The Impact of Preoperative Patient Anxiety on Postoperative Anxiety and Quality of Recovery After Orthopaedic Surgery

Andersson, Viktor; Bergstrand, Josefine; Engström, Åsa; Gustafsson, Silje

doi:10.1016/j.jopan.2019.11.008

Cited by 25 publications

(16 citation statements)

References 27 publications

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“…A 2020 study found that 48% of surgical patients are anxious before their surgery [ 5 ]. This anxiety will have an impact on both the flow of the surgery and the post-operative recovery process [ 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Preoperative Anxiety among Adult Patients Undergoing Elective Surgeries at a Tertiary Teaching Hospital: A Cross-Sectional Study during the Era of COVID-19 Vaccination

et al. 2022

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Anxiety in the perioperative period has significant impact on both the flow of surgery and the post-operative recovery process. The aim of this cross-sectional study is to determine the prevalence of preoperative anxiety among adult patients undergoing elective surgical procedures at a tertiary teaching hospital and the effect of COVID-19 and COVID-19 vaccines on preoperative anxiety. We used the Amsterdam Preoperative Anxiety and Information Scale (APAIS) to assess patients’ anxiety toward surgery and their need for more information. Patients with APAIS about anesthesia and surgery (APAIS-A-T) total score <10 were considered as the low preoperative anxiety group, while patients with APAIS-A-T ≥11 were considered as the high preoperative anxiety group. The overall APAIS-A-T score of the 794 included patients was 8.5 ± 4.5. The mean APAIS-A-T score was 7.0 ± 3.8 among males and 9.6 ± 4.6 among female patients (p < 0.001). The APAIS-A-T score for those who had previously underwent surgery under anesthesia was 8.3 ± 4.4, compared to 9.5 ± 4.8 for those who had not (p = 0.002). No significant difference was found between those with a previous history of COVID-19 and those without (p = 0.105), nor between those who were vaccinated and those who were not (p = 0.550). Sixty-four (26.8%) highly anxious patients were afraid of becoming infected with COVID-19 during their hospital stay (p = 0.009). This fear of COVID-19 in-hospital transmission made 19 (7.9%) highly anxious patients and 36 (4.5%) of the total sample hesitant to undergo this surgery (p = 0.002). In conclusion, this study demonstrated that 30.1% of patients had high preoperative anxiety, with fear of pain after surgery being the most common factor related to anxiety on the day of surgery. Controlling the spread of COVID-19 can play a crucial role in decreasing preoperative anxiety during this pandemic.

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Section: Introductionmentioning

confidence: 99%

Preoperative Anxiety among Adult Patients Undergoing Elective Surgeries at a Tertiary Teaching Hospital: A Cross-Sectional Study during the Era of COVID-19 Vaccination

et al. 2022

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“…Preoperative anxiety predominates in patients before surgery [8][9][10]. Patients feel nervous and stressed before surgery because they have negative thoughts about the postoperative process and hospitalization.…”

Section: Discussionmentioning

confidence: 99%

“…Patients feel nervous and stressed before surgery because they have negative thoughts about the postoperative process and hospitalization. Fears such as possible postoperative complications, pain, bleeding, dependency on others can increase patients' anxiety [7][8][9][10]. There are studies reporting that preoperative anxiety negatively affects patients both psychologically and physiologically [18][19][20][21][22].…”

Section: Discussionmentioning

confidence: 99%

“…Anxiety is one of the most serious problems faced by patients before surgery [7][8][9][10]. Although there are various definitions for anxiety in the literature, it is generally defined as "the body's physiological/psychological responses to a perceived threat and unwanted emotional experience in which feelings such as fear, tension, and anxiety are experienced following a traumatic event" [11].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Preoperative Anxiety on Postoperative Symptoms in Patients Without a History of Anxiety Scheduled for Coronary Artery Bypass Grafting

Işık

Emir

2022

Galician med. j.

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The aim of this study was to measure the level of preoperative anxiety in patients scheduled for coronary artery bypass grafting (CABG) to assess the relationship between anxiety and postoperative symptoms. Materials and Methods. This descriptive study was conducted at a single university hospital from February to November 2021. Seventy-four CABG patients who completed the Anxiety Specific to Surgery Questionnaire, the Visual Analogue Scale, the Modified Borg Scale, the Rhodes Index of Nausea, Vomiting and Retching were included in the study. The data were analyzed by the mean, standard deviation, frequency distribution, Mann-Whitney U Test, and Spearman’s correlation analysis. Results. The average age of participants was 65.55 ± 8.35; 66.2% of them were males. The ASSQ total scores of female participants were significantly higher as compared to male participants (p < 0.05). There was a statistically significant positive relationship between the levels of anxiety in patients before CABG and the levels of postoperative pain and dyspnea severity (p < 0.05). Conclusions. Patients were found to experience predominantly moderate to severe anxiety before CABG, and increased dyspnea complaints and pain in the postoperative period. A coordinated, multidisciplinary approach to preoperative training of healthcare professionals may offer a promising way to provide more efficient and productive services.

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“…This coincides with several studies which stated that high level of preoperative anxiety was significantly correlated with poor post-anesthesia recovery. Anxiety is strongly linked with postoperative physical pain and dependence, slower recovery (Andersson et al, 2020;Turksal et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Surgical-associated anxiety and postoperative anesthesia recovery among elderly patients subjected to laparoscopic abdominal surgeries: The impact of educationalbased intervention

Khalil

Sorour

Shaala

et al. 2021

Egyptian Journal of Health Care

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Background: Considerable number of elderly patients still experience preoperative anxiety and poor postoperative anesthesia recovery, despite magnitude advances in laparoscopic management and improved anesthetic techniques, resulted from many improper connotations such as the complexity of anesthesia and surgery, fear of experiencing pain, physiologic response, patient unique characteristics, or being improperly informed. To date, anxiety and recovery in an elderly population undergoing laparoscopic abdominal surgeries have received very little attention and interventional studies with a structured preoperative teaching program addressing such variables are so limited. Teaching elderly patients the appropriate modification of activities and effective use of anxiety-reduction techniques all impact favorably upon their recovery outcome. Thus, the focus of this study is to evaluate the impact of laparoscopic surgery and anesthesia-related educational program on preoperative-associated anxiety and postoperative quality of anesthesia recovery for elderly patients subjected to laparoscopic abdominal surgeries. Methodology: A randomized pretest-posttest and follow-up control group research design was utilized, in two specialized laparoscopic abdominal surgical departments affiliated to Alexandria Main University Hospital, between the first of January to the end of August 2020. We interviewed 86 elderly patients scheduled for elective laparoscopic abdominal surgeries divided randomly into control and intervention groups, for investigating the following study variables: (1) preoperative anxiety (using State-Trait Anxiety Inventory on primary admission and the 2 nd day of admission just before surgery), and (2) postoperative quality of anesthesia recovery (using Quality of Recovery Score-15 in the initial 24-hours post-surgery, before discharge, and on the 7th day follow-up schedule). The proposed Arabic-version instructional program was introduced to the intervention group, then a comparison of the means between the predetermined groups was performed. Results: Degree of anxiety for the intervention group following the instruction scheme proved to be significantly lowered than those in routine hospital care group. The program conduction confirmed to have a statistically significant effect on the intervention group's recovery outcome than those in the parallel group including an amelioration in pain, physical discomfort, physical independence, as well as emotional dimensions, as evidenced by the marked percent improvement through the whole application periods. Conclusion: Preoperative engagement in the interventional informative sessions offers benefits to diminish the level of anxiety through gained knowledge and application of anxiety-relief manipulations in the subjected group. Through practiced skills of discharge self-management, quality of anesthesia recovery proved to be better than those in the control group with a statistically significant discrepancy between them. Recommendations: The pursuit of anxiety and recove...

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The Impact of Preoperative Patient Anxiety on Postoperative Anxiety and Quality of Recovery After Orthopaedic Surgery

Cited by 25 publications

References 27 publications

Preoperative Anxiety among Adult Patients Undergoing Elective Surgeries at a Tertiary Teaching Hospital: A Cross-Sectional Study during the Era of COVID-19 Vaccination

Preoperative Anxiety among Adult Patients Undergoing Elective Surgeries at a Tertiary Teaching Hospital: A Cross-Sectional Study during the Era of COVID-19 Vaccination

The Effect of Preoperative Anxiety on Postoperative Symptoms in Patients Without a History of Anxiety Scheduled for Coronary Artery Bypass Grafting

Surgical-associated anxiety and postoperative anesthesia recovery among elderly patients subjected to laparoscopic abdominal surgeries: The impact of educationalbased intervention

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