Determining factors of anxiety in patients at the preoperative stage
Author: Aalouane R, Rammouz I, Tahiri Alaoui D, Elrhazi K, Boujraf S
Source:
Neurosciences (Riyadh), 16(2), 146-149.
Objective: To estimate patient preoperative anxiety,
and determine associated factors.
Methods: Fifty surgical patients were investigated
prospectively at the University Hospital, Rabat,
Morocco between January and June 2008. Ethical
Committee approval was obtained prior to conducting this study. A short version of the Hamilton scale
was used. Descriptive statistics, student’s ttest, and ANOVA were performed to probe the
sociodemographic impact factors on Hamilton scores.
We investigated scores superior to 14 indicating a
pathologic anxiety situation. A logistic regression was
carried out by including all variables; the significant
threshold was 0.15 in single variable analysis, and we
retained a significant threshold of 0.05 in the final
model.
Results: A significant decrease in anxiety from the
preoperative to the postoperative stage was observed
in all patients of merged surgery groups. Females had
higher preoperational anxiety compared with males.
A longer hospitalization stay and lower knowledge
of patients regarding their pathologies were the main
factors that increased the anxiety scores towards a
pathological anxiety state. This applied to all patients,
including higher education and prosperous social
classes.
Conclusion: Patient sociodemographic, psychological
history, and surgery type have to be considered for
identifying patients at risk for developing anxiety
before and after surgery. Psychological support has
to be established to avoid additional suffering of the
patient from anxiety