Jiwanmall Meghna, Jiwanmall Stephen A, Williams Aparna, Kamakshi S, Sugirtharaj Lovisal, Poornima K, Jacob Kuruthukulangara S
Department of Anaesthesiology, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Psychiatry, Christian Medical College, Vellore, Tamil Nadu, India.
Indian J Psychol Med. 2020 Jan 6;42(1):87-92. doi: 10.4103/IJPSYM.IJPSYM_180_19. eCollection 2020 Jan-Feb.
There is a paucity of data related to anxiety levels in patients undergoing day care surgery in India.
Preoperative anxiety was assessed using Amsterdam Preoperative Anxiety and Information Scale (APAIS) 1 day before surgery and on the day of surgery, and the patients were categorized as cases (APAIS score ≥13) and controls (APAIS score <13). Sociodemographic characteristics, clinical features, and fears associated with anesthesia and surgery were also noted.
Out of the 399 patients recruited, 58.1% experienced significant preoperative anxiety. The fear of needles ( = 0.002), fear of waking up during the surgery ( < 0.001), and the patient's need of additional information regarding anesthesia and surgery ( < 0.001) were significantly associated with preoperative anxiety.
A significant proportion of patients scheduled for day care surgery have preoperative anxiety. A preanesthetic workup of a patient with adequate clarification about their doubts and fears related to anesthesia and surgery is recommended to bring down the level of anxiety.
在印度，有关日间手术患者焦虑水平的数据匮乏。
术前1天及手术当天使用阿姆斯特丹术前焦虑与信息量表（APAIS）评估术前焦虑情况，将患者分为病例组（APAIS评分≥13）和对照组（APAIS评分<13）。还记录了社会人口学特征、临床特征以及与麻醉和手术相关的恐惧。
在招募的399例患者中，58.1%经历了显著的术前焦虑。对针头的恐惧（P = 0.002）、对手术中醒来的恐惧（P < 0.001）以及患者对麻醉和手术额外信息的需求（P < 0.001）与术前焦虑显著相关。
相当一部分安排日间手术的患者存在术前焦虑。建议对患者进行麻醉前检查，充分澄清他们对麻醉和手术的疑虑与恐惧，以降低焦虑水平。
