Preoperative anxiety in neurosurgical patients
Anxiety is common in surgical patients, with an incidence of 60% to 92%. There is little information on the incidence and severity of preoperative anxiety in patients scheduled for neurosurgery. The aim of this study was to measure the level of preoperative anxiety in neurosurgical patients and to a...
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Veröffentlicht in: | Journal of neurosurgical anesthesiology 2009-04, Vol.21 (2), p.127-130 |
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description | Anxiety is common in surgical patients, with an incidence of 60% to 92%. There is little information on the incidence and severity of preoperative anxiety in patients scheduled for neurosurgery. The aim of this study was to measure the level of preoperative anxiety in neurosurgical patients and to assess any influencing factors. After the Institutional Review Board approval and informed written consent, 100 patients booked for neurosurgery were interviewed preoperatively. Each patient was asked to grade their preoperative anxiety level on a verbal analog scale, Amsterdam Preoperative Anxiety and Information Scale, and a set of specific anxiety-related questions. The anxiety scores and the responses to the questions were compared between the sex, age, weight, diagnosis, and history of previous surgery. The mean age (+/-SD) was 50+/-13 years. The preoperative diagnosis was tumor (n=64), aneurysm (n=14), and other (n=22). Overall verbal analog scale was 5.2+/-2.7; the score was higher for female (5.8+/-2.8) than male patients (4.6+/-2.5) (P |
doi_str_mv | 10.1097/ANA.0b013e31819a6ca3 |
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There is little information on the incidence and severity of preoperative anxiety in patients scheduled for neurosurgery. The aim of this study was to measure the level of preoperative anxiety in neurosurgical patients and to assess any influencing factors. After the Institutional Review Board approval and informed written consent, 100 patients booked for neurosurgery were interviewed preoperatively. Each patient was asked to grade their preoperative anxiety level on a verbal analog scale, Amsterdam Preoperative Anxiety and Information Scale, and a set of specific anxiety-related questions. The anxiety scores and the responses to the questions were compared between the sex, age, weight, diagnosis, and history of previous surgery. The mean age (+/-SD) was 50+/-13 years. The preoperative diagnosis was tumor (n=64), aneurysm (n=14), and other (n=22). Overall verbal analog scale was 5.2+/-2.7; the score was higher for female (5.8+/-2.8) than male patients (4.6+/-2.5) (P<0.05). Amsterdam Preoperative Anxiety and Information Scale anxiety and knowledge scores were greater for surgery than for anesthesia. Questionnaire results showed that the most common anxieties were waiting for surgery, physical/mental harm, and results of the operation. In conclusion, our study showed that neurosurgical patients have high levels of anxiety, with a higher incidence in females. There was a moderately high need for information, particularly in patients with a high level of preoperative anxiety.</description><identifier>ISSN: 0898-4921</identifier><identifier>EISSN: 1537-1921</identifier><identifier>DOI: 10.1097/ANA.0b013e31819a6ca3</identifier><identifier>PMID: 19295391</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Anxiety - epidemiology ; Anxiety - psychology ; Brain Neoplasms - surgery ; Craniotomy ; Female ; Humans ; Intracranial Aneurysm - surgery ; Male ; Middle Aged ; Neurosurgical Procedures - psychology ; Patient Education as Topic ; Preoperative Care ; Psychometrics ; Sex Factors ; Sphenoid Bone - surgery ; Surveys and Questionnaires</subject><ispartof>Journal of neurosurgical anesthesiology, 2009-04, Vol.21 (2), p.127-130</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-4fe051c9f0504329aedff321dd27c40e4c947cc69999a1f9f7d6b0c0998830cd3</citedby><cites>FETCH-LOGICAL-c337t-4fe051c9f0504329aedff321dd27c40e4c947cc69999a1f9f7d6b0c0998830cd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19295391$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Perks, Anna</creatorcontrib><creatorcontrib>Chakravarti, Sucharita</creatorcontrib><creatorcontrib>Manninen, Pirjo</creatorcontrib><title>Preoperative anxiety in neurosurgical patients</title><title>Journal of neurosurgical anesthesiology</title><addtitle>J Neurosurg Anesthesiol</addtitle><description>Anxiety is common in surgical patients, with an incidence of 60% to 92%. There is little information on the incidence and severity of preoperative anxiety in patients scheduled for neurosurgery. The aim of this study was to measure the level of preoperative anxiety in neurosurgical patients and to assess any influencing factors. After the Institutional Review Board approval and informed written consent, 100 patients booked for neurosurgery were interviewed preoperatively. Each patient was asked to grade their preoperative anxiety level on a verbal analog scale, Amsterdam Preoperative Anxiety and Information Scale, and a set of specific anxiety-related questions. The anxiety scores and the responses to the questions were compared between the sex, age, weight, diagnosis, and history of previous surgery. The mean age (+/-SD) was 50+/-13 years. The preoperative diagnosis was tumor (n=64), aneurysm (n=14), and other (n=22). Overall verbal analog scale was 5.2+/-2.7; the score was higher for female (5.8+/-2.8) than male patients (4.6+/-2.5) (P<0.05). Amsterdam Preoperative Anxiety and Information Scale anxiety and knowledge scores were greater for surgery than for anesthesia. Questionnaire results showed that the most common anxieties were waiting for surgery, physical/mental harm, and results of the operation. In conclusion, our study showed that neurosurgical patients have high levels of anxiety, with a higher incidence in females. There was a moderately high need for information, particularly in patients with a high level of preoperative anxiety.</description><subject>Adult</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - psychology</subject><subject>Brain Neoplasms - surgery</subject><subject>Craniotomy</subject><subject>Female</subject><subject>Humans</subject><subject>Intracranial Aneurysm - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurosurgical Procedures - psychology</subject><subject>Patient Education as Topic</subject><subject>Preoperative Care</subject><subject>Psychometrics</subject><subject>Sex Factors</subject><subject>Sphenoid Bone - surgery</subject><subject>Surveys and Questionnaires</subject><issn>0898-4921</issn><issn>1537-1921</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9LxDAQxYMo7rr6DUR60lPXSZM0neOy-A8W9aDnkk0nUum2NWnF_fZGdkHw4Fxm4P3eg3mMnXOYc0B9vXhczGENXJDgBUeTWyMO2JQroVOOGT9kUyiwSGW8J-wkhHcAwEzpYzaJOiqBfMrmz566nrwZ6k9KTPtV07BN6jZpafRdGP1bbU2T9FGndgin7MiZJtDZfs_Y6-3Ny_I-XT3dPSwXq9QKoYdUOgLFLTpQIEWGhirnRMarKtNWAkmLUlubYxzDHTpd5WuwgFgUAmwlZuxql9v77mOkMJSbOlhqGtNSN4ZSK6lklkuM5OW_ZK5BZlroCModaONfwZMre19vjN-WHMqfRsvYaPm30Wi72OeP6w1Vv6Z9heIbSgVyZA</recordid><startdate>200904</startdate><enddate>200904</enddate><creator>Perks, Anna</creator><creator>Chakravarti, Sucharita</creator><creator>Manninen, Pirjo</creator><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>7X8</scope><scope>7TK</scope></search><sort><creationdate>200904</creationdate><title>Preoperative anxiety in neurosurgical patients</title><author>Perks, Anna ; Chakravarti, Sucharita ; Manninen, Pirjo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-4fe051c9f0504329aedff321dd27c40e4c947cc69999a1f9f7d6b0c0998830cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - psychology</topic><topic>Brain Neoplasms - surgery</topic><topic>Craniotomy</topic><topic>Female</topic><topic>Humans</topic><topic>Intracranial Aneurysm - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurosurgical Procedures - psychology</topic><topic>Patient Education as Topic</topic><topic>Preoperative Care</topic><topic>Psychometrics</topic><topic>Sex Factors</topic><topic>Sphenoid Bone - surgery</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Perks, Anna</creatorcontrib><creatorcontrib>Chakravarti, Sucharita</creatorcontrib><creatorcontrib>Manninen, Pirjo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Journal of neurosurgical anesthesiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Perks, Anna</au><au>Chakravarti, Sucharita</au><au>Manninen, Pirjo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative anxiety in neurosurgical patients</atitle><jtitle>Journal of neurosurgical anesthesiology</jtitle><addtitle>J Neurosurg Anesthesiol</addtitle><date>2009-04</date><risdate>2009</risdate><volume>21</volume><issue>2</issue><spage>127</spage><epage>130</epage><pages>127-130</pages><issn>0898-4921</issn><eissn>1537-1921</eissn><abstract>Anxiety is common in surgical patients, with an incidence of 60% to 92%. There is little information on the incidence and severity of preoperative anxiety in patients scheduled for neurosurgery. The aim of this study was to measure the level of preoperative anxiety in neurosurgical patients and to assess any influencing factors. After the Institutional Review Board approval and informed written consent, 100 patients booked for neurosurgery were interviewed preoperatively. Each patient was asked to grade their preoperative anxiety level on a verbal analog scale, Amsterdam Preoperative Anxiety and Information Scale, and a set of specific anxiety-related questions. The anxiety scores and the responses to the questions were compared between the sex, age, weight, diagnosis, and history of previous surgery. The mean age (+/-SD) was 50+/-13 years. The preoperative diagnosis was tumor (n=64), aneurysm (n=14), and other (n=22). Overall verbal analog scale was 5.2+/-2.7; the score was higher for female (5.8+/-2.8) than male patients (4.6+/-2.5) (P<0.05). Amsterdam Preoperative Anxiety and Information Scale anxiety and knowledge scores were greater for surgery than for anesthesia. Questionnaire results showed that the most common anxieties were waiting for surgery, physical/mental harm, and results of the operation. In conclusion, our study showed that neurosurgical patients have high levels of anxiety, with a higher incidence in females. There was a moderately high need for information, particularly in patients with a high level of preoperative anxiety.</abstract><cop>United States</cop><pmid>19295391</pmid><doi>10.1097/ANA.0b013e31819a6ca3</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Anxiety - epidemiology Anxiety - psychology Brain Neoplasms - surgery Craniotomy Female Humans Intracranial Aneurysm - surgery Male Middle Aged Neurosurgical Procedures - psychology Patient Education as Topic Preoperative Care Psychometrics Sex Factors Sphenoid Bone - surgery Surveys and Questionnaires |
title | Preoperative anxiety in neurosurgical patients |
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