Preoperative Anxiety among Patients Undergoing Elective Surgery in a Tertiary Care Centre: A Descriptive Cross-sectional Study.

Gajal Lakhe, Binod Bade Shrestha, Anil Subedi
Author Information
  1. Gajal Lakhe: Department of Anaesthesia, Manipal College of Medical Sciences, Pokhara, Nepal.
  2. Binod Bade Shrestha: Department of General Surgery, Manipal College of Medical Sciences, Pokhara, Nepal.
  3. Anil Subedi: Department of Psychiatry, Manipal College of Medical Sciences, Pokhara, Nepal.

Abstract

Introduction: Preoperative anxiety is universal in patients before surgery. It is mostly unaddressed by health professionals due to a lack of time. The objective of this study was to find out the prevalence of preoperative anxiety among patients undergoing elective surgery in a tertiary care centre.
Methods: A descriptive cross-sectional study was conducted on 385 surgical patients in the Department of Anaesthesia, from 27 November 2021 to 20 April 2022 in a tertiary care hospital posted for elective surgery. Ethical approval was obtained from the Institutional Review Committee (Reference number: MEMG/481/IRC). A convenience sampling was used. The level of anxiety and need for information was assessed using the Amsterdam Preoperative Anxiety and Information Scale questionnaire in a preoperative holding area. Point estimate and 95% Confidence Interval were calculated.
Results: Out of 385 patients posted for elective surgery, preoperative anxiety was present in 88 (22.85%) (18.66-27.04, 95% Confidence Interval) patients. The mean Amsterdam Preoperative Anxiety and Information Scale score for total anxiety and need for information was 13.59±2.47 and 5.91±3.06 respectively. Anxiety was present in 60 (68.18%) females, 45 (51.13%) young patients aged <30 years and 50 (56.81%) patients without prior experience with surgery and anaesthesia.
Conclusions: The prevalence of preoperative anxiety among surgical patients was lower than in previous studies done in similar settings. Preoperative anxiety was common in females, young patients and patients without previous experience with anaesthesia and surgery.
Keywords: anxiety; patient; preoperative; surgical.

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MeSH Term

Female
Humans
Male
Tertiary Care Centers
Cross-Sectional Studies
Anxiety
Elective Surgical Procedures
Anesthesia

Word Cloud

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