Predictors of pre- and postoperative anxiety in emergency surgery patients

Karancı, A. Nuray; Dirik, Gülay

doi:10.1016/s0022-3999(02)00631-1

Cited by 135 publications

(132 citation statements)

References 17 publications

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“…Pre-and postoperative state anxiety were positively associated with trait anxiety, as reported previously [35]. Though frequently reported [31,36,37], no gender differences in anxiety were observed in the investigated sample. As trait and postoperative state anxiety were positively related to the perceived medical intervention load (PMIL), strategies to reduce patients' anxiety before surgery are important to prevent detrimental effects on health and subjective wellbeing and to achieve beneficial effects for perioperative compliance, adaptation (e.g.…”

Section: Discussionsupporting

confidence: 82%

Comparing cardiovascular load by heart rate variability (HRV) including pNNxx parameters with ratings of perceived medical intervention load (PMIL) in patients undergoing carotid endarterectomy or carotid artery stenting

Jahn¹,

Trimmel²

2017

Surg Rehabil

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Objective: The aim was to compare subjectively experienced load with cardiovascular load in patients undergoing a medical intervention by either carotid endarterectomy (CEA) or carotid artery stenting (CAS). Heart rate variability (HRV), including parameters of the pNNxx family, and perceived medical intervention load (PMIL) were investigated and compared in a prospective study.Methods: In a sample of 52 patients (CEA: n = 28; CAS: n = 24) aged 69 ± 10 years, electrocardiogram was recorded throughout the perioperative period and questionnaires on pre-and postoperative state (STAI X1) and trait anxiety (STAI X2) as well as the PMIL were filled in. Preoperative (15 minutes before surgery) HRV parameter values of time and frequency domain were compared to postoperative values (15 minutes lasting epoch 5 hours after surgery). Results:A 2 (Time: pre vs. post) × 2 (Intervention: CEA vs. CAS) repeated measures ANOVA revealed increased HRV after CAS compared to CEA, with the most pronounced effect size for SDNN. Effect sizes for the pNNxx family around 25ms namely pNN20, pNN25, and pNN30 were also pronounced and greater than the effect size for the traditional pNN50. In both groups state anxiety was preoperatively (M = 40.03 ± 11.00) higher than postoperatively (M = 32.74 ± 7.36) but no group differences were observed for anxiety or for the subjective measure of the PMIL.Conclusion: Cardiovascular load as indicated by HRV is less for CAS compared to CEA whereas subjective measures displayed no differences. In addition, HRV assessed by pNNxx (with xx 20 -30 ms) beside global parameters like SDNN and Total Power seems to be in particular sensitive for load.

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Section: Discussionsupporting

confidence: 82%

Comparing cardiovascular load by heart rate variability (HRV) including pNNxx parameters with ratings of perceived medical intervention load (PMIL) in patients undergoing carotid endarterectomy or carotid artery stenting

Jahn¹,

Trimmel²

2017

Surg Rehabil

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“…7 Preoperative anxiety depends on many factors like socio-cultural factors, educational level, personality traits and presence of psychiatric comorbidities. 8,9,10 Previous experiences with surgeries also play a major role. Berth et al observed that patients with high levels of pre-operative anxiety tend to require larger doses of anaesthetics, have, on average, a greater peri and postoperative reliance on analgesics and require longer stays in hospital.…”

Section: Introductionmentioning

confidence: 99%

Translation and Validation of the Amsterdam Preoperative Anxiety and Information Scale (Apais) for Use in Malayalam Speaking Population in India

Srinivasaiah¹,

Venugopalan²,

Thekkethil³

2018

jebmh

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BACKGROUNDPreoperative anxiety, an unpleasant state of uneasiness in preoperative period is known to increase the anaesthetic requirement intraoperatively, analgesic requirement peri-operatively and duration of stay in the hospital. Various studies have found incidence of preoperative anxiety as 60-80%. Studies regarding incidence of preoperative anxiety in India are very few and so are the scales which measure pre-operative anxiety in various Indian languages. We could not find any validated scale in Malayalam language for measurement of preoperative anxiety. Here we attempt to translate Amsterdam preoperative anxiety and Information scale (APAIS) to Malayalam and evaluate its psychometric properties.

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“…Surgery and hospitalization are considered negative life events, usually causing distress that may be traumatic for children (Karanci & Dirik, 2003). Even a minor pediatric surgery can have negative consequences, both in the short and long term, on the emotional, behavioral, cognitive, and academic development of a child (Caldas, Pais-Ribeiro, & Carneiro, 2004).…”

mentioning

confidence: 99%

The effects of clown intervention on worries and emotional responses in children undergoing surgery

2010

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This study investigated whether clown intervention could reduce preoperative worries and the affective responses of children undergoing minor surgery. Parental anxiety was also tested.Child's age, previous hospitalization, and temperament were tested as predictors of the child's responses during this preoperative phase. Seventy children were assigned to one of two groups: children accompanied by their parents and a pair of clowns or, those accompanied by the parents but without the clowns. The results emphasized the relevance of clown intervention on the reduction of preoperative worries and emotional responses, not only in children but also in their parents.

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Predictors of pre- and postoperative anxiety in emergency surgery patients

Cited by 135 publications

References 17 publications

Comparing cardiovascular load by heart rate variability (HRV) including pNNxx parameters with ratings of perceived medical intervention load (PMIL) in patients undergoing carotid endarterectomy or carotid artery stenting

Comparing cardiovascular load by heart rate variability (HRV) including pNNxx parameters with ratings of perceived medical intervention load (PMIL) in patients undergoing carotid endarterectomy or carotid artery stenting

Translation and Validation of the Amsterdam Preoperative Anxiety and Information Scale (Apais) for Use in Malayalam Speaking Population in India

The effects of clown intervention on worries and emotional responses in children undergoing surgery

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