Comparison of anxiety and patient satisfaction before and after elective hysterectomy under general or spinal anesthesia: A questionnaire study


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Çetin M. L., Akdoğan A., Dohman D.

ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, vol.14, no.11, pp.1029-1033, 2023 (ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 11
  • Publication Date: 2023
  • Doi Number: 10.4328/acam.21787
  • Journal Name: ANNALS OF CLINICAL AND ANALYTICAL MEDICINE
  • Journal Indexes: Emerging Sources Citation Index (ESCI), EMBASE, Index Copernicus
  • Page Numbers: pp.1029-1033
  • Karadeniz Technical University Affiliated: Yes

Abstract

Aim: One of the most important purposes of preoperative assessment is to reduce  anxiety. Anxiety has a negative effect on anesthesia, operation and postoperative healing. It was aimed to this study find out the causes of anxiety related to anesthesia, measure preoperative anxiety levels, and determine the relationship between anxiety and patient satisfaction in elective hysterectomy procedures.

Material and Methods: After obtaining informed consent, 101 volunteer patients aged 18-65 years who were going to undergo elective hysterectomy surgery were included in the study.  Patients were asked demographic variables, the first three causes of anxiety related to anesthesia, to respond to State-Trait Anxiety Inventory [STAI] I and II tests and complete QoR-40 test.

Results: While preoperative STAI I values were higher than STAI II, postoperative STAI I values were found to be decreased.  It was seen that the patients’ anxiety level was too high during the preoperative period. It was found that the causes of preoperative anxiety related to anesthesia were oversleeping after surgery, post-operative pain, nausea and vomiting.   No relationship between preoperative anxiety and postoperative patient satisfaction was found.

Discussion: In this study, it was observed that being older, having given birth before, being single, and increased anxiety in patients who underwent spinal anesthesia. In addition, it was found that there was no significant change in anxiety level according to education level, number of children, occupation, and history of surgery.