Srinivasaiah Madhu, Mysore Gopalswamy Nandini, Krishna Harini, Kallur Thimmarayappa Venkatesh Murthy
Anesthesiology, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research, Kanakapura, IND.
Cureus. 2024 Jun 29;16(6):e63486. doi: 10.7759/cureus.63486. eCollection 2024 Jun.
Preoperative anxiety is a complex and subjective phenomenon, most commonly observed in patients posted for elective surgery. The Amsterdam Preoperative Anxiety Information Scale (APAIS) has been widely used in preoperative settings to measure anxiety quickly. This study aimed to translate the APAIS into Kannada and to evaluate its psychometric properties.
The study involved forward and backward translation of APAIS into Kannada followed by a cognitive interview of 10 patients by clinical psychologist to confirm the correct translation. The translated version was then administered to 240 patients who were posted for elective surgery along with the Visual Analogue Scale for Anxiety (VAS-A). Reliability and internal consistency were assessed by calculating Cronbach's alpha. Construct validity was assessed by principal component analysis and confirmatory factor analysis. Criteria validity was assessed by evaluating the correlation between APAIS and VAS-A.
The Kannada-translated version of APAIS was completed by 224 patients posted for elective surgery. Cronbach's alpha was 0.82 and 0.83 for anxiety and need for information items, respectively. Root mean square error of approximation (RMSEA), comparative fit index (CFI), and Tucker-Lewis index (TLI) were 0.07, 0.98, and 0.96, respectively, for three-factor model, indicating it to be best fit for Kannada version of APAIS.
The Kannada version of APAIS is a valid and reliable tool for measuring preoperative anxiety in patients undergoing elective surgery.
术前焦虑是一种复杂的主观现象，在择期手术患者中最为常见。阿姆斯特丹术前焦虑信息量表（APAIS）已在术前环境中广泛用于快速测量焦虑。本研究旨在将APAIS翻译成卡纳达语并评估其心理测量特性。
该研究包括将APAIS向前和向后翻译成卡纳达语，然后由临床心理学家对10名患者进行认知访谈以确认正确翻译。然后将翻译后的版本与焦虑视觉模拟量表（VAS-A）一起施用于240名择期手术患者。通过计算克朗巴哈系数评估信度和内部一致性。通过主成分分析和验证性因素分析评估结构效度。通过评估APAIS与VAS-A之间的相关性来评估标准效度。
224名择期手术患者完成了APAIS的卡纳达语翻译版本。焦虑和信息需求项目的克朗巴哈系数分别为0.82和0.83。三因素模型的近似均方根误差（RMSEA）、比较拟合指数（CFI）和塔克-刘易斯指数（TLI）分别为0.07、0.98和0.96，表明其最适合APAIS的卡纳达语版本。
APAIS的卡纳达语版本是测量择期手术患者术前焦虑的有效且可靠的工具。
