Preoperative anxiety before spinal anesthesia: Does internet-based visual information/multimedia research decrease anxiety and information desire? A prospective multicentered study

Abstract

Background:Preoperative anxiety may lead to peroperative or postoperative problems when not overcome.Aims:The aim of this study was to examine the effect of seeking information and other factors on the anxiety of patients preoperatively.Settings and Design:This study was a prospective, multicentered survey.Materials and Methods:Patients scheduled to undergo surgical procedures under spinal anesthesia, preoperatively evaluated as the American Society of Anesthesia 1–3 and where spinal anesthesia was agreed on beforehand, were included. Patients completed State-Trait Anxiety Inventory Scale-State (STAI-S) survey preoperatively. Patients who sought information were also asked to complete the Amsterdam Preoperative Anxiety and Information Scale survey.Statistical Analysis:Quantitative data were compared with one-way ANOVA with post hoc analysis or Kruskal–Wallis test. Comparison of two groups of parameters showing normal distribution was compared using Student's t-test. Comparison of groups versus anxiety was performed using Chi-square and Fisher's exact tests.Results:A total of 330 patients were included. Average STAI-S scores were similar when evaluated for patients’ demographic data, gender, marital status, place of residence, type of operation, preoperative fasting time, and comorbidities. University graduates were found to have lower anxiety when compared to other educational statuses. Seeking information from the internet caused a significant decrease in surgical anxiety (P < 0.05) although it had no effect on anesthesia-related anxiety. Interestingly, those seeking information had higher information desire levels compared to patients who had not sought other sources of information (P < 0.05).Conclusion:While patients seeking information regarding surgical procedure and/or spinal anesthesia have lower preoperative anxiety levels, their information desire remains high. Apart from detailed information given by the anesthesiologist or surgeon, having access to correct and validated information in multimedia form may decrease anxiety and information desire.

Effects of Quran Recitation on the Reduction of Preoperative Anxiety in Elective Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

“…The results of our study showed that Quran recitation has a signi cant effect on reducing preoperative anxiety in both major and minor elective surgeries. Other studies have con rmed the positive effect of various interventions such as music, information therapy and education on reducing anxiety before major and minor surgeries [51][52][53].…”

Multimedia education on the day of elective cesarean section increases anxiety scores

“…However, studies investigating the role of preoperative patient education provided conflicting results. [13][14][15] Comparing this kind of studies is problematic due to differences in duration, purpose, content, and timing. In many of the above-mentioned studies with favorable results on behalf of anxiety and satisfaction, multimedia informa-tion were given in one or two weeks before operation during pre-anesthetic evaluation, thus, it might give the patient an acceptable time to understand the procedure or the techniques.…”

Gambaran Kecemasan Pasien Preoperatif Sectio Caesarea dengan anestesi spinal di RSIA Siti Hawa Padang

“…2 Penyebab kecemasan preoperatif diakibatkan oleh rasa takut terhadap prosedur operasi dan anestesi yang dapat menyebabkan rasa nyeri saat proses operasi berlangsung dan sesudah operasi. 3,4 Penyebab kecemasan preoperatif dipengaruhi oleh beberapa faktor risiko seperti usia, jenis kelamin, status pendidikan, riwayat operasi sebelumnya, dan status medis. 5 Pasien dengan tingkat kecemasan preoperatif yang tinggi memerlukan dosis anestesi yang lebih banyak, baik sebelum operasi maupun sesudah operasi.…”