The Effect of Anesthetic Patient Education on Preoperative Patient Anxiety

Bondy, Lois R.; Sims, Norine; Schroeder, Darrell R.; Offord, Kenneth P.; Narr, Bradly J.

doi:10.1097/00115550-199924020-00011

Cited by 60 publications

(89 citation statements)

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“…There is evidence in the literature that the practice of giving preoperative information can reduce patient anxiety [4][5][6][7][8] . However, some controversy still remains, since for cardiac surgery, information delivered either personally or by pamphlets produced no benefit [9][10][11] .…”

Section: Discussionmentioning

confidence: 99%

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Surgery information reduces anxiety in the pre-operative period

et al. 2004

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PURPOSE:Patients preparing to undergo surgery should not suffer needless anxiety. This study aimed to evaluate anxiety levels on the day before surgery as related to the information known by the patient regarding the diagnosis, surgical procedure, or anesthesia.METHOD: Patients reported their knowledge of diagnosis, surgery, and anesthesia. The Spielberger State-Trait Anxiety Inventory (STAI) was used to measure patient anxiety levels.RESULTS: One hundred and forty-nine patients were selected, and 82 females and 38 males were interviewed. Twentynine patients were excluded due to illiteracy. The state-anxiety levels were alike for males and females (36.10 ± 11.94 vs. 37.61 ± 8.76) (mean ± SD). Trait-anxiety levels were higher for women (42.55 ± 10.39 vs. 38.08 ± 12.25, P = 0.041). Patient education level did not influence the state-anxiety level but was inversely related to the trait-anxiety level. Knowledge of the diagnosis was clear for 91.7% of patients, of the surgery for 75.0%, and of anesthesia for 37.5%. Unfamiliarity with the surgical procedure raised state-anxiety levels (P = 0.021). A lower state-anxiety level was found among patients who did not know the diagnosis but knew about the surgery (P = 0.038).CONCLUSIONS: Increased knowledge of patients regarding the surgery they are about to undergo may reduce their state-anxiety levels.

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Section: Discussionmentioning

confidence: 99%

“…In a Danish study, patients asked more about pain, anesthesia duration, and risk of impairment of daily activities and less about sedatives or complications 3 . In a study conducted in the United States, anxiety in the preoperative period was reduced by information about anesthesia procedures, provided either by leaflets or video 4 .…”

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confidence: 99%

Surgery information reduces anxiety in the pre-operative period

et al. 2004

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“…Outcome studies have been inconsistent, but have generally reported decreased postoperative pain (68), medication use (69), hospital length of stay (69), and fear/anxiety (70) in patients who participated in the educational programs as compared with those who did not. Thus, there is some evidence that preoperative educational programs positively impact postoperative outcomes; however, more research is needed in larger size samples to examine the most effective types of education, other potential venues for education (e.g., the internet or distance learning), and to develop targeted interventions for patients with varying physical and emotional needs.…”

Section: The Role Of Preoperative Education and Interventionsmentioning

confidence: 99%

Update on hip and knee arthroplasty: Current state of evidence

Jones¹,

Westby²,

Greidanus³

et al. 2005

Arthritis & Rheumatism

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“…Thus, several non-pharmacological methods to reduce pre-operative anxiety have been considered, including music therapy [24,25], supply of in-depth information with leaflets [26] or videos [27,28], presence of relatives during induction [29], clown doctors [30], hypnosis [31,32] and relaxation techniques [33,34]. However, these methods are timeconsuming and costly, and are thus not always feasible in a streamlined clinical environment.…”

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confidence: 99%

The effect of skin surface warming on pre‐operative anxiety in neurosurgery patients*

2007

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SummarySkin surface warming of patients not only improves thermal comfort, but has been shown to reduce anxiety in a pre-hospital setting. We tested the hypothesis that pre-operative warming can reduce pre-operative anxiety as effectively as a conventional dose of intravenous midazolam in patients undergoing neurosurgery. We randomly allocated 80 patients to four groups in the pre-operative holding area. Treatment was applied for 30-45 min with (1) passive insulation and placebo; (2) passive insulation and intravenous midazolam (30 lg.kg )1 ); (3) warming with forced-air and placebo; and (4) warming with forced-air and intravenous midazolam (30 lg.kg )1 ). Thermal comfort levels (VAS 0-100 mm) and anxiety levels (VAS 0-100 mm, Spielberger State-Trait Anxiety Inventory) were assessed twice: before the designated treatment was started and before induction of anaesthesia. In the midazolam and the midazolam ⁄ warming groups, anxiety VAS and Spielberger state anxiety scores decreased by ) 19 (95% CI: ) 29 to ) 9, p < 0.01) and ) 10 (95% CI: ) 14 to ) 6, p < 0.01), respectively. In the warming and the combined groups, thermal VAS increased by + 26 (95% CI: 17-34, p < 0.01). [7], and prolonged hospitalisation [5]. Pre-operative warming before induction can prevent redistribution hypothermia and can improve thermal comfort by keeping the patient warm during the preoperative period [8,9]. This benefit of pre-operative warming has been demonstrated in several studies during regional [10] and general anaesthesia [8,11,12]. The administration of pre-operative warming has even been shown to abolish completely the need for any additional intra-operative warming in certain patient populations [13,14].There is, however, another potential benefit of preoperative warming: it may reduce anxiety. In four recent studies, minor trauma victims [15], patients with lower back pain [16], patients with renal colic [17] and cholelithiasis pain [18] were assigned to passive insulation or carbon-fibre warming: The warmed patients had improved thermal comfort, less pain, and were significantly less anxious.For the reduction of pre-operative anxiety, patients typically receive medications such as oral or intravenous benzodiazepines, yet these medications are not always effective and can be associated with respiratory depression and delayed discharge [19][20][21][22][23]. Thus, several non-pharmacological methods to reduce pre-operative anxiety have been considered, including music therapy [24,25], supply of in-depth information with leaflets [26] or videos

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The Effect of Anesthetic Patient Education on Preoperative Patient Anxiety

Cited by 60 publications

References 0 publications

Surgery information reduces anxiety in the pre-operative period

Surgery information reduces anxiety in the pre-operative period

Update on hip and knee arthroplasty: Current state of evidence

The effect of skin surface warming on pre‐operative anxiety in neurosurgery patients*

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