Preoperative Anxiety among Adult Patients Undergoing Anesthesia of Elective Surgery in The Buddhasothorn Hospital: A Descriptive Cross-sectional Study
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Abstract
Background: Preoperative anxiety is one of the most significant problems for patients because it can lead to physiological, psychological, and anesthetic complications. It has the potential to impact various aspects of anesthesia, including an increased requirement for anesthetics, a higher incidence of awareness during surgery, and heightened pain during the postoperative period. These problems were reported to have extended the recovery period and lengthened of hospital stay. High levels of anxiety were associated with increased perioperative morbidity and mortality.
Objective: To determine the overall incidence of preoperative anxiety and associated factors among patients undergoing elective surgery in Buddhasothorn Hospital.
Materials and Methods: A Descriptive Cross-sectional Study from 1st June to 15th July 2024. Interviews with the adult patients were performed in The Preoperative clinic, Buddhasothorn Hospital. For the study, The Amsterdam Preoperative Anxiety and Information Scale (Thai version) has been used. Data entry and analysis were done using IBM SPSS 29.0.1. Continuous variables were summarized using mean and standard deviation, while categorical variables were presented using frequencies and proportions. Chi square test, Student t test, correlation analysis, and multivariate analysis using logistic regression were used in the analysis. The statistical significance level was set at P < 0.05 with 95% CI.
Results: A total of 291 patients participated in the study. Preoperative anxiety was present in 54 (18.6%). The age group, education status, chronic medical illness, and types of surgery were statistically associated with preoperative anxiety. The predictor of high preoperative anxiety in the study was the age group 18-33 years (41.7%), tertiary education (40%), no chronic medical illness (24.4%), and elective obstetric and gynecological surgery (38.8%).
Conclusions: The incidence of preoperative anxiety among patients undergoing elective surgery was lower than in previous studies done in similar settings. Preoperative anxiety was associated with the age group, education status, chronic medical illness, and types of surgery.
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