Preoperative anxiety and fear: a comparison of assessments by patients and anesthesia and surgery residents

Anesthesia and Analgesia
A ShaferP Kosek

Abstract

We sought to compare self-assessment of preoperative anxiety levels and selection of worst fears by surgical patients with the assessments made by the anesthesia and surgery residents providing intraoperative care for those patients. One hundred inpatients at a Veterans Affairs hospital (Group 1) and 45 patients at a University hospital (Group 2) were asked to complete a brief questionnaire; the residents were asked to complete the same questionnaire. Group 1 results showed that median patient visual analog scale (VAS) scores were lower for anxiety about anesthesia compared to surgery (16 vs 22, P < or = 0.05). Anesthesia resident VAS scores were higher than patient or surgery resident scores. Neither type of resident was able to predict their individual patient's VAS score (Kendall's tau). The fear chosen with the greatest incidence by Group 1 patients and residents was "whether surgery would work". A significant number of residents (34%, anesthesia or surgery, P < or = 0.05) matched their patient's fear choice. Residents commonly chose fears related to their specialty (e.g., anesthesia residents chose anesthesia-related fears more often than surgery residents, 50% vs 28%, P < or = 0.001). In Group 2, residents demonstrated an...Continue Reading

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Citations

Feb 24, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A Macario, A Vasanawala
Sep 16, 2000·Anesthesiology Clinics of North America·V J Kopp
Jan 1, 2008·Middle East African Journal of Ophthalmology·Emad AbboudWaleed Riad
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May 6, 2004·The Journal of Urology·Ja Hyeon KuSeung-June Oh
Nov 20, 2018·Psychology & Health·Dominic BurtonElizabeth Broadbent
Sep 30, 2005·Anesthesia and Analgesia·Brendan CarvalhoAlex Macario
Oct 25, 2006·Scandinavian Journal of Urology and Nephrology·Seung-June OhJa Hyeon Ku
Apr 25, 2009·Current Opinion in Anaesthesiology·Catherine A McIntosh, Alex Macario
Oct 4, 2006·Current Opinion in Anaesthesiology·S M Daves, M O'Connor

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