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Calm or not calm: the question of anxiety in the perianesthesia patient
Örebro University, School of Health and Medical Sciences. Department of Anaesthesiology and Intensive Care, Örebro University Hospital, Örebro, Sweden.
Örebro University, School of Health and Medical Sciences. Department of Anaesthesiology and Intensive Care, Örebro University Hospital, Örebro, Sweden.
Örebro University, School of Health and Medical Sciences. Department of Health Sciences and Department of Cardiothoracic Surgery, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0001-5403-4183
2008 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 23, no 4, 237-246 p.Article in journal (Refereed) Published
Abstract [en]

Preoperative anxiety can be a major problem for the patient. Three distinct dimensions of preoperative anxiety are known: fear of the unknown, fear of feeling ill, and fear for life. The aim of this study was to investigate whether patients feel anxiety (calm or not calm) preoperatively before undergoing an elective day care surgery and also to elucidate the factors contributing to a patient's current state of mind. A prospective study with 161 American Society of Anesthesiologists I-II outpatients scheduled for elective surgery was conducted. In a questionnaire the patients were asked to state if they were feeling calm or not and to describe factors contributing to their current mood. If responding that they did not feel calm, the participants were asked to rate the level of anxiety on a Numeric Rating Scale, 1-10. The results showed that 57% (n = 91) of the participants stated that they did not feel calm. A significantly higher proportion of women did not feel calm (65%), P < .05. Significantly more participants with a previous experience of surgery felt calm (90%), P < .01. In all, 190 statements were submitted. The results show that nearly half of the participants felt calm before surgery. The reasons were earlier positive experiences, feeling of security and caring, being well-informed, and having positive expectations. Furthermore, a higher proportion of women did not feel calm preoperatively. This indicates a need before surgery to routinely document and evaluate the individual patient's state of mind and reasons for the state of mind. This individual preoperative care can make it possible to provide emotional support, decrease anxiety, and give the patient a more positive surgical experience.

Place, publisher, year, edition, pages
Amsterdam: Elsevier , 2008. Vol. 23, no 4, 237-246 p.
Keyword [en]
anxiety, calm, day care surgery, nursing, ambulatory surgery
National Category
Medical and Health Sciences Anesthesiology and Intensive Care Nursing Social Sciences Interdisciplinary
Research subject
Caring Sciences w. Medical Focus
Identifiers
URN: urn:nbn:se:oru:diva-6996DOI: 10.1016/j.jopan.2008.05.002PubMedID: 18657759Scopus ID: 2-s2.0-47649096452OAI: oai:DiVA.org:oru-6996DiVA: diva2:219886
Available from: 2009-05-28 Created: 2009-05-28 Last updated: 2016-09-12Bibliographically approved
In thesis
1. Patients´ experiences of mood while waiting for day surgery
Open this publication in new window or tab >>Patients´ experiences of mood while waiting for day surgery
2016 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Preoperative psychological state is a major issue in day surgery; especially as patients have a short hospital stay. Except for preoperative anxiety, knowledge is sparse about how patients’ experience mood during waiting for day surgery.

The overall aim of this thesis was to describe preoperative moods, persons’ experiences of preoperative mood, and the experiences persons´ describe as having an influence on their preoperative waiting.

In study І, mixed methods were used. Data from 163 participants were collected through a study-specific questionnaire. In study ІІ, a qualitative method was used. Data from 20 participants were collected through semi-structured interviews. All participants (n=183) were waiting for small or medium surgery within four different specialties’ (I, II). Data were analysed with descriptive statistics and thematic content analysis (І) and inductive content analysis (ІІ).

The main finding was that preoperative patients experience a variety of moods, besides anxiety patients may experience a positive mood. Moodinfluencing factors while waiting for day surgery were found. Patients may experience a shifting mood or to not feel calm, while other patients may feel calm, and experience a harmonious mood. Nearly half of the participants felt calm before surgery, as seventy persons (43 %) stated that they felt calm, whereas 91 persons (57%) stated that they did not feel calm (І). Previous negative experiences from health care were confirmed as a trigger for anxiety. Earlier positive experiences, feelings of trust and expectations contribute to a harmonious mood and to feel calm. Regard-less of mood, patients´ experienced feeling hope about regaining health as a help to balance mood (I-II).

The findings contribute to knowledge about different preoperative moods and may have implications in improving preoperative care with support strategies that benefits patients’ during waiting for day surgery regardless of psychological state

Place, publisher, year, edition, pages
Örebro: Örebro university, 2016. 76 p.
Series
Örebro Studies in Medical Sciences with a specialization in Healthcare Sciences
Keyword
preoperative, mood, anxiety, calm, preoperative care, nursing, day surgery
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-52058 (URN)
Presentation
2016-01-29, Universitetssjukhuset, Bohmanssonsalen, Södra Grev Rosengatan, Örebro, 13:00 (Swedish)
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Alternativ benämning av serie

Örebro Studies in Care Sciences

Available from: 2016-09-12 Created: 2016-09-08 Last updated: 2016-12-12Bibliographically approved

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