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[Perioperative subjective emotional state].

W Kröll1, U V Wisiak, G Wolf

  • 1Universitätsklinik für Anästhesiologie, Karl-Franzens-Universität, Graz.

Wiener Klinische Wochenschrift
|October 12, 1990
PubMed
Summary

An anxiolytic drug effectively reduced preoperative anxiety in female patients undergoing breast cancer surgery. This medication, combined with psychological preparation, improved post-operative outcomes by managing anxiety, depression, and asthenia.

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Area of Science:

  • Oncology
  • Psychiatry
  • Pharmacology

Background:

  • Preoperative anxiety significantly impacts patient well-being.
  • Anxiety can manifest overtly or be masked, complicating assessment.
  • Effective preoperative medication is crucial for managing patient anxiety.

Purpose of the Study:

  • To evaluate the perioperative effects of an anxiolytic drug versus a placebo.
  • To assess the impact on post-operative anxiety, depression, and asthenia.
  • To determine the necessity of anxiolytic medication in specific patient groups.

Main Methods:

  • A double-blind study involving 60 female patients with suspected breast carcinoma.
  • Comparison of an anxiolytic drug against a placebo.
  • Utilized the Mannheim Inventory and State-Trait-Anxiety-Inventory (STAI) for assessment.

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Main Results:

  • The anxiolytic drug demonstrated efficacy in managing preoperative anxiety.
  • Post-operative assessment indicated improvements in anxiety, depression, and asthenia.
  • The study confirmed the drug's benefit in the perioperative period.

Conclusions:

  • Anxiolytic medication is a valuable adjunct to psychological preparation for patients undergoing breast cancer surgery.
  • Comprehensive preoperative care should include pharmacological intervention for anxiety.
  • This approach is vital for optimizing the post-operative course in this patient cohort.