Effect of Structured Pre-anesthetic Communication on Preoperative Patient Anxiety

Huang

et al. 2022

Front. Public Health

During the pre-operation period, surgical candidates experience situations that stimulate psychological anxiety leading to stress during and after surgery which is known as preoperative anxiety. This condition can cause psychological and physiological adverse effects on both children and adults. Due to the high prevalence and adverse effects of preoperative anxiety, different treatments have been evaluated including pharmacological and non-pharmacological approaches. As pharmacological treatments may cause adverse effects such as breathing problems, drowsiness, interfering with anesthetic drugs, and prolonged recovery, non-pharmacological interventions are becoming more popular. These methods include cognitive-behavioral therapy, music therapy, pre-op preparation video, aromatherapy, hypnosis, guided imagery relaxation therapy, and massage. In this study, the most popular non-pharmacological approaches to preoperative anxiety are reviewed focusing on more recent evidence provided by clinical studies. The reviewed clinical evidence on the mentioned methods shows the efficacy of non-pharmacological interventions for the treatment of preoperative anxiety, so they can be used in patients of different ages and types of disease and surgery.

Section: Interview Conversation and Communication Strategiesmentioning

confidence: 99%

Non-pharmacologic Approaches in Preoperative Anxiety, a Comprehensive Review

Huang

et al. 2022

Front. Public Health

Indian Journal of Anaesthesia

“…In a prospective randomised controlled observational study, Jadin et al . [ 16 ] reported that VAS for pre-operative anxiety was found 1.2 points lower (out of 10) after structured interview as compared to standard interview in younger patients (<47 years). Jlala et al .…”

Section: Discussionmentioning

confidence: 99%

“…Jadin et al . [ 16 ] reported no association of pre-operative anxiety with previous experience of anaesthesia, whereas, Jafar et al . [ 10 ] reported association of pre-operative anxiety with lack of previous surgical experience.…”

Section: Discussionmentioning

confidence: 99%

Effect of pre-operative communication using anaesthesia information sheet on pre-operative anxiety of patients undergoing elective surgery—A randomised controlled study

Panchal¹,

Kharod²,

Varma³

et al. 2022

Background and Aims: Pre-operative anxiety can affect psychological and physiological parameters during the intra-operative period. Pharmacological measures used to reduce pre-operative anxiety have their associated adverse effects. Pre-operative anaesthesia education is one of the non-pharmacological tools to reduce anxiety, but very limited literature is available in the Indian scenario. Hence, this study was designed to evaluate the effect of pre-operative counselling of patients using anaesthesia information sheet on pre-operative anxiety of patients who underwent elective surgery as the primary outcome. Secondary objectives were to assess the pre-operative anxiety for surgery, correlation of demographic data with pre-operative anxiety, and the common causes responsible for pre-operative anxiety. Methods: Total 110 patients were randomly allocated into two groups. Group-A was counselled using anaesthesia information sheet and in Group-B, conventional counselling was done during pre-anaesthesia check-up. Anxiety scores for anaesthesia and surgery were measured using visual analogue scale for anxiety (VAS-A). VAS-A score was compared pre- and post-intervention. Effect of intervention was assessed by comparing reduction in VAS-A score in both groups with paired t -test. Data were analysed using STATA (14.2) version. Results: The mean reduction in VAS-A for anaesthesia was more in Group-A compared to Group-B (16.6 ± 6.9 vs. 4.4 ± 5.8; P < 0.001). The mean reduction in VAS-A for surgery was more in Group- A compared to Group- B (14.6 ± 7.8 vs. 4.8 ± 7.3; P < 0.001). Conclusion: Pre-operative counselling using anaesthesia information sheet is helpful in reducing pre-operative anxiety more efficiently. Further trials are required to assess transferability in other settings.

“…The use of the mnemonic “InFARcT” ( In formation on diagnosis; F ollow-up; A dvice on self-care; R ed flags; c omplete T reatment) was shown to significantly improve recall [ 18 – 20 ]. Structuring the content of information given can take many forms; in pre-medication visits [ 22 ] the topics to be dealt with differ from discharge communication from patient to patient. So far however, improved recall of discharge information by explicitly structuring discharge information has only been shown in proxy patients (i.e.…”

Section: Introductionmentioning

confidence: 99%

Does information structuring improve recall of discharge information? A cluster randomized clinical trial

et al. 2021

Self Cite

Objectives The impact of the quality of discharge communication between physicians and their patients is critical on patients’ health outcomes. Nevertheless, low recall of information given to patients at discharge from emergency departments (EDs) is a well-documented problem. Therefore, we investigated the outcomes and related benefits of two different communication strategies: Physicians were instructed to either use empathy (E) or information structuring (S) skills hypothesizing superior recall by patients in the S group. Methods For the direct comparison of two communication strategies at discharge, physicians were cluster-randomized to an E or a S skills training. Feasibility was measured by training completion rates. Outcomes were measured in patients immediately after discharge, after 7, and 30 days. Primary outcome was patients’ immediate recall of discharge information. Secondary outcomes were feasibility of training implementation, patients’ adherence to recommendations and satisfaction, as well as the patient-physician relationship. Results Of 117 eligible physicians, 80 (68.4%) completed the training. Out of 256 patients randomized to one of the two training groups (E: 146 and S: 119) 196 completed the post-discharge assessment. Patients’ immediate recall of discharge information was superior in patients in the S-group vs. E-group. Patients in the S-group adhered to more recommendations within 30 days (p = .002), and were more likely to recommend the physician to family and friends (p = .021). No differences were found on other assessed outcome domains. Conclusions and practice Implications Immediate recall and subsequent adherence to recommendations were higher in the S group. Feasibility was shown by a 69.6% completion rate of trainings. Thus, trainings of discharge information structuring are feasible and improve patients’ recall, and may therefore improve quality of care in the ED.