Preoperative Stress: An Operating Room Nurse Intervention Assessment

Gürsoy, Ayla; Candaş, Bahar; Güner, Şirin; Yilmaz, Serpil

doi:10.1016/j.jopan.2015.08.011

Cited by 44 publications

(44 citation statements)

References 18 publications

(27 reference statements)

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“…In general, 10%-30% of the population seeking healthcare present with anxiety. [1] The World Health Organization (WHO) estimated that the total global volume of surgeries in 2012 was 312.9 million. [2] In Rwanda, 2,758 surgeries were performed in 2011 during a six-month period at one hospital.…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

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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“…Em outro estudo de uma série de pesquisas de casos de pacientes em pré-operatório, realizado através de entrevista semiestruturada, os principais sinais e sintomas de ansiedade pré-operatórios foram os de apreensão, medo, preocupação e nervosismo, sintomas psicológicos (5) . adesão do paciente ao plano terapêutico, favorecer um bom prognóstico para cirurgia e oferecer assistência de enfermagem de qualidade (17)(18)(19) .…”

Section: Discussionunclassified

Avaliação Do Estado De Ansiedade Pré-Operatória Em Pacientes Cirúrgicos Hospitalizados

Melchior¹,

Barreto²,

Alencar³

et al. 2018

Rev. Enf. UFJF

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Objetivo: Identificar e avaliar a presença de principais sinais e sintomas de ansiedade segundo a escala de Hamilton em pacientes hospitalizados no pré-operatório de cirurgia eletiva. Método: Estudo transversal, quantitativo,descritivo. Amostra composta por 200 pacientes. Aplicado questionário semi-estruturado e escala de Hamilton. Resultados: A ansiedade foi detectada em 53,0% dos pacientes. Os principais sinais e sintomas encontrados foram relacionados ao estado psicológico, humor ansioso, tensão e insônia. Em relação à sintomatologia por sexo, prevaleceram no sexo feminino os relacionados ao estado psicológico e no sexo masculino o físico da ansiedade. Conclusão: A maioria dos pacientes que aguardavam cirurgia se apresentaram ansiosos e tiveram sinais e sintomas que repercurtiram no seu bem-estar e induziram a um sofrimento psicobiológico.

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“…Moreover, patients who exhibit high levels of anxiety regarding anesthesia prior to surgery tend to distrust the medical personnel who administer the anesthesia [9] and show low levels of compliance during anesthesia induction [5]. Additionally, preoperative stress associated with anesthesia could stimulate the sympathetic nervous system to upregulate secretion of norepinephrine and epinephrine, as well as increase other physiological responses such as cardiac output, blood sugar level, blood pressure, bronchial dilation, contraction of the peripheral vessels, and muscle tension, leading to complications during surgery or postoperative recovery [10].…”

Section: Introductionmentioning

confidence: 99%

“…The efficacy of nursing interventions during administration of anesthesia depends on the dynamic, personal, and therapeutic relationship formed between the patient and the nurse during a brief meeting at the time of induction of anesthesia [8,11]. It is imperative that nurses not only safely administer anesthesia and maintain a deep sleep state in patients until the completion of surgery, but also ensure that the patients fully understand the implications of anesthesia and safely surrender to anesthesia induction [10,11]. In general, surrender can be defined as a psychological state that allows an individual to entrust their safety to another person without insecurity.…”

Section: Introductionmentioning

confidence: 99%

Validity and Reliability of the Korean Anesthesia Surrendering Instrument

Lee

Han

Kang

2020

Preprint

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Background : In Korea, to reduce patients’ anxiety regarding anesthesia induction and to increase compliance, the nurses need a measurement for understanding of anesthesia surrendering. This study examined the reliability and validity of the Korean version of the anesthesia surrendering instrument (ASI), which was originally developed to measure anesthesia surrendering in Swedish adults. Methods: The study population consisted of 306 patients who received general anesthesia for abdominal, breast, knee, hip, lower back, or shoulder surgery in ten hospitals across five regions of Korea, from June to September 2019. We assessed the validity of the content, construct, and criterion used, as well as the reliability of the ASI. Results: The results showed that the instrument had appropriate content validity with the item-level content validity index ranging between 0.80 and 1.00 and a scale-level content validity index of 0.90. The construct validity test results showed that it comprised four sub-categories with a total of 26 items, and the internal consistency reliability tests showed Cronbach’s alpha values ranging between 0.71 and 0.88. In summary, the results confirmed that the Korean ASI had adequate reliability and validity. Conclusion: The study findings confirmed the applicability of this instrument for measuring anesthesia surrendering in Korean adults. Moreover, these results may be used in future studies on anesthesia surrendering in Korean adult patients.

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Preoperative Stress: An Operating Room Nurse Intervention Assessment

Cited by 44 publications

References 18 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

Avaliação Do Estado De Ansiedade Pré-Operatória Em Pacientes Cirúrgicos Hospitalizados

Validity and Reliability of the Korean Anesthesia Surrendering Instrument

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