State-Anxiety in Geriatric Patients Undergoing Surgical Treatment for Femoral Neck or Intertrochanteric Fractures

Abstract

Introduction Geriatric patients with hip fractures often experience unexpected falls and they may have unfamiliar and unpleasant experiences within a brief period. This study aimed to investigate the prevalence and levels of preoperative anxiety in patients undergoing surgical treatment for hip fractures, and to determine the anxiety-related characteristics experienced by patients during the period before and after surgery. Materials and methods We recruited a total of 75 geriatric patients who underwent surgical treatment for hip fractures and returned complete questionnaires. We used the State-Trait Anxiety Inventory (STAI)-X type to measure state-anxiety and defined a total score of 52 or higher as clinically meaningful state-anxiety. And, we investigated main cause of anxiety, moment of the highest level of anxiety, and the most helpful factor in overcoming anxiety before surgery and in reducing anxiety after surgery. Results The mean STAI score was 47.2 points and one-third of the patients experienced various levels of clinically meaningful state-anxiety. The most common cause of preoperative anxiety was the surgery itself and patients experienced the greatest level of anxiety from the night preceding the surgery to the day of the surgery. Further, patients’ trust in the medical staff prior to surgery and the surgeon’s explanation after the surgery were the most key factors in overcoming anxiety. Conclusion This study investigates the state-anxiety of geriatric patients undergoing surgery for hip fractures and presents important findings which can help in developing evidence-based interventions to improve the experience of patients undergoing hip surgeries.

Surgery-related anxiety regarding arthroscopic meniscectomy under general anesthesia: a retrospective observational study

“…Several studies have investigated the period of greatest anxiety in patients who have undergone surgery other than arthroscopic knee surgery [ 15 , 16 ]. However, there are no studies investigating the period of greatest anxiety in patients who undergo arthroscopic knee surgery, except for 2 that reported changes in STAI scores before and after the procedure.…”

“…A total score ≥ 52 indicates clinically meaningful anxiety. Perioperative anxiety related to arthroscopic meniscectomy was evaluated using a questionnaire introduced in previous studies [ 15 , 16 ]. The questionnaire was divided into four areas: main cause of anxiety; most anxious moment during the entire process; most helpful factors for overcoming preoperative anxiety; and reducing postoperative anxiety.…”

Management of Anxiety for Ambulatory Hallux Valgus Surgery With a Virtual Reality Hypnosis Mask: Randomized Controlled Trial

“…33 The STAI questionnaire has long been used in clinical studies, particularly in orthopaedic surgery. 12,18,19 Inclusion criteria were as follows: patients must have at least 6 months of pain with appropriate medical management by orthoses and painkillers before surgery, over 18 years old, independent, and living at home, with scheduled outpatient HV surgery. Exclusion criteria were as follows: inability to understand the STAI questionnaire, refusal to participate, patients with a bilateral procedure, patient under protective measure or deprived of liberty, or missing data.…”

A randomized controlled trial to evaluate the progressive muscle relaxation technique in hip fracture patients

“…In addition to experiencing pain and disturbed sleep, older adults with HF may also encounter a multitude of anxiety-provoking scenarios, including those involving unfamiliar or unpleasant situations, such as traveling by ambulance to reach the hospital, facing an emergency or needing surgery, and leaving the operating room under the effects of anesthesia without being adequately informed 9 . Furthermore, it has been demonstrated that POP can cause anxiety in patients who have undergone hip surgery.…”