What factors are related to patients' anaesthesia related anxiety during the post operative period?; [Postoperatif dönemde hastalarin anestezi konusundaki endişeleri nelerdir?]
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2005
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Abstract
Aim: We aimed to determine factors causing anxiety immediately and 24 hours after surgery in patients undergoing general anaesthesia. Material and Methods: Following the Institutional Ethics Committee approval and informed consent, 173 eases were studied. A standard evaluation form rated patient anxiety about postoperative pain, nausea, vomiting, disorientation, shivering, sore throat, drowsiness, thirst, gagging on the tracheal tube and awareness during anaesthesia. Anxiety was rated using a 1 to 10 point verbal "numeric anxiety scale". (NAS) where a score of "1" represented "least upsetting condition" and "10" represented the "most upsetting condition". Results: Pain caused the most anxiety (immediately postoperative NAS=4.6±3.6 increasing to 5.8±3.7 on postoperative day one. Awareness during anaesthesia (3.2+4.0), sore throat (2.8±3.4), disorientation (2.5±3.5) and drowsiness (2.1±2.9) were other major eauses of anxiety. While the increase in anxiety related to pain increased significantly on postoperative day one, there was a decreased in changes in the other factors over this time. Conclusion: Postoperative pain is the most common anaesthesia-related factor causing anxiety in patients undergoing general anaesthesia. This finding underscores the importance of detailed preoperative communication with patients regarding their perioperative pain management.
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anesthetic agent , adult , anxiety disorder , article , awareness , controlled study , disorientation , drowsiness , endotracheal tube , female , gastrointestinal symptom , general anesthesia , human , major clinical study , male , nausea , postoperative pain , postoperative period , rating scale , shivering , sore throat , thirst , vomiting