (mean [SD] age, 46.34 [14.52] years; 38 men [51.4%] and 36 women [48.6%]) were recruited and randomized to the control group (37 participants) and intervention group (37 participants). Compared with the control group, the VR-based intervention group showed significantly decreased preoperative anxiety at T1 (β, −5.46; 95% CI, −7.60 to −3.32; P &lt; .001) and T2 (β, −5.57; 95% CI, −7.73 to −3.41; P &lt; .001), lower stress at T1 (β, −10.68; 95% CI, −16.00 to −5.36; P &lt; .001) and T2 (β, −5.16; 95% CI, −9.87 to −0.45; P = .03), and higher preparedness at T1 (β, 6.60; 95% CI, 0.97 to 12.19; P = .02). Satisfaction levels were significantly increased in the intervention group vs the control group (mean [SD] score, 81.35 [9.24] vs 65.28 [8.16]; difference, 16.07; 95% CI, 12.00 to 20.15; P &lt; .001). No significant differences in pain and postoperative length of stay were found.CONCLUSIONS AND RELEVANCEThe findings of this study suggest that a VR-based intervention is a feasible and effective way to reduce preoperative anxiety in adult patients undergoing elective surgery. Given the promising results of this study, further study in the form of large-scale, multicenter, randomized clinical trials with broader implementation is warranted.TRIAL REGISTRATIONChinese Clinical Trial Registry Identifier: ChiCTR2100051690

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Preoperative Anxiety in Chinese Adult Patients Undergoing Elective Surgeries: A Multicenter Cross‐Sectional Study

Cited by 9 publications

References 47 publications

Preoperative Patient Education Practices and Predictors Among Nurses Working in East Amhara Comprehensive Specialized Hospitals, Ethiopia, 2022

Preoperative Patient Education Practices and Predictors Among Nurses Working in East Amhara Comprehensive Specialized Hospitals, Ethiopia, 2022

Anxiety and depression in patients aged 80 years and older following aortic valve therapy. A six-month follow-up study

Virtual Reality–Based Intervention to Reduce Preoperative Anxiety in Adults Undergoing Elective Surgery

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