ASSESSMENT OF PREOPERATIVE ANXIETY AND THE RISK FACTORS IN PATIENTS BOOKED FOR MAJOR ELECTIVE GENERAL SURGICAL PROCEDURES WITH AMSTERDAM PREOPERATIVE ANXIETY SCALE
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Keywords
Females, preoperative anxiety, elective surgery
Abstract
Background: Anxiety is defined as emotions of unease, can have an impact on a patient's hemodynamic stability. It is commonly seen in individuals scheduled for surgery, resulting in an increased need for anesthetic drugs. According to research, approximately half of elective surgery patients report preoperative anxiety, with rates ranging from 62% to 97% across various studies. Preoperative anxiety is caused by a variety of causes, including smoking, preexisting mental health disorders, fear of postoperative pain, and expectations about surgical outcomes. Assessing anxiety is critical because it influences how patients react to anesthetic and analgesic drugs, as well as their recovery from anesthesia and postoperative results.
Objective: To assess the prevalence and contributing factors of preoperative anxiety levels among patients scheduled for elective general surgery
Study design: A cross-sectional study
Place and Duration: This study was conducted in Dr. Ziauddin Hospital Keamari Karachi from January 2023 to January 2024
Methodology: A non-probability consecutive sampling method was used, and informed consent was obtained following a thorough description of the study's aims. Patients of both genders aged 18 to 70 years who were scheduled for elective surgery and were classed as ASA class 1-3 were eligible. The data were divided into three categories: anesthesia-related anxiety, surgery-related anxiety, and the demand for additional information.
Results: There were a total of 150 patients included in this research. Overall 60% of the total participants were males while 40% were females. The average age calculated was 46.1 years. The patients’ age ranged from 18 years to 70 years. The females with no prior surgical history were the most likely to experience anxiety. The prevalence of anxiety was 67.5%. Our study also indicated a favorable association between preoperative anxiety and a desire for information regarding anesthesia
Conclusion: Females and first-time surgical patients were more likely to have preoperative anxiety.
References
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Umar Zeb
Postgraduate Trainee of General Surgery, Dr. Ziauddin Hospital Keamari Karachi Pakistan.
Shoaib Ahmed
Consultant Surgeon General Surgery, Sheikh Khalifa Bin Zayyad Al Nayan Hospital Quetta Pakistan.
Lal Shah
Chief Resident Medical officer Surgey department, People’s University of Medical and Health Sciences for Women (PUMHSW) Nawabshah Pakistan.
Muhammad Asif
Postgraduate Trainee of General Surgery, Shaheed Mohtarma Benazir Bhutto Medical College, Larkana Pakistan.
Syed Baquer Ali Rizvi
Consultant General Surgeon, Public Welfare Hospital, Sui Balochistan Pakistan.
Sumaira Otho
Assistant Professor of Surgery, Fazaia Ruth Pfau Medical College Karachi Pakistan.