2010, Number 2
<< Back Next >>
Cir Cir 2010; 78 (2)
Ansiedad preoperatoria en procedimientos anestésicos
Valenzuela-Millán J, Barrera-Serrano JR, Ornelas-Aguirre JM
Language: Spanish
References: 21
Page: 151-156
PDF size: 232.13 Kb.
ABSTRACT
Background: Preoperative anxiety is a common and poorly evaluated condition in patients who will undergo an anesthetic and surgical intervention. The objective of this study was to determine the prevalence of anxiety in a group of patients undergoing elective surgery, as assessed by the Amsterdam Anxiety Preoperative and Information (AAPI) scale.
Methods: We studied 135 patients scheduled for elective surgery applying the AAPI scale 24 h before the surgical procedure to evaluate the presence of anxiety and patient characteristics. A descriptive analysis with mean ± standard deviation for categorical variables was done. For intragroup differences, χ
2 test was used. Pearson correlation for the association between anxiety and postoperative complications was carried out. A value of
p ≤ 0.05 was considered significant.
Results: One hundred six patients were surgically treated, 88% were female (average age 44 ± 12 years). Some degree of preoperative anxiety was present in 72 patients (76%;
p = 0.001) with a grade point average on the AAPI scale equal to 17 ± 7 points, of which 95 (70%, OR = 5.08;
p = 0.002) were females.
Conclusions: Results of this study suggest the presence of high levels of preoperative anxiety in patients scheduled for elective surgery. The origin of the anxiety appears to be related to many factors that can be evaluated in preanesthetic consultation. Further study is needed to prevent the presence of this disorder.
REFERENCES
Markland D, Hardy L. Anxiety, relaxation and anaesthesia for day-case surgery. Br J Clin Psychol 1993;32:493-504.
Yager GM. Clinical manifestations of psychiatric disorders. In: Kaplan HI, ed. Comprehensive Textbook of Psychiatry. Baltimore: Williams & Wilkins; 1995. pp. 637-669.
Ruiz-López E, Muñoz-Cuevas JH, Olivero-Vásquez YI, Islas-Saucillo M. Preoperatory anxiety at the General Hospital of Mexico. Rev Med Hosp Gen Mex 2000;63:231-236.
Anderson KO, Masur FT. Psychological preparation for invasive medical and dental procedures. J Behav Med 1983;6:1-40.
Thomas V, Heath M, Rose D, Flory P. Psychological characteristics and the effectiveness of patient-controlled analgesia. Br J Anaesth 1995;74:271-276.
Caumo W, Schmidt AP, Schneider CN, Bergmann J, Iwamoto CW, Adamatti LC, et al. Risk factors for postoperative anxiety in adults. Anaesthesia 2001;56:720-728.
Sukantarat KT, Williamson RC, Brett SJ. Psychological assessment of ICU survivors: a comparison between the Hospital Anxiety and Depression Scale and the Depression, Anxiety and Stress Scale. Anaesthesia 2007;62:239-243.
Padmanabhan R, Hildreth AJ, Laws D. A prospective, randomised, controlled study examining binaural beat audio and pre-operative anxiety in patients undergoing general anaesthesia for day case surgery. Anaesthesia 2005;60:874-877.
Kindler CH, Harms C, Amsler F, Ihde-Scholl T, Scheidegger D. The visual analog scale allows effective measurement of preoperative anxiety and detection of patients’ anesthetic concerns. Anesth Analg 2000;90:706-712.
Li-Ning J, Arbulú O, Kishimoto J, Goldman H. Anxiety before the surgical act: a study with patients and their relatives. Rev Neuropsiquiatr 1981;44:157-68.
de la Paz-Estrada C, Prego-Beltrán C, Barzaga-Hernández E. Miedo y ansiedad a la anestesia en pacientes sometidos a cirugía. Rev Mex Anest 2006;29:159-162.
Moerman N, van Dam F, Muller M. The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Anesth Analg 1996;82:445-451.
Oosting H, Maranets I, Kain ZN. Preoperative anxiety and intraoperative anesthetic requirements. Anesth Analg 1999;89:1346-1351.
Kern C, Weber A, Aurilio C, Forster A. Patient evaluation and comparison of the recovery profile between propofol and thiopentone as induction agents in day surgery. Anaesth Intensive Care 1998;26:156-161.
Kiyohara LY, Kayano LK, Oliveira LM, Yamamoto MU, Inagaki MM, Ogawa NY, et al. Surgery information reduces anxiety in the pre-operative period. Rev Hosp Clin Fac Med Sao Paulo 2004;59:51-56.
Bauer KP, Dom PM, Ramirez AM, O’Flaherty JE. Preoperative intravenous midazolam: benefits beyond anxiolysis. J Clin Anesth 2004;16:177-183.
Moerman N, van Dam FS, Muller MJ, Oosting H. The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Anesth Analg 1996;82:445-451.
Oldman M, Moore D, Collins S. Drug patient information leaflets in anaesthesia: effect on anxiety and patient satisfaction. Br J Anaesth 2004;92:854-858.
Capdenat Saint-Martin E, Michel P, Raymond JM, Iskandar H, Chevalier C, Petitpierre MN, et al. Description of local adaptation of national guidelines and of active feedback for rationalizing preoperative screening in patients at low risk from anaesthetics in a French university hospital. Qual Health Care 1998;7:5-11.
Castillo-Precioso JC, Cano-Vindel A, Ortiz-Soria B, Gordillo-del Valle E, Sánchez-García JA, Martínez-Sánchez F. Una escala reducida de ansiedad basada en el Inventario de Situaciones y Respuestas de Ansiedad (ISRA): un estudio exploratorio. Anal Psicología 1995;11:97-104.
Agarwal A, Ranjan R, Dhiraaj S, Lakra A, Kumar M, Singh U. Acupressure for prevention of pre-operative anxiety: a prospective, randomized, placebo controlled study. Anaesthesia 2005;60:978-981.