Abstract

Background/aim This study aimed to adapt the Amsterdam Preoperative Anxiety and Information Scale (APAIS) to measure the preoperative anxiety of adult Turkish patients undergoing surgery.Materials and methods The sample of this methodological study included 210 patients. Data were collected by using personal information forms, the APAIS, and the State Anxiety Scale (STAI). Cronbach’s α-coefficient was calculated, and test–retest reliability was tested. Results Cronbach’s α-coefficients of the APAIS anxiety and information requirement subscales were 0.897 and 0.786, respectively. The mean test and retest scores of the APAIS were not different. The test and retest scores of the patients were significantly, positively, and strongly related. The APAIS and STAI-I were correlated. Factorial analysis revealed that two factors accounted for 81.435% of the total variance with an eigenvalue of >1. These results showed that the Turkish version of the APAIS is a valid and reliable scale.Conclusion The Turkish translation of the APAIS is valid and can be reliably used to determine the preoperative anxiety experienced by patients who are undergoing elective surgery.

Highlights

  • Anxiety is a disturbing feeling of fear and concern that is perceived as life-threatening [1]

  • Factorial analysis revealed that two factors accounted for 81.435% of the total variance with an eigenvalue of >1. These results showed that the Turkish version of the APAIS is a valid and reliable scale

  • The Turkish translation of the APAIS is valid and can be reliably used to determine the preoperative anxiety experienced by patients who are undergoing elective surgery

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Summary

Introduction

Anxiety is a disturbing feeling of fear and concern that is perceived as life-threatening [1]. Preoperative anxiety is a globally encountered problem in the healthcare field and is defined as fear that is experienced by patients who will undergo surgery [3]. Most patients experience different degrees of anxiety and fear before surgery [4]. The causes of preoperative anxiety include waking up during surgery; failure to wake up after surgery: postoperative pain; nausea and vomiting; potential stay in intensive care; incompetent, inexperienced, or absent anesthetist; fear of needles, death, or incomprehensible babbling under anesthesia; and pain during surgery [3,5,6]. High levels of preoperative anxiety cause physical problems, such as dizziness, nausea, and headache, and affect postoperative anxiety.

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