Nepalese patients' anxiety and concerns before surgery

Pokharel, Krishna; Bhattarai, Balkrishna; Tripathi, Mukesh; Khatiwada, Sindhu; Subedi, Asish

doi:10.1016/j.jclinane.2010.12.011

Cited by 68 publications

(79 citation statements)

References 24 publications

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“…Present study explains that patient with previous operative experience perceived low level of preoperative anxiety and the similar finding found in (Matthias & Samarasekera, 2012, Pokharel et al, 2011, &Bander et al, 1990) and preoperative anxiety is not affected by previous operative exposure (Bander et al, 1990) . In the present study, patients undergoing gynecological surgery had a high level of preoperative anxiety.…”

Section: Discussionsupporting

confidence: 84%

Preoperative Anxiety and Social Support among Patients undergoing Surgery

Sharma

Gharti

2019

Janapriya J. Interdisciplinary Stud.

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Most patients awaiting surgery experience anxiety. The study aims to assess the levels of preoperative anxiety and social support, determine the association of background variables with levels of preoperative anxiety and social support and to examine the relationship between levels of preoperative anxiety with social support. A hospital based cross-sectional study was conducted among patients undergoing surgery in a government Hospital, Pokhara. The study period was from September 2016 to August 2017. Total sample was 442 patients scheduled for surgery. Data was collected through Anxiety Specific to Surgery Questionnaire for anxiety and Multidimensional Scale of Perceived Social Support through face to face interview. Ethical approval was obtained from IRC, Institute of Medicine, Tribhuvan University. Data were entered and analysis was performed with the help of the Statistical Package for Social Science (SPSS).The total 94.1 percent of patients were married and 52 percent had low living standard. High level of preoperative anxiety and social support are seen in 42.1 and 64.3 percent respectively. Preoperative anxiety had significant statistical association with standard of living, experience of past operation, and types of operation(p<0.05). Social support had significant statistical association with age, gender, residence, standard of living, and types of operation (p<0.05). Correlation between preoperative anxiety and social support insignificant (r = -.133, p = 0.005) at the 0.05 level. As social support increased; preoperative anxiety decreased. Therefore, health care provider should identify patients with high anxiety, encourage them to talk about their feelings and facilitate more time with their families.

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Section: Discussionsupporting

confidence: 84%

Preoperative Anxiety and Social Support among Patients undergoing Surgery

Sharma

Gharti

2019

Janapriya J. Interdisciplinary Stud.

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“…21 Patients may have higher levels of anxiety at the pre-operative holding area as compared to the ward or the operating room. 22 Regarding tools for measurement of anxiety, the STAI (State-trait anxiety Inventory Questionnaire) is considered gold standard. It consists of 20 statements and each statement can take values from not at all, somewhat, moderately or very much so.…”

Section: Discussionmentioning

confidence: 99%

“…25 This might also explain the lower prevalence of anxiety in our study group. Few reported studies have taken a sample size of ranging from 51 to 200 22,24 , our sample size was based on a previous study conducted in Srilankan population 19 and is a sample of convenience.…”

Section: Discussionmentioning

confidence: 99%

Pre-operative anxiety amongst patients in a tertiary care hospital in India- a prevalence study

Vadhanan

Tripaty

Balakrishnan

2017

J. Soc. Anesth. Nep.

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Background: The prospect of undergoing surgery under anaesthesia can induce significant anxiety in patients. Excess anxiety can lead to several deleterious effects like perioperative cardiac events, increased anaesthetic requirements, higher postoperative pain scores and prolonged hospital stay. Various factors can influence the anxiety levels during surgery. The aim of the study was to estimate the prevalence of anxiety in adult patients scheduled for surgery in a suburban teaching institute in India where the majority of patients belong to lower socioeconomic strata.Methods: One hundred consecutive patients scheduled for various elective surgeries were asked 6 questions according to the Amsterdam preoperative anxiety and information scale to assess their anxiety levels just before shifting into the Operating room. Probable contributing factors noted were age, sex, socioeconomic status, type of surgery, duration of hospital stay, and history of previous surgery. Any specific factors causing anxiety like failure or complications of surgery, recovery from anaesthesia, needle pricks were also asked with leading questions.Results: The overall prevalence of anxiety was 31%. The prevalence in male patients and female patients were 21.2% and 39.5% respectively. There was a moderate correlation between the anxiety scores and need to know scores. The effects of sex, previous surgery, the length of hospital stay were not significant upon the anxiety scores.Conclusion: The overall prevalence of anxiety in the southern part of India was lower when compared to many of the reported studies; however, the prevalence was higher among the female patients.

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“…It has also been correlated with increased pain, nausea and vomiting in the postoperative period, prolonged recovery and increased risk for infection [9-13]. …”

Section: Introductionmentioning

confidence: 99%

Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital, South Western Ethiopia

2014

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BackgroundHospitalization and surgery are critical negative life events that lead to the experience of considerable anxiety in patients. Patients may perceive the day of surgery as the biggest and the most threatening day in their lives. There is paucity of information on predictors of anxiety in the current study area. The main objective of this study is to assess predictors of preoperative anxiety among patients scheduled for surgery in Jimma University Specialized Teaching Hospital.MethodsA facility based cross-sectional study was conducted using quantitative data collection technique in Jimma University Specialized Teaching Hospital from February 13 to April 13, 2012 on 239 patients scheduled for surgery. The data were collected by five trained diploma nurses using structured interviewer administered questionnaires that were prepared based on state trait anxiety inventory measurement scale. The quantitative data were entered into SPSS for windows version 16. 0 and descriptive, simple and multiple linear regression analyses were performed.ResultsA total of 239 patients were enrolled in the study with a response rate of 93.0%. Their mean age was 42.7 ± 1.8 years (range 16 to 85 years). Nearly over half 53.6% were females, while 48.1% illiterate, 72.4% Oromo and 56.5% were Muslim followers. Significant preoperative anxiety was seen in 70.3% patients. The most common factors that lead to anxiety were fear of death 38.1% and fear of unknown origin 24.3% and the most common strategy mentioned by patient in reducing anxiety were talking to other patient 79.8% and religious belief.ConclusionsIn the present study, two third 70.3% of preoperative patients had anxiety. Factors which were positively correlated with anxiety were trait anxiety, single and divorced, time of operation and income. Factors which were shown to reduce anxiety were preoperative anxiety related information provision and afternoon operation. Health professionals working in the hospital should provide anxiety related information for patients.

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Nepalese patients' anxiety and concerns before surgery

Cited by 68 publications

References 24 publications

Preoperative Anxiety and Social Support among Patients undergoing Surgery

Preoperative Anxiety and Social Support among Patients undergoing Surgery

Pre-operative anxiety amongst patients in a tertiary care hospital in India- a prevalence study

Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital, South Western Ethiopia

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