Usefulness of pre-anesthetic consultation to reduce the degree of anxiety in patients scheduled for surgical intervention
Por:
Porcar, E and Peral, D
Publicada:
1 dic 2020
Resumen:
Background and objectives: Preoperative anxiety can alter perioperative evolution, increasing the need for sedatives and analgesics. Information received during the pre-anesthesia consultation could reduce the level of anxiety. The objective of this study was to determine whether preoperative anxiety levels decrease after the pre-anesthesia consultation. Material and methods: Observational, unicentric, prospective study. Sociodemographic and clinical data were recorded. Heart rate, blood pressure and anxiety levels were measured before and after the pre-anesthesia consultation using the abbreviated State-Trait Anxiety Inventory. Results were analyzed using Wilcoxon test and univariate logistic regression. P = .05 was considered significant. Results: Ninety patients were included, with a median age of 62 years; 58% were females, 79% had completed primary-secondary studies, 72% were selected for ambulatory surgery and 72% preferred regional anesthesia. The prevalence of anxiety was 35.6% (State-Trait Anxiety Inventory score 5; IQR 3-9); after the anesthesia consultation the score was reduced to 4 (IQR 2-6), P = .005. There was no significative decrease in hemodynamic values, and no significant relationship between anxiety and sociodemographic or clinical variables. Conclusions: The pre-anesthesia consultation reduces anxiety levels in surgical patients. This emphasizes the importance of the pre-anesthesia consultation in identifying and managing anxiety. (c) 2020 Sociedad Espanola de Anestesiologia, Reanimacion y Terapeutica del Dolor. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
:
Hosp Univ La Plana, Vila Real, Castellon, Spain
Peral, D:
Hosp Prov Castellon, Castellon de La Plana, Spain
Univ Jalme I, Castellon de La Plana, Spain
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