2000, Number 3
Information on surgery and anesthesia: its effect on anxiety and pain in thoracic surgery patients.
Gavito MC, Corona MA, Villagrán ME, Morales J, Téllez JL, Ortega-Soto HA
Language: Spanish
References: 10
Page: 153-156
PDF size: 152.71 Kb.
ABSTRACT
Introduction: Surgery is a stressful experience for multiple reasons and the conditions of recovery and evolution of the surgical event can vary according to the patient’s emotional situation. Many health professionals state that information given to the patient regarding the surgical procedure can be emotionally helpful. Objective: The purpose of the present study was to evaluate the effect of structured and detailed information given to patients undergoing thoracic surgery at the INER. Method: Patients for surgery were accepted by consensus of surgeons. To be accepted they had to have knowledge of reading and writing Spanish, sign an informed consent, be between 18 and 65 years of age and sex. Tests to measure their emotional situation were applied, the HAD scale for anxiety and depression, the IDARE scale to measure anxiety, a visual analog scale which also measures anxiety, a visual analog scale to measure pain (EVA); additionally, a scale measuring pre-surgery information (APAIS) and a personality scale were applied. Patients were randomised to receive, or not, information by two investigators blind to the emotional evaluations. Twenty-four hours after surgery, patients were retest with scales to measure anxiety, pain and the EVA. One week later the HAD was applied again. Results: Of 33 patients, 14 were cases and 19 controls. Results show some differences but with no statistical significance between groups. It seems that other interventions are necessary, beside information about surgery and anaesthesia, to modify the emotional state of the patient.REFERENCES