Assessment of preoperative anxiety in patients under general anesthesia. observational study.
##plugins.themes.bootstrap3.article.sidebar##
PDF (Español (España))
FLIP
HTML (Español (España))
##plugins.themes.bootstrap3.article.main##
Introduction. Anxiety is an adaptive response of the human being to danger. The surgical anesthetic act is considered a generator of anxiety that is related to greater vulnerability and difficult control of postoperative pain, prolonged hospital stay, higher rate of anesthetic events and vulnerability to infections. This study aims to estimate the prevalence of preoperative anxiety in a group of patients undergoing surgery under general anesthesia using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Methods. A cross-sectional observational study performed with surgical patients who received general anesthesia at a third-level hospital. Sociodemographic and clinical information were obtained. Prevalence of preoperative anxiety was estimated by using the APAIS scale (cut of 11) and potential associated factors were evaluated. A descriptive analysis and crude odds ratios were calculated. In addition, a logistic regression model was constructed to adjust the effect of covariates. Results. Prevalence of anxiety was 13% [IC95% 7%-18%]. No variables were found to be significantly associated with the presence of anxiety. 76.8% of the participants had a low need for information. Women, outpatients, ASA I classification and patients under major surgery without a history of previous surgical procedures presented a higher frequency of anxiety. The majority of patients presented a low need for information (76.8%). After the adjusted analysis, there were no variables related to the presentation of anxiety. Conclusions. A low prevalence of anxiety and a low need for information on the part of the participants were documented. It is necessary to do further research in this area in Colombia.
Downloads
##plugins.themes.bootstrap3.article.details##
Spielberger CD. The theory and research on anxiety. In: Anxiety and behavior. 1966.
Sierra JC, Ortega V, Zubeidat I. Ansiedad, Angustia Y Estrés: Tres Conceptos a Diferenciar. Rev Mal-Estar E Subjetividade / Fortaleza. 2003; 3(1): 10-59.
Thomas V, Heath M, Rose D, Flory P. Psychological characteristics and the effectiveness of patient-controlled analgesia. Br J Anaesth. 1995; 74(3):271-6. https://doi.org/10.1093/bja/74.3.271
Anderson KO, Masur FT. Psychological preparation for invasive medical and dental procedures. J Behav Med. 1983; 6(1):1-40.
Pérez Díaz R, Martín Carbonell M, Quiñones Castro M. Influencia de la ansiedad prequirúrgica en la evolución de la cirugía de las varices. Rev Cuba Angiol y Cir Vasc. 2000; 1(2):95-100.
Boker A, Brownell L, Donen N. The Amsterdam preoperative anxiety and information scale provides a simple and reliable measure of preoperative anxiety. Can J Anesth. 2002; 49(8):792-8. https://doi.org/10.1007/BF03017410
Spielberger CD, Gorsuch RL, Lushene RE. State-Trait Anxiety Inventory (STAI). Manual for the State-Trait Anxiety Inventory. 2010.
Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand. 1983;
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):706-12.
Moerman N, Van Dam FSAM, Muller MJ, Oosting H. The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Anesth Analg. 1996; (3):445-51.
Quijano SCDP. Nivel de ansiedad del paciente en el preoperatorio en el servicio de cirugía del Hospital Nacional Dos de Mayo – 2013. Univ Nac Mayor San Marcos. 2014;
Gonzales Butamante G, Pinto Samanez F. Escala Amsterdam Ansiedad Escala Informacion Apais Fase Preoperatoria Peru 2005. Universia.net. 2010.
Torres Treviños I. Ansiedad preoperatoria en pacientes programados para cirugía Centro quirúrgico Clínica el Golf Lima-Perú 2014. [Internet]. Universidad Nacional Mayor de San Marcos (Lima); 2014. Available from: http://hdl.handle.net/123456789/5144
Naranjo KF, Salazar JP. Comparación del nivel de ansiedad en los pacientes de cirugía programada mediante la aplicación de la escala de ansiedad e infromación preoperatoria de Amsterdam realizada en la visita pre anestésica y comparada con grupo control en los hospitales Eugenio. 2012;12–55. Available from: http://www.dspace.uce.edu.ec/bitstream/25000/1113/1/T-UCE-0006-39.pdf
Valenzuela-Millán J, Barrera-Serrano JR, Ornelas-Aguirre JM. Ansiedad preoperatoria en procedimientos anestésicos. Cir Cir. 2010; 78:151-156.
Muñoz Pérez X. Factores de riesgo asociados a la ansuedad preoperatoria en cirugias electivas en el Hospital Universitario del Caribe de Cartagena, Colombia. Universidad de Cartagena; 2018.
Quintero A, Yasnó D, Riveros O, Castillo J, Borráez B. Ansiedad en el paciente prequirúrgico : un problema que nos afecta a todos. Rev Colomb Cir. 2017; 32:115-20.
Pinzón Bayona MY, Pastrana Londoño OA. Validación de la Escala de Información de ansiedad preoperatoria de Amsterdam (APAIS) a un Caso Colombiano [Internet]. Universidad del Rosario; 2017. Available from: http://repository.urosario.edu.co/handle/10336/12853
Omar K, Armenta H, Virgen R, Morales P. Ansiedad preoperatoria. Medicine (Baltimore). 2014;
Salamanca Ragua N. Evaluación preanestésica. Rev la Fac Ciencias la Salud Univ del Cauca [Internet]. 2005; 7(2): 33-39.
R Development Core Team RFFSC. R: A Language and Environment for Statistical Computing. Vienna Austria R Found Stat Comput. 2008;
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(2):51-6.
Altman N, Krzywinski M. Points of Significance: Association, correlation and causation. Nat Methods. 2015;
Schober P, Boer C, Schwarte LA. Correlation Coefficients: Appropriate Use and Interpretation. Anesth Analg. 2018; 26(5):1763-1768. doi: 10.1213/ANE.0000000000002864.
Jawaid M, Mushtaq A, Mukhtar S, Khan Z. Preoperative anxiety before elective surgery. Neurosciences (Riyadh). 2007; 12(2):145-8.
Matthias AT, Samarasekera DN. Preoperative anxiety in surgical patients - Experience of a single unit. Acta Anaesthesiol Taiwanica. 2012; 50(1):3-6. doi: 10.1016/j.aat.2012.02.004.
