Does increased patient comprehension decrease preoperative anxiety before digestive surgery? - 21/05/21
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Summary |
Background |
There exists a misalignment between the information given by a surgeon and the information retained by the patient. Inability to assimilate relevant information can be a factor of preoperative anxiety. The aim of this study was to assess patients’ information retention according to a Fédération de Chirurgie Viscérale et Digestive (FCVD) questionnaire.
Materials |
From 29 June 2020 to 2 August 2020, a prospective, comparative multicenter study was conducted among 89 patients who were about to undergo digestive surgery. They were included either in a standard group (management in accordance with the usual French guidelines) or experimental group, which received a second consultation, one week before surgery. The day before being operated, all the patients filled out 3 questionnaires analyzing their percentage of retention according to two scales: the Amsterdam Preoperative Anxiety and information Scale (APAIS) and the visual analogue scale for anxiety (VAS-A).
Results |
Patient comprehension of the FCVD information was 94% and 63% in the experimental and the control groups, respectively (P<0.001). The standard group was significantly more anxious than the experimental group, with VAS-A rates of 6.2 and 4.6 (P=0.014), respectively. On the other hand, according to the APAIS scale, they were similarly anxious, with scores of 11.3 versus 11.9, respectively (P=0.200).
Conclusion |
A second transmission of exhaustive information shortly before digestive surgery was conducive to improved retention. Enhanced comprehension and memorization reduced preoperative anxiety.
El texto completo de este artículo está disponible en PDF.Keywords : Preoperative information, Digestive surgery, Assimilation, Anxiety, APAIS, VAS
Esquema
☆ | We would like to thank Christou Niki, Durand Fontanier Sylvaine, Bouvier Stephane, Fabre Anne, Fredon Fabien, and Valleix Denis, for their involvement in the care of the patients included in this study. |
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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