Journals / Anestezi Dergisi / 2015 / Cilt: 23 - Sayı: 2

PREOPERATİF MULTİMEDYA BİLGİLENDİRMESİ REJYONEL ANESTEZİ SIRASINDA PERİOPERATİF HASTA ANKSİYETESİNİ AZALTIR MI? RANDOMİZE KONTROLLÜ ÇALIŞMA

CAN PREOPERATIVE MULTIMEDIA INFORMATION PROVISION DECREASE PERIOPERATIVE PATIENT ANXIETY DURING REGIONAL ANESTHESIA? A RONDOMIZED CONTROLLED TRIAL

Pages
86–92
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Preoperative multimedia inf ormation of the patients scheduled f or the operation under spinal anesthesia had f avorable eff ects on perioperative anxiety levels.

📌 3 Key Takeaways

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Objective & Hypothesis:Obj ective: Preoperative inf ormation provision is the most eff ective approach f or alleviating the patient’s anxiety during the operation.
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Key Findings & Data:Method: A total of 100 patients undergoing inguinal hernia operation under spinal anesthesia were allocated into study (Group I, n=50) and control (Group II, n=50) groups.
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Conclusion & Impact:Conclusion: Preoperative multimedia inf ormation of the patients scheduled f or the operation under spinal anesthesia had f avorable eff ects on perioperative anxiety levels.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Obj ective: Preoperative inf ormation provision is the most eff ective approach f or alleviating the patient’s anxiety during the operation. In this study, we aimed to investigate the eff ect of showing pre-recorded spinal anesthesia procedure video on perioperative anxiety of the patients undergoing surgery under spinal anesthesia. Method: A total of 100 patients undergoing inguinal hernia operation under spinal anesthesia were allocated into study (Group I, n=50) and control (Group II, n=50) groups. The study group watched an inf ormative pre-recorded short f ilm depicting the (HAD) anesthesia procedure. Patient anxiety levels were assessed via Visual Analogue Scale (VAS), Hospital Anxiety Depression Scale (HADS) and State Trait Anxiety Inventory (STAI). Results: In the morning of the operation STAI Anxiety score was lower in the Group I, (p =0.007). There was positive correlation between the education level and the preoperative HAD Anxiety scores of the patients (r=0.256, p =0.010), whereas the education levels and the postoperative STAI Anxiety scores were negatively correlated (r=0.256, p =0.008). Signif icantly positive correlation was determined between preoperative VAS scores and HAD Anxiety (r=0.386, p =0.001), as well as STAI Anxiety scores (r=0.300, p =0.002). Conclusion: Preoperative multimedia inf ormation of the patients scheduled f or the operation under spinal anesthesia had f avorable eff ects on perioperative anxiety levels.

Özet

Amaç: Preoperatif bilgilendirme sağlanması hastanın ameliyat sırasındaki anksiyetesini azaltmak için en uygun yöntemdir. Bu çalışmada, spinal anestezi altında opere edilecek olan hastalara, önceden kaydedilmiş spinal anestezi videosu izletmenin perioperatif anksiyete üzerine etkisi araştırıldı. Yöntem: Spinal anestezi altında inguinal herni operasyonu geçirecek olan 100 hasta çalışma (Grup I, n=50) ve kontrol (Grup II, n=50) gruplarına ayrıldı. Çalışma grubuna önceden kaydedilmiş spinal anestezi işlemini gösteren video izletildi. Hastaların anksiyete düzeyleri Vizüel Analog Skala (VAS), Hastane Anksiyete Depresyon Skalası (HAD) ve Durum Kaygı Anksiyete Envanteri (DKAE) ile incelendi. Bulgular: Ameliyat sabahı DKAE Anksiyete skoru Grup I’de daha düşüktü, (p =0.007). Eğitim seviyesi ile preoperatif HAD Anksiyete skorları arasında pozitif (r=0.256, p =0.010), yine eğitim seviyesi ile postoperatif DKAE Anksiyete skorları arasında ise negatif (r=0.256, p =0.008) korelasyon vardı. Preoperatif VAS skorları ile HAD Anksiyete (r=0.386, p =0.001) ve DKAE Anksiyete (r=0.300, p =0.002) skorları arasında anlamlı pozitif korelasyon saptandı. Sonuç: Spinal anestezi altında opere edilecek hastaların preoperatif multimedya bilgilendirmesinin perioperatif anksiyete seviyelerine olumlu etkileri mevcuttur

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Cite This Article

TİRYAKİ, H. C., ADULLAYEV, R., MUTLU, N. M., KÜÇÜKEBE, Ö. B., OKAY, İ. T., DİKMEN, B. (2015). PREOPERATİF MULTİMEDYA BİLGİLENDİRMESİ REJYONEL ANESTEZİ SIRASINDA PERİOPERATİF HASTA ANKSİYETESİNİ AZALTIR MI? RANDOMİZE KONTROLLÜ ÇALIŞMA. Anestezi Dergisi, Cilt: 23 - Sayı: 2, 86–92. https://ajindex.com/articles/156741

References (15)

  1. Jlala HA, French JL, Foxall GL, Hardman JG, Bedforth NM. Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. Br J Anaesth 2010; 104:369-374
  2. Hilton BA. Perceptions of uncertainty: its relevance to life- threatening and chronic illness. Critical Care Nurse 1992; 12:70-73
  3. Goldberg RJ, Posner DA. Anxiety in the medically ill. In: Stoudemire A, Fogel VS, Greenberg DB, editors. Psychiatric Care of Medical Patient. 2nd ed.NY, USA: Oxford University Press; 2000. pp. 165-180
  4. Klopfenstein CE, Forster A, Van Gessel E. Anesthetic assessment in an outpatient consultation clinic reduces preoperative anxiety. Can J Anaesth 2000; 47:511-515
  5. Strain JJ. The surgical patient. In: Michels R, Cazenar JO, editors. Psychiatry. Philadelphia; Lippincott WW, 1985. pp. 1-11
  6. Bekaroğlu M, Uluutku N, Alp K. Ameliyat öncesi kaygı ve depresyon durumunun ameliyat kompli-kasyonlarına ve yatış süresine etkisi üzerine bir çalışma. Türk Psikiyatri Dergisi 1991; 2:285-288
  7. Elkins G, Rajab MH, Marcus J, Staniunas R. Prevalence of anxiety among patients undergoing colorectal surgery. Psychol Rep 2004; 95:657-658
  8. Granot M, Ferber SG. The roles of pain catastrophizing and anxiety in the prediction of postoperative pain intensity: a prospective study. Clin J Pain 2005; 21:439-445
  9. Kain ZN, Mayes LC,Caldwell-Andrews AA, Karas DE, McClain BC. Preoperative anxiety, postopera-tive pain, and behavioral recovery in young children undergoing surgery. Pediatrics 2006; 118:651-658
  10. Pasnau RO, Fawzy FI, Skotzko CE. Surgery and surgical subspecialties. In: Rundall JR, Wise MG, editors. Textbook of Consultation-Liaison Psychiatry. Washington, DC, USA: American Psychiatric Press; 1996.pp. 608-609
  11. Hicks JA, Jenkins JG. The measurement of preoperative anxiety. J R Soc Med 1988;81:517-519
  12. Aydemir Ö, Köroğlu E. Psikiyatride Kullanılan Klinik Ölçekler. 1st ed. Ankara, Turkey: Hekimler Yayın Birliği; 2009
  13. Boker A, Brownell L, Donen N. The Amsterdam preoperative anxiety and information scale provides a simple and reliable measure of preoperative anxiety. Can J Anaesth 2002; 49:792-798
  14. Lee A, Chui PT, Gin T. Educating patients about anesthesia: a systematic review of randomized controlled trials of media-based interventions. Anesth Analg 2003; 96:1424-1431
  15. Done ML, Lee A. The use of video to convey preanesthetic information to patients undergoing ambulatory surgery. Anesth Analg