Effectiveness of Preoperative Audiovisual Information in Reducing Patient Anxiety about Spinal Anaesthesia: A Randomized Controlled Study
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2019, Vol 6, Issue 4
Abstract
Aims: A high incidence of anxiety about anesthetic procedure is seen in patients undergoing surgical procedures, which can be related to their unawareness about anaesthesia and anaesthetist's role in perioperative care. we aimed at assessing the effectiveness of a simple informative audiovisual clip as preoperative educational tool in reducing the anxiety in patients undergoing surgical procedures under spinal anaesthesia. Methods: A prospective randomized study involving 200 patients undergoing surgery under spinal anaesthesia was conducted. 2 groups with 100 patients in each group were formed and named as group AV (those who were shown audiovisual clip) and group NV (patients in this group were not shown the audiovisual clip). Anxiety scores were assessed using the spielberger state - trait anxiety inventory at both preoperative visit and just before the surgery. Hydrodynamic parameters like Heart rate and mean arterial pressures were recorded. Appropriate statistical tests were applied for analysis of the obtained data. Results: Baseline anxiety scores and hemodynamic parameters were comparable in both the groups. Compared to AV group the patients in NV group showed statistically significant rise in anxiety scores when measured before the spinal anaesthesia (p <0.001). Hemodynamic parameters were stable in AV group when compared to NV group (p < 0.001). Patients in AV group showed statistically significant decrease in anxiety scores from baseline values, when measured just before the spinal anaesthesia. Conclusion: Preoperative education in the form of informative audiovisual clip is effective in reducing patient anxiety about spinal anaesthesia.
Authors and Affiliations
Bharat Kumar
Keywords
Related Articles
- EP ID EP622157
- DOI 10.21088/ijaa.2349.8471.6419.9
- Views 46
- Downloads 0
A Prospective Randomized Double Blind Study on Postoperative Pain Relief in Lower Orthopedic Surgeries-Comparison between Intravenous Inj. Nalbuphine, Inj. Tramadol and Inj. Ketorolac
Introduction: Effective post surgical pain management is essential for the recovery and rehabilitation process. Intravenous injection brings more rapid pain relief than other methods.In this study, We had compared Inj. N...
To Study the N-Acetylcysteine and Vitamin C Effect on Oxidative Stress in Abdominal Sepsis and Control Patients with Different Weight Range
"Sepsis" was characterized as the foundational reaction to infecdon, showed by at least 2 of the conditions recorded above for SIRS. "Serious sepsis" was characterized as sepsis related with organ dysflmction, hypoperfus...
A Comparision between Femoral Nerve Block, Intravenous Fentanyl and Ketamine as Preemptive Analgesics in Lower Limb Fractures
Background: Spinal & combined spinal epidural anaesthesia are the preferred techniques for facilitation of surgical fixation of the fractures of the lower limb. Extreme pain does not allow ideal positioning for these pro...
A Comparative Evaluation of the Efficacy of Dexmedetomidine versus Fentanyl as Anesthetic Adjuvant in Attenuating the Neuroendocrine Stress Response, as Assessed Indirectly, during Laparoscopic Cholecystectomy
Background and Aims: Hyperglycemia and hemodynamic perturbations are the main features of neuroendocrine stress response to surgical trauma and anesthesia. We conducted a study to evaluate and compare dexmedetomidine an...
Comparison of Laryngoscopic View Obtained by Conventional 10 cm Head Rise to that Obtained by Horizontal Alignment of External Auditory Meatus and Sternal Notch
Objectives: The aim of this study was to determine the effect of position (Sniff / HELP) during laryngoscopy on the extent of change/ improvement in laryngoscopic view of glottis. Materials and Methods: This prospective,...