Ham AKO, Pardo MRV

Language: Spanish
References: 15
Page: 79-84
PDF size: 109.03 Kb.

ABSTRACT

Objective: The purpose of the study is to determine the frequency of presentation of anxiety in patients scheduled for elective surgery at the Hospital of Gynecology and Obstetrics, IMIEM. Material and methods: Anxiety has been determined by two surveys that have been validated for this purpose in previous works. The first one, the Amsterdam Preoperative Anxiety and Information Scale (APAIS) consists of six questions: four to determine anxiety for the surgical or anesthetic event, and two to identify the need for additional information to that already provided; it is rated on a scale of one to five. Spielberg’s State-Trait Anxiety Inventory consists of two parts, each of 20 questions. These scales were applied to 75 patients scheduled for elective surgery and were conducted in the pre-anesthetic consultation; according to the APAIS, 28% of the subjects had anxiety, and according to the Spielberg’s inventory, 0% of these individuals had prior anxious state. Regarding the need for more information, about half of the women referred no need for more explanation than that provided by the surgeon and anesthesiologist. Results: Preoperative anxiety in the study population was less than the reported; this correlates with little need for additional information and the fact that most of these people had a previous surgical event. Conclusions: The APAIS is applicable as a diagnostic survey for perioperative anxiety in scheduled patients; the Spielberg’s inventory is complex for the patient; this study is insufficient to determine whether it is useful in our field or not.

REFERENCES

1. Conti N, Stagnaro JC, Historia de la ansiedad: textos escogidos, Buenos Aires: Editorial Polemos; 2007.

2. Medina-Mora ME, Borges G, Lara MC, Benjet C, Blanco JJ, Fleiz BC et al, Prevalencia de trastornos mentales y uso de servicios: resultados de la encuesta nacional de epidemiología psiquiátrica en México, Salud Mental, 2003; 26 (4): 1-16.

3. Cervantes NJJ, Epidemiología del espectro depresión-ansiedad, En: Díaz MA, Manual para el diagnóstico y tratamiento del espectro Depresión, Insomnio y Ansiedad (DIA), Medix; 2010.

4. Martínez MM, López GDN, Trastornos de ansiedad, Neurol Neurocir Psiquiat, 2011; 44: 101-107.

5. Valenzuela-Millán J, Barrera-Serrano JR, Ornelas-Aguirre JM, Ansiedad preoperatoria en procedimientos anestésicos, Cir Cir, 2010; 78: 151-156.

6. Rodríguez-Landa JF, Contreras CM, Algunos datos recientes sobre la fisiopatología de los trastornos por ansiedad, Rev Biomed, 1998; 9: 181-191.

7. Thomas V, Heath M, Rose D, Flory P, Psychological characteristics and the effectiveness of patient-controlled analgesia, Br J Anaesth, 1995; 74: 271-276.

8. American Psychiatric Association (APA), Manual diagnóstico y estadístico de los trastornos mentales, Barcelona: Masson; 2003.

9. Ruiz-López E, Muñoz-Cuevas JH, Olivero VYI, Islas SM, Ansiedad preoperatoria en el Hospital General de México, Rev Med Hosp Gen Méx, 2000; 63: 231-236.

10. Pérez DR, Martín CMC, Quiñonez CM, Influencia de la ansiedad quirúrgica en la evolución de la cirugía de várices, Rev Cubana Angiol y Cir Vasc, 2000; 1 (2): 95-100.

11. Kil HK, Kim WO, Chung WY, Kim GH, Seo H, Hong JY, Preoperative anxiety and pain sensitivity are independent predictors of propofol and sevoflurane requirements in general anaesthesia, Br J Anaesth, 2012; 108 (1): 119-125.

12. Mejia-Rodríguez RCP, Nivel de ansiedad que presentan los pacientes durante el periodo preoperatorio: Hospital de Chancay, noviembre-diciembre 2008.

13. 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 (3): 706-712.

14. Moerman N, van Dam FS, Muller MJ, Oosting H, The Amsterdam preoperative anxiety and information scale (APAIS), Anesth Analg, 1996; 82 (3): 445-451.

15. Soltner C, Giquello JA, Monrigal-Martin C, Beydon L, Continuous care and empathic anaesthesiologist attitude in the preoperative period: impact on patient anxiety and satisfaction, Br J Anaesth, 2011; 106 (5): 680-686.