What is it about?
Preoperative Information on Perioperative Anxiety of the Patients Posted for Elective Surgery
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Why is it important?
Context: Patients without information of surgery and anesthesia are supposed to have high anxiety level in the perioperative period which may have adverse hemodynamic effects and higher incidence of postoperative pain. Overall information regarding anesthesia may attenuate the perioperative anxiety. Aims: Our aim and objective was to observe and compare the perioperative anxiety level in patients undergoing elective surgery using Beck Anxiety Inventory (BAI) scale. Materials and Methods: One hundred patients of either sex aged between 18 and 80 years conforming to ASA physical Status I to III posted for elective surgery were randomly allocated into Two Groups to receive either baseline information during preanesthetic check up according to Institutional protocol (Group A, n = 50) or additional information based on a questionnaire regarding the process of anesthesia (Group B, n = 50). The levels of anxiety were assessed using BAI score at 4 time points namely, just after PAC (reading 0), at waiting room before entry to operation theatre (reading 1), on operation table just prior to administering anesthesia (reading 2) and again at four hours after the surgery (reading 3). Results: Patients of Group A has much higher anxiety level than Group B (p < 0.05). In both the groups anxiety level was the highest just prior to anesthesia but the degree of anxiety was less in Group B (17.28 ± 4.69) than group A (25.88 ± 6.82) p value < 0.0001. Conclusion: Combination of preanesthetic check up with additional information to the patient regarding anesthesia based on a questionnaire is better than only check up to reduce perioperative anxiety.
Perspectives
Context: Patients without information of surgery and anesthesia are supposed to have high anxiety level in the perioperative period which may have adverse hemodynamic effects and higher incidence of postoperative pain. Overall information regarding anesthesia may attenuate the perioperative anxiety. Aims: Our aim and objective was to observe and compare the perioperative anxiety level in patients undergoing elective surgery using Beck Anxiety Inventory (BAI) scale. Materials and Methods: One hundred patients of either sex aged between 18 and 80 years conforming to ASA physical Status I to III posted for elective surgery were randomly allocated into Two Groups to receive either baseline information during preanesthetic check up according to Institutional protocol (Group A, n = 50) or additional information based on a questionnaire regarding the process of anesthesia (Group B, n = 50). The levels of anxiety were assessed using BAI score at 4 time points namely, just after PAC (reading 0), at waiting room before entry to operation theatre (reading 1), on operation table just prior to administering anesthesia (reading 2) and again at four hours after the surgery (reading 3). Results: Patients of Group A has much higher anxiety level than Group B (p < 0.05). In both the groups anxiety level was the highest just prior to anesthesia but the degree of anxiety was less in Group B (17.28 ± 4.69) than group A (25.88 ± 6.82) p value < 0.0001. Conclusion: Combination of preanesthetic check up with additional information to the patient regarding anesthesia based on a questionnaire is better than only check up to reduce perioperative anxiety.
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This page is a summary of: Effect of Preoperative Information on Perioperative Anxiety of the Patients Posted for Elective Surgery: A Prospective Randomized Comparative Study, Indian Journal of Anaesthesia and Analgesia, January 2020, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.7120.4.
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