Preoperative anxiety about spinal surgery under general anesthesia
Purpose No study has investigated preoperative anxiety about spinal surgery under general anesthesia. The purposes of this study were (1) to determine how many patients have preoperative anxiety about spinal surgery and general anesthesia, (2) to evaluate the level of anxiety, (3) to identify patien...
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| Veröffentlicht in: | European spine journal 2016-03, Vol.25 (3), p.698-707 |
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| creator | Lee, Jun-Seok Park, Yong-Moon Ha, Kee-Yong Cho, Sung-Wook Bak, Geun-Hyeong Kim, Ki-Won |
| description | Purpose
No study has investigated preoperative anxiety about spinal surgery under general anesthesia. The purposes of this study were (1) to determine how many patients have preoperative anxiety about spinal surgery and general anesthesia, (2) to evaluate the level of anxiety, (3) to identify patient factors potentially associated with the level of anxiety, and (4) to describe the characteristics of the anxiety that patients experience during the perioperative period.
Methods
This study was performed in 175 consecutive patients undergoing laminectomy for lumbar stenosis or discectomy for herniated nucleus pulposus under general anesthesia. Demographic data, information related to surgery, and characteristics of anxiety were obtained using a questionnaire. The level of anxiety was assessed using a visual analog scale of anxiety (VAS-anxiety). Patient factors potentially associated with the level of anxiety were investigated using multiple stepwise regression analysis.
Results
Of 157 patients finally included in this study, 137 (87 %) had preoperative anxiety (VAS-anxiety > 0). The mean VAS-anxiety score for spinal surgery was significantly higher than that for general anesthesia (4.6 ± 3.0 vs. 3.2 ± 2.7;
P
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| doi_str_mv | 10.1007/s00586-015-3788-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1776650133</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1767066912</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-f04077e1750a47122382275fa9e7168d1414947d0d62d13d083a0d51639c5e4d3</originalsourceid><addsrcrecordid>eNqNkU1LAzEURYMotlZ_gBsZcONm9L18TpZa_IKCLnQd0iatU6YzNZkR--9NbRURBFdZ5OS8vHsJOUY4RwB1EQFEIXNAkTNVFDndIX3kjOagGd0lfdAccqlQ98hBjHNIoAa5T3pUSAUgZZ9cPQbfLH2wbfnmM1u_l75dZXbcdG0Wl2Vtqyx2YebDKutq50M283Wiq4T62L74WNpDsje1VfRH23NAnm-un4Z3-ejh9n54OconHESbT4GDUh6VAMsVUsoKSpWYWu0VysIhR665cuAkdcgcFMyCEyiZngjPHRuQs413GZrXLk03izJOfFWlrzRdNKiUlAKQsX-gaX8pNdKEnv5C500X0t6fQgSJqFWicENNQhNj8FOzDOXChpVBMOsuzKYLkyI26y7M2nyyNXfjhXffL77CTwDdADFd1SnjH6P_tH4AXcSRew</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1771061197</pqid></control><display><type>article</type><title>Preoperative anxiety about spinal surgery under general anesthesia</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Lee, Jun-Seok ; Park, Yong-Moon ; Ha, Kee-Yong ; Cho, Sung-Wook ; Bak, Geun-Hyeong ; Kim, Ki-Won</creator><creatorcontrib>Lee, Jun-Seok ; Park, Yong-Moon ; Ha, Kee-Yong ; Cho, Sung-Wook ; Bak, Geun-Hyeong ; Kim, Ki-Won</creatorcontrib><description>Purpose
No study has investigated preoperative anxiety about spinal surgery under general anesthesia. The purposes of this study were (1) to determine how many patients have preoperative anxiety about spinal surgery and general anesthesia, (2) to evaluate the level of anxiety, (3) to identify patient factors potentially associated with the level of anxiety, and (4) to describe the characteristics of the anxiety that patients experience during the perioperative period.
Methods
This study was performed in 175 consecutive patients undergoing laminectomy for lumbar stenosis or discectomy for herniated nucleus pulposus under general anesthesia. Demographic data, information related to surgery, and characteristics of anxiety were obtained using a questionnaire. The level of anxiety was assessed using a visual analog scale of anxiety (VAS-anxiety). Patient factors potentially associated with the level of anxiety were investigated using multiple stepwise regression analysis.
Results
Of 157 patients finally included in this study, 137 (87 %) had preoperative anxiety (VAS-anxiety > 0). The mean VAS-anxiety score for spinal surgery was significantly higher than that for general anesthesia (4.6 ± 3.0 vs. 3.2 ± 2.7;
P
< 0.001). Sex and age were significant patient factors related to the level of anxiety about spinal surgery (
P
= 0.009) and general anesthesia (
P
= 0.018); female patients had a higher level of anxiety about spinal surgery, and elderly patients had a higher level of anxiety about general anesthesia. The most helpful factors in overcoming anxiety before surgery and in reducing anxiety after surgery were faith in the medical staff (48.9 %) and surgeon’s explanation of the surgery performed (72.3 %), respectively.
Conclusions
Patients awaiting laminectomy or discectomy feared spinal surgery more than general anesthesia. This study also found that medical staff and surgeons play important roles in overcoming and reducing patient anxiety during the perioperative period.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-015-3788-2</identifier><identifier>PMID: 25670066</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Age Factors ; Aged ; Aged, 80 and over ; Anesthesia, General - psychology ; Anxiety ; Anxiety - psychology ; Diskectomy - psychology ; Female ; Humans ; Intervertebral Disc Displacement - surgery ; Laminectomy - psychology ; Lumbar Vertebrae - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosurgery ; Original Article ; Preoperative Period ; Severity of Illness Index ; Sex Factors ; Spinal Stenosis - surgery ; Surgical Orthopedics ; Surveys and Questionnaires ; Young Adult</subject><ispartof>European spine journal, 2016-03, Vol.25 (3), p.698-707</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-f04077e1750a47122382275fa9e7168d1414947d0d62d13d083a0d51639c5e4d3</citedby><cites>FETCH-LOGICAL-c405t-f04077e1750a47122382275fa9e7168d1414947d0d62d13d083a0d51639c5e4d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-015-3788-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-015-3788-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25670066$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Jun-Seok</creatorcontrib><creatorcontrib>Park, Yong-Moon</creatorcontrib><creatorcontrib>Ha, Kee-Yong</creatorcontrib><creatorcontrib>Cho, Sung-Wook</creatorcontrib><creatorcontrib>Bak, Geun-Hyeong</creatorcontrib><creatorcontrib>Kim, Ki-Won</creatorcontrib><title>Preoperative anxiety about spinal surgery under general anesthesia</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
No study has investigated preoperative anxiety about spinal surgery under general anesthesia. The purposes of this study were (1) to determine how many patients have preoperative anxiety about spinal surgery and general anesthesia, (2) to evaluate the level of anxiety, (3) to identify patient factors potentially associated with the level of anxiety, and (4) to describe the characteristics of the anxiety that patients experience during the perioperative period.
Methods
This study was performed in 175 consecutive patients undergoing laminectomy for lumbar stenosis or discectomy for herniated nucleus pulposus under general anesthesia. Demographic data, information related to surgery, and characteristics of anxiety were obtained using a questionnaire. The level of anxiety was assessed using a visual analog scale of anxiety (VAS-anxiety). Patient factors potentially associated with the level of anxiety were investigated using multiple stepwise regression analysis.
Results
Of 157 patients finally included in this study, 137 (87 %) had preoperative anxiety (VAS-anxiety > 0). The mean VAS-anxiety score for spinal surgery was significantly higher than that for general anesthesia (4.6 ± 3.0 vs. 3.2 ± 2.7;
P
< 0.001). Sex and age were significant patient factors related to the level of anxiety about spinal surgery (
P
= 0.009) and general anesthesia (
P
= 0.018); female patients had a higher level of anxiety about spinal surgery, and elderly patients had a higher level of anxiety about general anesthesia. The most helpful factors in overcoming anxiety before surgery and in reducing anxiety after surgery were faith in the medical staff (48.9 %) and surgeon’s explanation of the surgery performed (72.3 %), respectively.
Conclusions
Patients awaiting laminectomy or discectomy feared spinal surgery more than general anesthesia. This study also found that medical staff and surgeons play important roles in overcoming and reducing patient anxiety during the perioperative period.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia, General - psychology</subject><subject>Anxiety</subject><subject>Anxiety - psychology</subject><subject>Diskectomy - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Laminectomy - psychology</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Preoperative Period</subject><subject>Severity of Illness Index</subject><subject>Sex Factors</subject><subject>Spinal Stenosis - surgery</subject><subject>Surgical Orthopedics</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkU1LAzEURYMotlZ_gBsZcONm9L18TpZa_IKCLnQd0iatU6YzNZkR--9NbRURBFdZ5OS8vHsJOUY4RwB1EQFEIXNAkTNVFDndIX3kjOagGd0lfdAccqlQ98hBjHNIoAa5T3pUSAUgZZ9cPQbfLH2wbfnmM1u_l75dZXbcdG0Wl2Vtqyx2YebDKutq50M283Wiq4T62L74WNpDsje1VfRH23NAnm-un4Z3-ejh9n54OconHESbT4GDUh6VAMsVUsoKSpWYWu0VysIhR665cuAkdcgcFMyCEyiZngjPHRuQs413GZrXLk03izJOfFWlrzRdNKiUlAKQsX-gaX8pNdKEnv5C500X0t6fQgSJqFWicENNQhNj8FOzDOXChpVBMOsuzKYLkyI26y7M2nyyNXfjhXffL77CTwDdADFd1SnjH6P_tH4AXcSRew</recordid><startdate>20160301</startdate><enddate>20160301</enddate><creator>Lee, Jun-Seok</creator><creator>Park, Yong-Moon</creator><creator>Ha, Kee-Yong</creator><creator>Cho, Sung-Wook</creator><creator>Bak, Geun-Hyeong</creator><creator>Kim, Ki-Won</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20160301</creationdate><title>Preoperative anxiety about spinal surgery under general anesthesia</title><author>Lee, Jun-Seok ; Park, Yong-Moon ; Ha, Kee-Yong ; Cho, Sung-Wook ; Bak, Geun-Hyeong ; Kim, Ki-Won</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-f04077e1750a47122382275fa9e7168d1414947d0d62d13d083a0d51639c5e4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia, General - psychology</topic><topic>Anxiety</topic><topic>Anxiety - psychology</topic><topic>Diskectomy - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Laminectomy - psychology</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Preoperative Period</topic><topic>Severity of Illness Index</topic><topic>Sex Factors</topic><topic>Spinal Stenosis - surgery</topic><topic>Surgical Orthopedics</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Jun-Seok</creatorcontrib><creatorcontrib>Park, Yong-Moon</creatorcontrib><creatorcontrib>Ha, Kee-Yong</creatorcontrib><creatorcontrib>Cho, Sung-Wook</creatorcontrib><creatorcontrib>Bak, Geun-Hyeong</creatorcontrib><creatorcontrib>Kim, Ki-Won</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Jun-Seok</au><au>Park, Yong-Moon</au><au>Ha, Kee-Yong</au><au>Cho, Sung-Wook</au><au>Bak, Geun-Hyeong</au><au>Kim, Ki-Won</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative anxiety about spinal surgery under general anesthesia</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2016-03-01</date><risdate>2016</risdate><volume>25</volume><issue>3</issue><spage>698</spage><epage>707</epage><pages>698-707</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
No study has investigated preoperative anxiety about spinal surgery under general anesthesia. The purposes of this study were (1) to determine how many patients have preoperative anxiety about spinal surgery and general anesthesia, (2) to evaluate the level of anxiety, (3) to identify patient factors potentially associated with the level of anxiety, and (4) to describe the characteristics of the anxiety that patients experience during the perioperative period.
Methods
This study was performed in 175 consecutive patients undergoing laminectomy for lumbar stenosis or discectomy for herniated nucleus pulposus under general anesthesia. Demographic data, information related to surgery, and characteristics of anxiety were obtained using a questionnaire. The level of anxiety was assessed using a visual analog scale of anxiety (VAS-anxiety). Patient factors potentially associated with the level of anxiety were investigated using multiple stepwise regression analysis.
Results
Of 157 patients finally included in this study, 137 (87 %) had preoperative anxiety (VAS-anxiety > 0). The mean VAS-anxiety score for spinal surgery was significantly higher than that for general anesthesia (4.6 ± 3.0 vs. 3.2 ± 2.7;
P
< 0.001). Sex and age were significant patient factors related to the level of anxiety about spinal surgery (
P
= 0.009) and general anesthesia (
P
= 0.018); female patients had a higher level of anxiety about spinal surgery, and elderly patients had a higher level of anxiety about general anesthesia. The most helpful factors in overcoming anxiety before surgery and in reducing anxiety after surgery were faith in the medical staff (48.9 %) and surgeon’s explanation of the surgery performed (72.3 %), respectively.
Conclusions
Patients awaiting laminectomy or discectomy feared spinal surgery more than general anesthesia. This study also found that medical staff and surgeons play important roles in overcoming and reducing patient anxiety during the perioperative period.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25670066</pmid><doi>10.1007/s00586-015-3788-2</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0940-6719 |
| ispartof | European spine journal, 2016-03, Vol.25 (3), p.698-707 |
| issn | 0940-6719 1432-0932 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Age Factors Aged Aged, 80 and over Anesthesia, General - psychology Anxiety Anxiety - psychology Diskectomy - psychology Female Humans Intervertebral Disc Displacement - surgery Laminectomy - psychology Lumbar Vertebrae - surgery Male Medicine Medicine & Public Health Middle Aged Neurosurgery Original Article Preoperative Period Severity of Illness Index Sex Factors Spinal Stenosis - surgery Surgical Orthopedics Surveys and Questionnaires Young Adult |
| title | Preoperative anxiety about spinal surgery under general anesthesia |
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