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Preassessment clinic interview and patient anxiety
Stephen Davidson1, Douglas McKendrick2, Tara French3
1Adult Mental Health Services, Pluscarden Clinic, Dr. Gray's Hospital, Elgin, Moray IV30 1SN, United Kingdom.
Attending preassessment clinics (PACs) significantly reduces patient anxiety before surgery and anesthesia. This study confirms PAC consultations positively impact preoperative anxiety levels, improving patient experience.
Area of Science:
- Anesthesiology
- Surgical Patient Care
- Psychological Medicine
Background:
- Preoperative anxiety is common in patients undergoing elective surgery.
- Limited research has explored the impact of preassessment clinic (PAC) consultations on patient anxiety.
- Existing studies often focus on informational materials rather than the consultation process itself.
Purpose of the Study:
- To investigate the effect of attending a PAC on patients' anxiety levels related to surgery and anesthesia.
- To assess the impact of the PAC consultation process on preoperative anxiety.
Main Methods:
- A cross-sectional, questionnaire-based quantitative study was conducted.
- 121 adult patients attending a PAC were included.
- Anxiety levels were measured using a Likert-type scale before and after the PAC consultation.
Main Results:
- PAC consultations led to a statistically significant reduction in patient anxiety (P < 0.001).
- Anxiety reduction was observed across both male and female subgroups (P < 0.05).
- Concerns about intraoperative complications were the primary source of anxiety, while postoperative concerns varied by gender (pain for males, nausea/vomiting for females).
Conclusions:
- PAC consultations have a significant positive effect on alleviating preoperative anxiety.
- Findings underscore the importance of PACs in managing patient anxiety before surgery and anesthesia.
- High patient satisfaction rates were reported for the PAC service.
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