The effects of informed consent format on preoperative anxiety in patients undergoing inferior third molar surgery

Torrés-Lagares, Daniel; Heras-Meseguer, Marisa; Azcárate-Velázquez, Francisco; Hita-Iglesias, Pilar; Ruiz-de-León-Hernández, Gonzalo; Hernández-Pacheco, Esther; Gutiérrez-Pérez, José-Luís

doi:10.4317/medoral.19480

Cited by 24 publications

(19 citation statements)

References 9 publications

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“…Furthermore, Thomas et al found a significant decrease in anxiety associated with the proposed treatment (chemotherapy or radiotherapy) in patients who were given additional information in the form of video recordings [15]. Different results, however, were obtained by Torres-Lagares et al in their study on fear of a tonsillectomy, which showed an increase in anxiety before surgery in patients who watched a video [16]. …”

Section: Obtaining Patient Consent – Studies On the Use Of Multimediamentioning

confidence: 99%

Use of Multimedia Technology in the Doctor-Patient Relationship for Obtaining Patient Informed Consent

Michalski

Stopa

2016

Med Sci Monit

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Patient informed consent for surgery or for high-risk methods of treatment or diagnosis means that unlawful breach of the patient’s personal interests is avoided and the patient accepts the risk of surgery and takes the brunt of it. Patient awareness – their knowledge of the condition and circumstances of continued therapeutic procedure, including offered and available methods of treatment and their possible complications – constitutes a particular aspect of the informed-consent process.The rapid development of technologies and methods of treatment may cause communication problems between the doctor and the patient regarding the scope and method of patient education prior to surgery. The use of multimedia technology (e.g., videos of surgical procedures, computer animation, and graphics), in addition to media used in preoperative patient education, may be a factor in improving the quality of the informed consent process. Studies conducted in clinical centers show that with use of multimedia technology, patients remember more of the information presented. The use of new technology also makes it possible to reduce the difference in the amount of information assimilated by patients with different levels of education. The use of media is a way to improve the quality of preoperative patient education and, at the same time, a step towards their further empowerment in the healing process.

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Section: Obtaining Patient Consent – Studies On the Use Of Multimediamentioning

confidence: 99%

Use of Multimedia Technology in the Doctor-Patient Relationship for Obtaining Patient Informed Consent

Michalski

Stopa

2016

Med Sci Monit

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“…Second, the gender of the current study included only women, and this was because of logistic reasons, as the study was conducted in the female campus in our institute. Gender might influence the factors analysed in this study, as young women frequently report feeling more anxious than men [17,26,31]. There was evidence in literature showed there was interaction between a cognitive vulnerability for panic disorder, anxiety sensitivity, and the effects of progesterone and its metabolite, allopregnanolone, on behavioural and physiological responses to stress during the premenstrual phase.…”

Section: Discussionmentioning

confidence: 95%

“…Kazancioglu et al claimed that watching a movie about third molar extractions led to an increase in anxiety and pain during the postoperative period [30]. Furthermore, Torres-Lagares et al reported that information given in a video format increased patient anxiety and did not provide advantages for dental treatment [31]. Audio-visual presentation showing detailed surgical steps and information can cause apprehension and fear among patients, which in turn counterbalance the more tolerable situation provided by better understanding or enhanced knowledge [30].…”

Section: Discussionmentioning

confidence: 99%

A Novel assessment tool monitoring the level of patient anxiety during third molar surgery procedure

Alfotawi

Alhowikan

Alfadhel

et al. 2020

Heliyon

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The authors hypothesized that an audiovisual presentation providing information regarding the removal of an impacted mandibular third molar would reduce patient anxiety. Aim& objectives: A clinical trial was performed to assess the level of patient anxiety during third molar surgery by using a new induction program and comparing the results amongst two groups that were the verbally informed and the audiovisual informed groups. Materials and methods: the clinical trial included the patients who required surgical removal of an impacted third molar and fulfilled the predetermined criteria. The patients were divided into two groups-group 1 (no. ¼ 20) the audio visual informed group and group 2(no. ¼ 20) the verbally informed group. For both the groups the HR was recorded beat by beat using HR sensor (polar H1 UK) connected to an ActiGraph WGT3X-3T USA. Also the modified dental analogue scale(MDAS) was used to subjectively record the anxiety during the surgery. Results: The HR reading were statistically significant for the following surgical stages; drilling, suturing and upon leaving the clinic. The audiovisual informed group had lower self-reported anxiety scores than did the verbally informed group. Conclusion: These results suggested that providing an audiovisual presentation about the surgical procedures in our routine clinical practice could aid in alleviating anxiety which would thereby reduce surgical complications.

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“…A prospective study "The effects of informed consent format on preoperative anxiety in patients undergoing inferior third molar surgery" was done in USA; All forms of informed consent were useful in decreasing anxiety but oral format was most effective according to this study [11].…”

Section: • Right Of Autonomous Decisionmentioning

confidence: 89%

Role of Informed Consent in Reducing Pre-Operative Anxiety

2018

JNH

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Background: Preoperative anxiety is challenging concept in preoperative patients. It could reduce by various methods; one of them is informed consent in which information is provided to patients regarding anesthesia and surgical procedure, it also helps patients to make autonomous decision. Objective: The aim this study was to identify the role of informed consent in preoperative anxiety, in surgical patients of both public and private tertiary care hospital Peshawar. Method: A quasi experimental study design was carried out among preoperative patients of surgical units. The sample of 65 participants was selected through convenient sampling technique. First, the preoperative anxiety was measured with valid adopted questionnaire APAIS. Second, the informed consent was explained to patients and after this again preoperative anxiety was measured to see the effect of informed consent on preoperative anxiety. Results: Among 65 participants 41 (63.1%) were males and 24 (36.9%) were females. 58 (89.2%) were married and 7 (10.8%) were unmarried. The mean age of participants was 49.92 +16.76 years. 24 (36.9%) of the participants were uneducated, 17 (26.2%) primary, 13 (20.0%) secondary, 6 (9.2%) bachelor, and 5 (7.7%) had higher education. The participants were graded for preoperative anxiety, 3 (4.6%) had somewhat, 9 (13.8%) moderate, 27 (41.5%) moderately high, and 26 (40.0%) had extremely high anxiety. while the post-intervention anxiety grades were identified as 20 (30.8%) somewhat, 18 (27.7%) moderate, 17 (26.2%) moderately high, and 10 (15.4%) extremely high. The study shows that well explained informed consent reduced the patient pre-operative anxiety. Conclusion: Preoperative anxiety is common phenomena experienced by patient undergoing through surgical procedures, informed consent is a tool that ensure the respect of patient autonomy and reduce their preoperative anxiety.

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The effects of informed consent format on preoperative anxiety in patients undergoing inferior third molar surgery

Cited by 24 publications

References 9 publications

Use of Multimedia Technology in the Doctor-Patient Relationship for Obtaining Patient Informed Consent

Use of Multimedia Technology in the Doctor-Patient Relationship for Obtaining Patient Informed Consent

A Novel assessment tool monitoring the level of patient anxiety during third molar surgery procedure

Role of Informed Consent in Reducing Pre-Operative Anxiety

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