Preoperative Anxiety and Its Determinants Among Patients Scheduled for Major Surgery: A Hospital Based Study
International Journal of Anesthesia and Clinical Medicine
Volume 6, Issue 2, December 2018, Pages: 57-60
Received: Nov. 25, 2018;
Accepted: Jan. 3, 2019;
Published: Feb. 18, 2019
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Ramesh Ghimire, Department of Anesthesiology and Critical Care, National Medical College and Teaching Hospital, Birgunj, Nepal
Pramila Poudel, Department of Child Health Nursing, National Medical College and Teaching Hospital, Birgunj, Nepal
Surgery is considered as a life threatening or a major concern that need significant psychological adaptation whether it be a major or a minor one. Pre-operative period is a stressful event that triggers specific emotional, cognitive and physiological response of a patient. Anxiety during this period is determined by various factors that need to be considered by a anesthesiologists and the team. A descriptive cross sectional study was conducted to assess the prevalence and determinants of pre-operative anxiety among adult patients scheduled for major surgery in a teaching hospital at Parsa district, Nepal using State and trait inventory (STAI) and a checklist prepared to assess the determinants of anxiety. The obtained data were analyzed by descriptive and inferential statistics using SPSS 16 version. The result of the study revealed that 38.2% of the patients were in the age group of 29-38 years. Among total patient studied 85.3% were scheduled for elective surgery. The mean anxiety score was 44.25±5.97. Majority 70.6% had preoperative anxiety at moderate level. The level of anxiety was significantly associated with age and type of surgery at (p value 0.030) and (p value (0.028) respectively. The major determinants of anxiety were concern about family, financial crises due to surgery, fear of unawakening from anesthesia, and the outcome of surgery. Patient needs to be assessed regularly for anxiety during their pre anesthetic check up by an anesthesiologist thus implementing anxiety reducing activities among the patients.
Preoperative Anxiety and Its Determinants Among Patients Scheduled for Major Surgery: A Hospital Based Study, International Journal of Anesthesia and Clinical Medicine.
Vol. 6, No. 2,
2018, pp. 57-60.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Klopfenstein CE, Forster A, Gessel EV. Anesthetic assessment in an outpatient consultation clinic reduces preoperative anxiety. Can J Anesth 2000; 4 (7): 511-5.
U.S. Effects of comfort warming on preoperative patients. AORN, 2006.
Anderson KO, Masur FT 3rd (1983) Psychological preparation for invasive medical and dental procedures. J Behav Med 6: 1-40.
Ercan S. Relationship between psychological preparation, preoperative and postoperative anxiety and coping strategies in children and adolescents undergoing surgery. Master thesis. Middle East Technical University, 2003.
Mohammed SA, Othman AOH, Areej MA. Assessment of Preoperative Anxiety among Patients Undergoing Elective Surgery. The Egyptian Journal of Hospital Medicine (October 2017) Vol. 69 (4): 2329-33.
Haugen AS, Eide GE, Olsen MV, Haukeland B, Remme AR, Wahl AK. Anxiety in the operating theatre: a study of frequency and environmental impact in patients having local, plexus or regional anaesthesia. J Clin Nurs 2009; 18 (16):2301-10.
Seifu N, Tefera B, Wadu W. Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital, South Western Ethiopia. Nigussie et al. BMC Surgery 2014, 14:67.
Ramsay M (1972): A survey of pre–operative fear. Anaesthesia, 27 (4):396-402.
Woldegerima Y. B, Fitwi G. L., Yimer H. T., Hailekiros A. G. Prevalence and factors associated with preoperative anxiety among elective surgical patients at University of Gondar Hospital. Gondar, Northwest Ethiopia. International Journal of Surgery Open 10 (2018):21-9.
Jawaid M, Mushtaq A, Mukhtar S, Khan Z: Preoperative anxiety before elective surgery. Neurosciences 2007, 12 (2):145–8.
Anne TM, Dharmanbandhu NS. Preoperative anxiety in surgical patients - experience of a single unit. Acta Anaesthesiologica Taiwanica 50 (2012):3-6.
Chen CC, Lin CS, Ko YP, Hung YC, Lao HC, Hsu YW. Premedication with mirtazapinereduces preoperative anxiety and postoperative nausea and vomiting. Anesth Analg 2008; 106:109.
Jlala H, French J, Foxall G, Hardmanan J, Bedforth N. Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. Br J Anaesth 2010; 104 (3):369-74.
Soltner C, Giquello JA, Monrigal-Martin C, Beydon L. Continuous care and empathic anaesthesiologist attitude in the preoperative period: impact on patient anxiety and satisfaction. Br J Anaesth 2011; 106 (5):680-6.