Abstract
Female gender has been identified as one of the risk factors closely linked to perioperative anxiety and a lower level of satisfaction. A successful preoperative anesthesia education may improve such negative outcomes. The aim of this study was to investigate whether preoperative anesthesia education via an Anesthesia Service Platform (ASP) could reduce the anxiety levels in female patients scheduled for laparoscopic cholecystectomy under general anesthesia, and accelerate rehabilitation. A total of 222 patients scheduled for elective laparoscopic cholecystectomy were randomly assigned to the control group and the ASP group. Patients’ baseline and post-intervention psychological status was measured by the State-Trait Anxiety Inventory and General Well-Being Schedule. Pain management and recovery were assessed by VAS every 12 h for 48 h after surgery; length of stay (LOS) and postoperative analgesic consumption were also assessed. Patients in the control group experienced higher anxiety levels before surgery and had longer LOS than those in the ASP group. Patients in the ASP group had a higher general well-being score; however, they suffered more pain and consumed more analgesics after surgery. ASP is effective for preventing anxiety in female patients before laparoscopic cholecystectomy, improving patients’ general well-being levels, and shortening their LOS, but negatively influences patients’ postoperative pain levels.
Highlights
Female gender has been identified as one of the risk factors closely linked to perioperative anxiety and a lower level of satisfaction
Preoperative anesthesia education before surgery should be performed for the following reasons: firstly, an informed content should be signed by the patients or their relatives, and informing patients or their relatives on the details related to performed manipulations before surgery is governed by laws and rules[6,7]; secondly, this is a good way to earn the patient’s trust, after which patients tend to be more willing to cooperate with physicians during the treatment[8,9]; last but not least, existing evidence has validated the positive effect of preoperative education, such as decreased anxiety and pain level, reduced complications and increased confidence in fighting the illness[10,11]
The key findings in the present study are that preoperative anesthesia education via the Anesthesia Service Platform could significantly relieve preoperative anxiety in female patients, shorten their length of stay in the hospital, and improve their general well-being during hospitalization
Summary
Female gender has been identified as one of the risk factors closely linked to perioperative anxiety and a lower level of satisfaction. The aim of this study was to investigate whether preoperative anesthesia education via an Anesthesia Service Platform (ASP) could reduce the anxiety levels in female patients scheduled for laparoscopic cholecystectomy under general anesthesia, and accelerate rehabilitation. ASP is effective for preventing anxiety in female patients before laparoscopic cholecystectomy, improving patients’ general well-being levels, and shortening their LOS, but negatively influences patients’ postoperative pain levels. A number of patients have insufficient knowledge about anesthesia, thinking that an anesthetist’s job only consists of administering anesthetic agents into patients’ bodies immediately before the start of the operation, after which they leave for other things while the patients are sleeping Such misunderstanding may lead to higher anxiety levels and lower satisfaction levels[1]. (3) preoperative education sessions provide the possibility of interactive communication with doctors, but the time cost may be unaffordable, and patients’ compliance is not g uaranteed[15]
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