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Related Experiment Videos

Preoperative anxiety: is it a predictable entity?

A D Domar1, L L Everett, M G Keller

  • 1Department of Nursing, Beth Israel Hospital-New England Deaconess Hospital, Harvard Medical School, Boston, MA 02215.

Anesthesia and Analgesia
|December 1, 1989
PubMed
Summary
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Preoperative anxiety in surgical patients is not predicted by common assumptions. Female patients and those with a support person showed higher anxiety, suggesting personality, not medical data, influences patient anxiety.

Area of Science:

  • Anesthesiology
  • Psychology
  • Surgical Care

Background:

  • Preoperative anxiety is common, yet its predictors are not well understood.
  • Surgical and anesthesia personnel often rely on assumptions about anxiety triggers.
  • Identifying anxiety predictors could improve patient care and anxiety reduction strategies.

Purpose of the Study:

  • To investigate the predictability of preoperative anxiety in patients undergoing elective surgery.
  • To identify factors that accurately predict presurgical anxiety levels.
  • To challenge existing assumptions held by surgical and anesthesia personnel regarding anxiety.

Main Methods:

  • A cohort of 523 patients awaiting elective surgery was studied.
  • Patients completed an anxiety scale and underwent physiological measurements (blood pressure, pulse).

Related Experiment Videos

  • Demographic data, cancer status, social support, surgical history, and surgery extent were recorded.

    • Main Results:

    • Female patients reported higher anxiety levels compared to male patients.
    • Patients accompanied by a support person exhibited greater anxiety.
    • Demographics, cancer possibility, prior surgery, and surgery extent did not significantly predict anxiety.

    Conclusions:

    • Preoperative anxiety appears to be more closely linked to patient personality and coping mechanisms than to medical or demographic factors.
    • Current assumptions by surgical and anesthesia staff regarding anxiety predictors may be inaccurate.
    • Further research into psychological factors influencing preoperative anxiety is warranted.