Preoperative Anxiety In Patients Research Articles

Virtual Reality–Based Intervention to Reduce Preoperative Anxiety in Adults Undergoing Elective Surgery

Preoperative anxiety is common among adult patients undergoing elective surgery and is associated with negative outcomes. Virtual reality (VR)-based interventions have been considered simpler, safer, and more effective for reducing anxiety in patients undergoing surgery than conventional care. To examine the effectiveness of a VR-based intervention with preoperative education in reducing preoperative anxiety among adult patients undergoing elective surgery. An assessor-blinded prospective randomized clinical trial was conducted to recruit adult patients aged 18 years or older who were scheduled for their first elective surgery procedure under general anesthesia within the next 2 to 4 weeks at a preanesthesia assessment clinic in Hong Kong from July to December 2022. Participants were randomly assigned to either an intervention group (an 8-minute immersive 360° VR video tour in the operating theater via a head-mounted display console) or a control group (standard care). The primary outcome of preoperative anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (range, 6-30; higher scores indicate greater anxiety), and the secondary outcomes (ie, stress, preparedness, and pain) were assessed by Visual Analog Scale at 3 time points: baseline at beginning of clinical session (T0), at the end of the clinical session immediately after the intervention (T1), and before the surgery (T2). Pain, satisfaction levels, and postoperative length of stay were evaluated after the surgery (T3). Simulation sickness was assessed after the intervention by use of the Simulation Sickness Questionnaire. A generalized estimating equations model was applied to compare changes in outcomes over time. A total of 74 participants (mean [SD] age, 46.34 [14.52] years; 38 men [51.4%] and 36 women [48.6%]) were recruited and randomized to the control group (37 participants) and intervention group (37 participants). Compared with the control group, the VR-based intervention group showed significantly decreased preoperative anxiety at T1 (β, -5.46; 95% CI, -7.60 to -3.32; P < .001) and T2 (β, -5.57; 95% CI, -7.73 to -3.41; P < .001), lower stress at T1 (β, -10.68; 95% CI, -16.00 to -5.36; P < .001) and T2 (β, -5.16; 95% CI, -9.87 to -0.45; P = .03), and higher preparedness at T1 (β, 6.60; 95% CI, 0.97 to 12.19; P = .02). Satisfaction levels were significantly increased in the intervention group vs the control group (mean [SD] score, 81.35 [9.24] vs 65.28 [8.16]; difference, 16.07; 95% CI, 12.00 to 20.15; P < .001). No significant differences in pain and postoperative length of stay were found. The findings of this study suggest that a VR-based intervention is a feasible and effective way to reduce preoperative anxiety in adult patients undergoing elective surgery. Given the promising results of this study, further study in the form of large-scale, multicenter, randomized clinical trials with broader implementation is warranted. Chinese Clinical Trial Registry Identifier: ChiCTR2100051690.

Effect of pre-operative patient anxiety on post-spinal shivering during elective cesarean delivery: a prospective observational study

BackgroundShivering after spinal anesthesia is common during cesarean delivery (CD), and is thought to be primarily a thermoregulatory response. By inducing autonomic changes, pre-operative anxiety could alter the functioning of the thermoregulatory center, hence modifying the incidence and severity of obstetric post-spinal shivering. This prospective observational study was conducted to explore the relationship between pre-operative anxiety and obstetric post-spinal shivering. MethodsPatients ≥18 years of age and scheduled for elective CD under spinal anesthesia were enrolled. Pre-operative anxiety was measured on the day of surgery using a visual analogue scale (VAS) and the Amsterdam Preoperative Anxiety and Information Scale (APAIS), and was correlated with the incidence of post-spinal shivering. Other possible risk factors for post-spinal shivering were explored using univariate and multivariate logistic regression models. ResultsAmong the 150 participants, 46 (31%) experienced post-spinal shivering. The relative risk of intra-operative shivering in those with high APAIS pre-operative anxiety was 2.76 (95% CI 1.55 to 4.90; P = 0.0005). Younger patient age (aOR 0.91, 95% CI 0.83 to 0.98; P = 0.02), higher APAIS anxiety score (aOR 1.21, 95% CI 1.06 to 1.37; P = 0.005), higher VAS anxiety score (aOR 1.48, 95% CI 1.24 to 1.78; P < 0.001) were independent risk factors for post-spinal shivering. ConclusionsHigh pre-operative anxiety and younger patient age were independent risk factors for post-spinal shivering during elective CD. Targeted interventions to reduce pre-operative patient anxiety might have a positive impact in decreasing the incidence of intra-operative post-spinal shivering in this patient population.

Strategies For Reducing Anxiety in Pre-Operative Adult Patients

The paper is aimed at reducing pre-operative anxiety in adult patients. Pre-operative anxiety is the fear or anxiety experienced by patient preparing for surgery. The study was a descriptive survey research design. It was guided by one research question. The population of the study was 238 doctors and nurses working in the surgical wards of Chukwuemeka Odumegwu Ojukwu Teaching Hospital Amaku, Awka, Anambra State, Nigeria. The entire population was used for the study. The instrument for data collection was questionnaire. The instrument was validated by two experts from the Department of Adult and Continuing Education and Science Education respectively, all from Nnamdi Azikiwe University, Awka. Data collected were analysed using Mean statistics and Standard deviation. The findings of the study show that all the twelve items except two were accepted as strategies for reducing pre-operative anxiety of adult patients. The respondents disagreed with” helping patient to accept that he is anxious”(2.48) and” massaging of patients hand before surgery” (2.49) ,as strategies for reducing anxiety. Based on the findings, it was recommended that surgical teams should take it, as a matter of duty, to explain to patient every bits of procedure they want to carry out on a patient

Spiritual experience related to anxiety level in pre operational cesarean section patients

Introduction: Anxiety is a common thing experienced by women who will undergo cesarean section surgery. The level of anxiety and the ability to manage anxiety are not the same for everyone, so efforts are needed to manage anxiety so that there is no delay in surgery. The purpose of this study was to explain the relationship between spiritual experiences and the level of anxiety in patients with preoperative cesarean section. Methods: The design of this research was correlational analytic with cross sectional approach. The population of this study were mothers who underwent preoperative cesarean section as many as 32 people and with the purposive sampling technique obtained a sample of 30 respondents. The variables measured were spiritual experience and level of anxiety. Data were collected using DSES and HARS instruments. Data analysis using chi square test. Result: The results showed that 90% of respondents with negative spiritual experiences were in moderate anxiety. The results of the chi square test obtained p = 0.002 which means that spiritual experience is significantly related to the level of anxiety of preoperative cesarean section patients. Conclusion: Nurses have a role in managing the anxiety of preoperative cesarean section patients. Efforts that can be made are with a spiritual approach so as to create calm for preoperative section patients.

Pre-operative anxiety of patients in district hospitals in Ashanti Region, Ghana

Pre-operative anxiety of patients in district hospitals in Ashanti Region, Ghana

Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit

Objectives: This study determined the postoperative associated factors with preoperative anxiety in patients receiving post anesthetic recovery care at surgical intensive care unit. Methods: In this cross-sectional correlational study, 84 postoperative patients were admitted to a surgical intensive care unit for post anesthetic recovery care. Participants completed questionnaires on anxiety, pain, stress, and sleep disturbance on the preoperative day and on the morning of postoperative day 1. Data were analyzed with χ 2 -test, unpaired t-test, Pearson correlation analysis and logistic regression. Results: Forty patients (47.6%) had a high preoperative anxiety score of ≥ 18. Higher preoperative anxiety was associated with greater postoperative anxiety (r = 0.24, &lt;i&gt;p&lt;/i&gt; = 0.026), higher postoperative stress (r = 0.24, &lt;i&gt;p&lt;/i&gt; = 0.026), and poorer postoperative sleep (r = 0.39, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). High preoperative anxiety was associated with postoperative physical restraint (B = 1.72, OR: 5.59, 95% CI: 1.19-21.32). High preoperative anxiety was associated with postoperative sleep disturbance (B = 0.29, OR: 1.34, 95% CI: 1.08-1.65). Conclusions: High preoperative anxiety is associated with poorer sleep during the first postoperative night among surgical intensive care unit patients.

The Relationship Between Anxiety Levels And Blood Pressure Inpreoperative Patients With General Anesthesia In Cilacap Hospital

Background: Most people before performing surgery using general anesthetic actionhave emergency surgery. Excessive anxiety reactions are concerned to affect the success of surgery, which can raise blood pressure which improves heart performance while pumping blood throughout the body. Purpose: This investigation aims to find out the relationship between anxiety levels and blood pressure in pre-operative patients under general anesthesia Methods: This study uses a descriptive design of correlation with a cross-sectional approach. Data collection and blood pressure measurement were performed before the respondents entered the operating room by giving them the Amsterdam Preoperative Anxiety and Information Scale questionnaire (APAIS). Samples in thisstudy were taken from 54 respondents using consecutive sampling techniques. Data analysis used is univariate and bivariate analysis using spearman rank tests. Result: The results of correlation statistical test using Spearman rank show that the significance value for systolic blood pressure is 0.007 &lt; 0.05 and for diastolic blood pressure is 0.005 &lt; 0.05. Most of the people who answered experienced systolic blood pressure in stage 1 hypertension, namely 26 people, and diastolic blood pressure in prehypertension, namely 24 people. Conclusion: There is a correlation between the level of anxiety and blood pressure in pre-operative patients under general anesthesia at RSUD Cilacap.

Relationship Of Waiting Time With Axiety In Pre Operating Sectio Caesarea Patients With Spinal Anestesi In Dr. Soedirman Kebumen Hospital

Background:Most patients before sectio caesarea surgery using spinal anesthesia have different waiting times, which affects preoperative anxiety. Overreaction due to this anxiety is feared to affect the success of the surgery. The long waiting time of preoperative sectio caesarea patients (?30 minutes) has moderate anxiety. While inappropriate pre anesthesia waiting time (&gt;30 minutes) has severe anxiety. Therefore, the longer the waiting time experienced by patients can affect the level ofanxiety in patients. Purpose:This study aims to determine the relationship between waiting time and anxiety of preoperative sectio caesarea with spinal anesthesia Methods:This study used quantitative correlation analytics with a cross sectional approach.Data collection was carried out before the respondent entered the operating room by giving the Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. The sample in this study was 66 respondents who were taken using purposive sampling technique. Data analysis used isu nivariate and bivariate analysisusing the spearman rank test. Result:The results of the correlation statistical test using Spearman rank showed that the coefficient method was 0.5 and p value 0.000. From this study it is known that out of 51 people in the category of waiting time ?30 minutes, there are 26 people (39.4%) with moderate anxiety, in the &gt;30 minute category, there are 8 people (12.1%) with severe anxiety. Conclusion:There is a relationship between waiting time and anxiety in preoperative sectio caesarea patients with spinal anesthesia at RSUD Dr.Soedirman Kebumen

THE EFFECT OF LAVENDER AROMATHERAPY TO ANXIETY LEVELS PATIENT PREOPERATIVE ORIF ANTEBRACHII FRACTURE

Surgery is a potential or actual threat to a person's integrity and can subsequently cause a psychological reaction, namely anxiety. One alternative in overcoming anxiety is with lavender aromatherapy. Lavender aromatherapy has advantages compared to other types of aromatherapy, namely it is economical, easy to obtain, safe to use, does not take long and is practical because it does not require complicated equipment). Lavender has a chemical content, namely Linalyl acetate and linalool. These molecules have sedative and antidepressant effects that can affect a person's feelings and emotions. The purpose of this study was to determine the effect of lavender aromatherapy on the anxiety level of preoperative ORIF antebrachii Fracture patients. The study used a pre-experimental design with a One-group pre-post test design which was carried out on March 9 - April 9 2023. The population in this study were all preoperative ORIF Antebrachial Fracture patients for 1 month as many as 14 people in the bougenvile room at Kertosono Hospital. A sample of 14 respondents with total sampling sampling technique. Measurement of anxiety levels before and after being given lavender aromatherapy with Hamilton Rating Scale for Anxiety (HARS). Provision of lavender aromatherapy for 15 minutes. Data analysis used the Wilcoxon sign rank statistical test. The results of the Wilcoxon sign rank statistical test showed P value = 0.001 &lt;α = 0.05 so that there was an effect of lavender aromatherapy on the anxiety level of preoperative ORIF Antebrachii Fracture patients. Lavender aromatherapy can be applied as an alternative solution in overcoming the anxiety of preoperative ORIF Antebrachii Fracture patients.

Hubungan Pengetahuan Keluarga Tentang Tindakan Pembedahan Dengan Tingkat Kecemasan Keluarga Pada Pasien Pre Operasi Di Rumkit TK.II R.W. Mongisidi Manado

Surgery is a treatment action with invasive techniques, namely opening the body part to be treated through an incision and ending with closure and suturing of the wound. Anxiety occurs as an emotional response process when the family feels fear, which is followed by several signs and symptoms such as tension, fear, and alertness. The purpose of this study was to determine the relationship between family knowledge about surgery and family anxiety levels in pre-operative patients at TK II Robert Wolter Mongisidi Hospital, Manado. This research uses descriptive analytic method with cross sectional approach. The statistical test is as many as 33 respondents using accidental sampling. Data was collected by using a questionnaire to each respondent and using the HARS (Hamilton Anxiety Rating Scale). Furthermore, the data that has been collected is processed using the SPSS version 16.0 computer program to be analyzed with the Chi-Square test with a significance value (α) of 0.05. The result of this study is that there is a relationship between family knowledge about surgery and the level of family anxiety in pre-operative patients at TK II Robert Wolter Mongisidi Hospital, Manado. p = 0.000 where the p value is smaller than = 0.05.

Augmented Reality for Perioperative Anxiety in Patients Undergoing Surgery

Both augmented reality (AR) and virtual reality (VR) have had increasing applications in medicine, including medical training, psychology, physical medicine, rehabilitation, and surgical specialties, such as neurosurgery and orthopedic surgery. There are little data on AR's effect on patients' anxiety and experiences. To determine whether the use of an AR walkthrough effects patient perioperative anxiety. This randomized clinical trial was conducted at an outpatient surgery center in 2021 to 2022. All patients undergoing elective orthopedic surgery with the senior author were randomized to the treatment or control group. Analyses were conducted per protocol. Data analysis was performed in November 2022. AR experience explaining to patients what to expect on their day of surgery and walking them through the surgery space. The control group received the standard educational packet. The main outcome was change in State-Trait Anxiety Inventory (STAI) from the screening survey to the preoperative survey. A total of 140 patients were eligible, and 45 patients either declined or were excluded. Therefore, 95 patients (63 [66.3%] male; mean [SD] age, 38 [16] years) were recruited for the study and included in the final analysis; 46 patients received the AR intervention, and 49 patients received standard instructions. The AR group experienced a decrease in anxiety from the screening to preoperative survey (mean score change, -2.4 [95% CI, -4.6 to -0.3]), while the standard care group experienced an increase (mean score change, 2.6 [95% CI, 0.2 to 4.9]; P = .01). All patients postoperatively experienced a mean decrease in anxiety score compared with both the screening survey (mean change: AR, -5.4 [95% CI, -7.9 to -2.9]; standard care, -6.9 [95% CI, -11.5 to -2.2]; P = .32) and preoperative survey (mean change: AR, -8.0 [95% CI, -10.3 to -5.7]; standard care, -4.2 [95% CI, -8.6 to 0.2]; P = .19). Of 42 patients in the AR group who completed the postoperative follow-up survey, 30 (71.4%) agreed or strongly agreed that they enjoyed the experience, 29 (69.0%) agreed or strongly agreed that they would recommend the experience, and 28 (66.7%) agreed or strongly agreed that they would use the experience again. No differences were observed in postoperative pain levels or narcotic use. In this randomized clinical trial, the use of AR decreased preoperative anxiety compared with traditional perioperative education and handouts, but there was no significant effect on postoperative anxiety, pain levels, or narcotic use. These findings suggest that AR may serve as an effective means of decreasing preoperative patient anxiety. ClinicalTrials.gov Identifier: NCT04727697.

A Cross-Sectional Study of Factors Influencing Pre-Operative Anxiety in Orthognathic Patients.

Orthognathic treatment is an important treatment modality to manage severe dentofacial discrepancies. Patients awaiting orthognathic surgery often experience increased anxiety, which may adversely affect post-operative recovery and treatment satisfaction. This study investigated the effects of a number of factors on pre-operative anxiety in orthognathic patients. Seventy patients prospectively recruited from three orthognathic centres in the UK completed a pre-operative questionnaire that included validated scales for measuring anxiety, social support, resilience, and coping styles. Sociodemographic data and satisfaction with the information provided by the clinical team were also elicited from the questionnaire. Univariable analysis showed that social support from a significant other (p = 0.026), resilience (p < 0.001), and satisfaction with the information provided by the clinical team (p = 0.002) were significantly associated with reduced anxiety, whilst avoidance coping (p < 0.001) and coping through seeking social support (p = 0.006) were significantly related to increased anxiety. With the exception of coping by seeking social support, these relationships retained significance in a multivariable regression analysis. Neither gender nor ethnicity moderated the effects of social support on pre-operative anxiety. These findings suggest potential avenues for clinicians to address with future interventions to reduce pre-operative anxiety. Further qualitative research may provide greater clarity on the relationship between these variables and anxiety.

TO OBSERVE AND ASSESS RELATION BETWEEN PRE-OPERATIVE ANXIETY AND POST-OPERATIVE PAIN IN LAPAROSCOPIC BARIATRIC SURGERY PATIENTS

Background: Pre-operative anxiety in obese patients is expected to be more due to psychological reasons, body habitus, comorbidities, and fear of not waking up from anesthesia. It is associated with emotional and physical problems. Predictive factors are complexity of surgery, the anesthesia, post-operative pain, not being appropriately informed, and psychosocial characteristics of the patient. Not many such studies have been conducted in morbidly obese patients. Objectives: The objective of this study was to determine the correlation between pre-operative anxiety and post-operative pain in obese patients undergoing elective laparoscopic bariatric surgery. Methods: Total 200 patients of the American Society of Anesthesiologists Grade I–III were taken, with BMI &gt;30 kg/m2, who were undergoing elective laparoscopic bariatric surgeries. The amsterdam preoperative anxiety and information scale (APAIS) score was recorded a day prior to surgery. Heart rate, blood pressure, respiratory rate, and SpO2 were recorded pre- and postoperatively. Patients were assessed for pain on the visual analog scale (VAS) in post-operative period at 0-, 1-, 2-, 6-, 12-, and 24-h intervals. All the data were entered in master chart and statistically analyzed (Pearson coefficient of correlation test). Results: There is a positive, weak, statistically significant correlation (r=0.157, p=0.026) between anxiety score (APAIS) and post-operative pain (the highest VAS across all hours). Conclusion: Pre-operative anxiety is directly linked to post-operative pain in obese patients undergoing elective laparoscopic bariatric surgery.

A practical guide to reducing preoperative and intraoperative patient anxiety in dermatologic surgery.

Dermatologists perform a variety of procedures including excisions, biopsies, and other minor surgical procedures. Patients can experience anxiety in anticipation of their surgeries or may develop anxiety during the procedure. Since most dermatologic procedures occur with the patient awake and alert, the physician can offer comforting methods to alleviate some of that anxiety. We wanted to provide a review of available methods that dermatologists can use to reduce patient anxiety. In this paper, we review the current literature on methods that can be used in dermatology offices to reduce overall patient anxiety levels. In the preoperative stage, providers can offer educational content to explain the procedure to their patients. Whether it be through telephone calls, educational videos, or utilization of visual models, educating the patient regarding their procedure may reduce their anxiety. Intraoperatively, there are multiple methods that can be used such as music, guided imagery, coloring books, medications, hypnosis, and distraction techniques. There is a variety of approaches that can be easily implemented in the office and can help in reducing the anxiety of the patients to allow for a pleasant patient experience and an overall satisfactory procedure outcome.

Pre-Operative Anxiety and Health Problems of Patients Attending Hospitals of Kirkuk, Iraq

Background: Preoperative anxiety is a challenging problem in the preoperative care of patients. A common low level of anxiety is an expected reaction to unpredictable and potentially life-threatening circumstances, especially for a patient’s first surgical experience. It is a response to external or internal stimuli that can have behavioral, emotional, cognitive, and physical symptoms. This study aimed to identify the anxiety prevalence among preoperative patients attending Kirkuk hospitals and associated factors.&#x0D; Objectives: To assess the anxiety level and identify the association between sociodemographic characteristics and patients’ anxiety.&#x0D; Method: A cross-sectional hospital-based study was conducted on 152 patients arranged for surgery at governmental hospitals of Kirkuk City by using a systematic random sampling procedure. Collecting data was performed from the 1st of January to the end of March 2023 by direct interview after informed consent was taken, and a proper questionnaire was used for the study. The data entry and analysis were done by using SPSS version 24(IBM STATA). Frequency percentage was used, and Chi-square was performed to assess the effect of association of variables. A p-value ≤ 0.05 was considered statistically significant.&#x0D; Results: Among 152 patients, the anxiety level was 27(17.8%), and one-fourth of them 38(25%) were at age 40-49 years. This study divided the anxiety levels into high, medium, and low. The anxiety levels were significantly higher among males (p-value 0.04), who were illiterate (P=0.011), and businessmen (P=0.001). Interestingly, the history of surgery was not significantly associated with state anxiety (p-value 0.96), those diagnosed with hypertension disorders (P=0.021) reported the highest proportion of anxiety.&#x0D; Conclusion: The level of anxiety showed nearly one-fifth, and the ratio of male: to female participants was 2:1, there was a significant association between the anxiety level and male gender, illiterates, Businessmen, and people who hypertension diagnosis report the highest proportion of anxiety level.

The Effect of Health Literacy on Preoperative Anxiety Levels in Patients Undergoing Elective Surgery.

This study aimed to determine preoperative anxiety levels, their associated factors, and the relationship between health literacy and preoperative anxiety in adult patients undergoing elective surgery. This descriptive cross-sectional study was conducted in a tertiary hospital between December 21, 2021, and June 20, 2022, and included 466 adult patients. Participants were administered the demographic data and basic health status form, Health Literacy Scale (HLS), and Beck Anxiety Inventory (BAI). Statistical significance was set at p < 0.05. The participants' mean BAI score was low to moderate (9.28±10.85). The total HLS score was 105.89±24.42. For the BAI, a negative correlation was found between the access to information sub-dimensions of the HLS and BAI (p=0.043, r=-0.094). In addition, a negative correlation was detected between patients' age and HLS and its sub-dimensions (p<0.001, respectively [r=-0.188, r=-0.193, r=-0.205, r=-0.161]), and a positive correlation was observed among the HLS sub-dimensions (p<0.001, respectively [r=0.873, r=0.057, r=0.966, r=0.915]). Higher HLS and sub-dimension averages were observed in single, high school, university graduates, and civil servant participants. In addition, higher BAI averages were detected in females, homemakers, urban residents, participants living only with their children, and those with additional diseases (respectively, p<0.001, p<0.001, p=0.007, p=0.0034, p<0.01). As the level of health literacy increased, preoperative anxiety levels decreased. Preoperative assessment and education are fundamental to perioperative patient care, particularly in the surgical setting.

Bibliometric Analysis Commind Relax Support on Anxiety Among Pre Operative Patients

Background: Intervention in the management of anxiety is an approach that is currently being developed by researchers in various countries. This research needs the latest information and trends for future research topics related to cognitive behavior therapy interventions, mindfulness, relax, and support for anxiety in preoperative patients.&#x0D; Purpose: The purpose of this study was to determine the mapping of network visualization, overlay visualization, and density visualization using the VOSviewer application on the topic of the influence of cognitive behavior therapy, mindfulness, relax, and support (commind relax support) on the anxiety of preoperative patients.&#x0D; Methods: Data analysis used bibliometrics in this study. Search data using the web via http://app.dimensions.ai. Journals or data are limited from 2017-2023, which focus on the fields of health sciences, nursing, clinical sciences, public health, and types of publications are articles. The data is analyzed to become a bibliometric map using VOSviewer.&#x0D; Results: The results of data identification through dimensions.ai contained 24,099 data recorded, by sorting based on the type of article and type of document the results found were 645 articles. The peak of publications on cognitive behavior therapy, mindfulness, relax, and support for preoperative anxiety occurred in 2020 and the lowest was in 2023. Research on cognitive behavior therapy, mindfulness, relax, and support for preoperative anxiety is not only carried out in the health sector , medicine, nursing, and psychology but are found in other fields as well.&#x0D; Conclusion: The topic of preoperative anxiety management interventions is a topic that needs to be further developed in various countries, especially in developing countries. Suggestions for other researchers, choose a topic that is included in low visualization to find research updates.

Hubungan Komunikasi Terapeutik Perawat Dengan Kecemasan Pasien Pre Operasi

Introduction Anxiety from surgery is something that is often experienced by someone, here the role of the operating room nurse is how to reduce the anxiety level of preoperative patients, including by applying therapeutic communication to preoperative patients. The purpose of this study was to determine the relationship between nurse therapeutic communication and preoperative patient anxiety.&#x0D; Methods The research design uses the Correlational Research Method with a Cross Sectional approach. The population of this study are patients who will undergo surgery. The research sample used Accidental Sampling and obtained a sample of 58 patients from a population of 86 patients. Data collection used the HARS questionnaire. Statistical Test Spearman rank statistical test with α (0.05) SPSS 20.&#x0D; Results The results of this study showed that most of the 42 respondents (72.42%) had good therapeutic communication criteria and almost all 47 respondents (81.03%) had moderate anxiety criteria. The results of the Spearman rank statistical test analysis obtained p value = 0.008, which means there is a relationship between nurse therapeutic communication and preoperative patient anxiety.&#x0D; Discussion Communication is an action that is the application of the nurse's duties as a counselor and educator. Therapeutic communication in nursing needs to be developed to provide education and psychological support for patients who will undergo an action that the patient has never undergone, such as surgery.

Appropriateness of the anxiety subscale of the Hospital Anxiety and Depression Scale for Koreans to measure preoperative anxiety and the effect of preoperative anxiety on postoperative quality of recovery.

The reliability and validity of the anxiety subscale of the Hospital Anxiety and Depression Scale for Koreans (K-HADS-A) has not been studied in Korean surgical patients. This study aimed to validate the usefulness of K-HADS-A for measuring preoperative anxiety in Korean surgical patients. Additionally, the effect of preoperative anxiety on postoperative quality of recovery was evaluated. Preoperative anxiety in 126 inpatients with planned elective surgery was measured using the K-HADS-A. The postoperative quality of recovery was measured using the Korean version of the Quality of Recovery-15. The validity and reliability of the K-HADS-A were evaluated. The differences in quality of recovery on the first and seventh day postoperatively were then compared between the anxious and non-anxious groups. There was a statistical correlation between the K-HADS-A and Anxiety Likert Scale. The goodness-of-fit indices of the structural equation model showed how well the data from the K-HADS-A match their concept. The Kaiser-Meyer-Olkin value was 0.848, and the P value of Bartlett's test of sphericity was < 0.001. Cronbach's alpha was high at 0.872. The K-HADS-A had an acceptable level of validity and reliability. Postoperative quality of recovery was significantly lower in the anxious group (postoperative day 1: t = 2.058, P = 0.042; postoperative day 7: t = 3.430, P = 0.002). The K-HADS-A is an acceptable tool for appropriately assessing preoperative anxiety in Korean surgical patients. Assessing preoperative anxiety is valuable, because preoperative anxiety affects the postoperative quality of mental and physical recovery.

Preoperative Anxiety in Patients with Pancreatic Cancer: What Contributes to Anxiety Levels in Patients Waiting for Surgical Intervention.

Pancreatic cancer is one of the most lethal malignancies. Currently, the only treatment is surgical resection, which contributes to significant preoperative anxiety, reducing quality of life and worsening surgical outcomes. To date, no standard preventive or therapeutic methods have been established for preoperative anxiety in pancreatic patients. This observational study aims to identify which patients' socio-demographic, clinical and psychological characteristics contribute more to preoperative anxiety and to identify which are their preoperative concerns. Preoperative anxiety was assessed the day before surgery in 104 selected cancer patients undergoing similar pancreatic major surgery, by administering the STAI-S (State-Trait Anxiety Inventory Form) and the APAIS (Amsterdam Preoperative Anxiety and Information Scale). Our data suggest that patients with high STAI-S showed higher levels of APAIS and that major concerns were related to surgical aspects. Among psychological characteristics, depressive symptoms and trait anxiety appeared as risk factors for the development of preoperative anxiety. Findings support the utility of planning a specific psychological screening to identify patients who need more help, with the aim of offering support and preventing the development of state anxiety and surgery worries in the preoperative phase. This highlights also the importance of good communication by the surgeon on specific aspects related to the operation.