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Preoperative anxiety about spinal surgery under general anesthesia
Jun-Seok Lee1, Yong-Moon Park2, Kee-Yong Ha3
1Department of Orthopaedic Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 62 Yeouido-dong, Youngdeungpo-ku, Seoul, 150-010, Korea.
Summary
Most patients undergoing spinal surgery experience preoperative anxiety, fearing the procedure more than general anesthesia. Trust in medical staff and surgeon explanations help alleviate this anxiety.
Area of Science:
- Neurosurgery
- Anesthesiology
- Psychology
Background:
- Preoperative anxiety in patients undergoing spinal surgery under general anesthesia is not well-studied.
- Understanding patient anxiety is crucial for improving perioperative care.
Purpose of the Study:
- To determine the prevalence of preoperative anxiety in spinal surgery patients.
- To evaluate anxiety levels related to spinal surgery versus general anesthesia.
- To identify patient-specific factors associated with anxiety and describe its perioperative characteristics.
Main Methods:
- A questionnaire and visual analog scale for anxiety (VAS-anxiety) were used.
- 157 patients undergoing laminectomy or discectomy under general anesthesia were analyzed.
- Multiple stepwise regression identified factors associated with anxiety levels.
Main Results:
- 87% of patients reported preoperative anxiety (VAS-anxiety > 0).
- Anxiety about spinal surgery was significantly higher than about general anesthesia (4.6 vs. 3.2).
- Female sex correlated with higher spinal surgery anxiety; older age correlated with higher general anesthesia anxiety.
Conclusions:
- Spinal surgery elicits greater patient anxiety than general anesthesia.
- Faith in medical staff and surgeon explanations are key to managing perioperative anxiety.
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