IJCRR - 6(22), November, 2014
EVALUATING THE LEVEL OF ANXIETY AMONG PRE-OPERATIVE PATIENTS BEFORE ELECTIVE SURGERY AT SELECTED HOSPITALS IN KINGDOM OF SAUDI ARABIA
Author: Priya Gangadharan, Reemas Ali Mohemed Assiri, Feddah Ahemed Ali Assiri
Background: Patients who undergo surgery usually experience an intense level of anxiety in the pre-operative period. The objective of the study was to assess various levels of anxiety and find out its association with selected demographic variables. Methods: A Descriptive study was performed with 20 inpatients scheduled for elective surgery. Age ranged from 20 to 60 years. Demographic information was collected using a structured questionnaire. The measuring instrument to assess the patient’s anxiety was State- Trait Anxiety Inventory (STAI).
Results: Among the pre operative patients , majo rity had High anxiety ( 60%), 30% of them had moderate and only 10% had low anxiety before surgery. There was no difference in state and trait anxiety among patients. Women (45%) had higher baseline state and trait anxiety than men(15%). Selected demographic variables were associated with anxiety levels and found that marital status had significant association with various levels of anxiety (p< 0.05).
Conclusion: The STAI is a useful instrument to assess the level of patients’ preoperative anxiety and the need for information. Measuring anxiety before any surgery helps the patient to alleviate their worries to some extent with the support of health care professionals.
Keywords: Anxiety; Pre-operative patients; Elective surgery; Level of Anxiety
Priya Gangadharan, Reemas Ali Mohemed Assiri, Feddah Ahemed Ali Assiri. EVALUATING THE LEVEL OF ANXIETY AMONG PRE-OPERATIVE PATIENTS BEFORE ELECTIVE SURGERY AT SELECTED HOSPITALS IN KINGDOM OF SAUDI ARABIA International Journal of Current Research and Review. 6(22), November, 42-46
1. Pritchard M. Measuring anxiety in surgical patients using a visual analogue scale. Nurs Stan 2010 Nov 17; 25 (11): 40-4
2. Vadla D, Bozikov J, Blazekovi?-Milakovi? S, Kovaci? L. Anxiety and depression in elderly-prevalence and association with health care. LLijec Vjesn. 2013 MayJun;135(5-6):134-8.
3. Kain ZN, Mayes LC, Caldwell-Andrews AA, Karas DE, McClain BC. Preoperative anxiety, postoperative pain, and behavioral recovery in young children undergoing surgery. Pediatrics.2006 Aug;118(2):651-8.
4. Laufenberg Feldmann R, Kappis B Assessing preoperative anxiety using a questionnaire and clinical rating: A prospective observational study. Eur J Anaesthesiol.2013 Dec; 30(12):758-63.
5. Timothy M. Osborn and Noah A. Sandler. The effect of anxiety on intravenous sedation Anesth Prog 2004;51(2): 46–51
6. Jawaid M, Mushtaq A, Mukhtar S, Khan Z. Preoperative anxiety before elective surgery. Neurosciences 2007;12 (2).
7. L. Ebirim, M Tobin, Factors responsible for Pre-operative anxiety in Elective surgical patients at a university teaching hospital : A pilot study. The internet journal of Anesthesiology 2010; 29 (2).
8. Marsha L. Harbin. A comparative study of the effects of environment on preoperative anxiety and pain level and postoperative outcomes of an outpatient population. Dissertation Abstracts International 2007 ; 67-11: 6298.
9. Wang SM , Kulkarni L, Dolev J, Kain ZN. Music and preoperative anxiety: a randomized, controlled study. Anesth Analg 2002 Jun;94(6):1489-94
10. Vandana B. Nikumb, Amitav Banerjee, Gurleen Kaur, and Suprakash Chaudhury. Impact of doctor-patient communication on preoperative anxiety: Study at industrial township. Ind Psychiatry J. 2009 Jan-Jun; 18(1): 19–21.
11. Guo P, East L, Arthur A. A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: a randomized controlled trial. Int J Nurs Stud 2012 Feb; 49(2) :129-37.
12. Zubia Masood, Jahanzaib Haider, Masood Jawaid, Shams Nadeem Alam. Preoperative anxiety in female patients: The issue needs to be addressed. KUST Med J 2009; 1(2): 38-41
13. Wetsch WA, Pircher I, Lederer W, Kinzl JF, Traweger C, Heinz-Erian P, Benzer A.Preoperative stress and anxiety in day-care patients and in patients undergoing fast-track surgery. Br J Anaesth 2009 Aug;103(2):199-205.
14. Pritchard MJ. Managing anxiety in the elective surgical patient. Br J Nurs 2009 Apr;18(7):416-9.
15. Alvisa Palese, Marta Cecconi, Renzo Moreale and Miran Skrap. Pre-operative Stress, Anxiety, Depression and Coping Strategies Adopted by Patients Experiencing Their First or Recurrent Brain Neoplasm: An Explorative Study. Stress and Health. 2012 Nov;28(5) :416–425.
16. Mitchell M. Patient anxiety and modern elective surgery: a literature review. J Clin Nurs. 2003 Nov;12(6):806-15.
17. Pritchard MJ. Reducing anxiety in the elective surgical patient. Nursing times.net 2011
18. Kruzik N. Benefits of preoperative education for adult elective surgery patients. AORN J. 2009 Sep; 90(3):381-7.
19. H. A. Jlala1, J. L. French, G. L. Foxall, J. G. Hardman and N. M. Bedforth. Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia . Br J Anaesth 2010 Feb; 104 (3): 369–74
20. Harbin, Marsha L.A comparative study of the effects of environment on preoperative anxiety and pain levels and postoperative outcomes in an outpatient population (dissertation).Capella University; 2007