Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia

Abstract

Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia. Cochrane Database of Systematic Reviews, Issue 5 . pp. 1-280. CD008646.

Component network meta-analysis identifies the most effective components of psychological preparation for adults undergoing surgery under general anesthesia

“…Length of stay was measured as the number of days a patient remained in hospital following surgery. Pain and negative affect were measured using a number of different standard scales across trials (details on which underlying scales were used in each study can be found elsewhere [9]). For these two outcomes results were synthesized as standardized mean differences (SMDs) using Hedges' g.…”

“…We have performed detailed further analyses of the data from a review on psychological preparation for adults undergoing surgery under general anesthesia [9], using CNMA methods to extend our understanding of the data and identify the most effective components for reducing length of stay, pain, and negative affect. The original Cochrane review identified that, on average, across all combinations of interventions evaluated, intervention was better than control for improving all three outcomes, but the effect of individual components was less clear given that the majority of the evidence-base concerned trials where these elements were delivered in combination.…”

“…In 2016, a meta-analysis published in the Cochrane Database of Systematic Reviews identified better postoperative outcomes for patients receiving psychological preparation before surgery [9]. The term ''psychological preparation'' refers to strategies designed to influence a person's thoughts, feelings, or actions.…”

Learning as a patient : What and how individuals want to learn when preparing for surgery, and the potential use of serious games in their education

“…52,53,56 However, there is a growing body of evidence indicating that patient education can improve knowledge, postoperative pain, satisfaction with care, healthcare utilisation, and can reduce anxiety and fear and support behaviour change. 4,[52][53][54][55]57,58 Promoting learning with appropriate methods…”

“…3 As part of the psychological preparation for surgery, patient education may be beneficial for surgical outcomes. 4 Patient education is an ethical, professional and, in some countries, a legal obligation of healthcare professionals. Their duty is to guarantee access to evidence--based, quality knowledge and know how to support the learning of patients.…”