Assessment of Preoperative Depression, Anxiety and Stress for Patients Awaiting Surgery in a Tertiary Care Hospital

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Assessment of Preoperative Depression, Anxiety and Stress for Patients Awaiting Surgery in a Tertiary Care Hospital

Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 12

Abstract

Abstract: The burden of emotional states such as anxiety, depression and stress in people undergoing surgery is undeniable. The excessive and continuous effects of those emotional states have negative impact on people’s physical, mental and psychological well-being, quality of life and productivity. They are influenced by each person’s individual difference of socio-demographic variables and type of surgery. Identifying the levels of anxiety, depression and stress in preoperative surgical patients may evaluate the magnitude of its effect on the outcome. Among patients waiting for surgery and admitted in surgery & orthopedic department 1) To identify the levels of preoperative depression, anxiety and stress 2) To analyze their correlation with demographic variables 3) To analyze their correlation for patients awaiting major versus minor surgery. Study was carried out in CUSMCH, Surendranagar. The participants were the patients who were admitted in surgery and orthopedic department for elective surgery. Patients were explained about the procedure, written consent was taken and then they were subjected to self-administered survey forms which included socio-demographic data and DASS-21 questionnaire. The data was analyzed by statistical methods using SPSS version 16. The study was conducted after obtaining prior approval from Ethics Committee of the institution. Study included 160 patients, of which males (102) and females (58). Mean age of participants was 41.1 year. Participants showed moderate levels of preoperative anxiety, depression and stress. There were significant differences in the three emotional states according to type of surgery. Patient’s education, occupation, department and type of surgery significantly associated with depression level and generalized stress level was significantly associated with department, marital status. Results showed that Doctor & nursing staff need to be more proactive in assessing and intervening in the emotional states. Counseling required for the pre-operative patients by psychiatrist, psychologist or nursing staff to decrease their emotional disturbances.

Authors and Affiliations

Kadia Tajgna, Dr. Patel Krishna

Keywords

Keywords: Depression; anxiety; stress; surgery.

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