Abstract

ANXIETY IN PRE-OPERATIVE PATIENTS: A NARATIVE REVIEW

Dr. T. Sobana*, Dr. S. Sangeetha, Jayaharnika M. R., Marieshwari S., Chandru V., Kanimozhi M. S. and Saranya V. A.

ABSTRACT

Anxiety is associated with the emotional state of fear, a feeling of unease, worry, apprehension. Preoperative anxiety was the most worrying event because it has more negative consequences due to haemodynamic changes that takes place as a result of sympathetic, parasympathetic and endocrine stimulation. These events may influence the dose of anaesthetic requirement, surgical outcomes and it will also increase the risk of post-operative complications. Hence it is important to decrease the level of the anxiety with some interventions before surgery. Various studies were conducted worldwide on the different aspects of preoperative anxiety. It was observed that Pre- operative anxiety was prevalent in all age groups with the rate of 24 – 75% and intensity was higher among the childrens less that 18 year of age. Many studies have shown that the factors like Patients Age, Gender, Educational level, Surgical location, Lack of information about the procedure and fear of complications can contributes to the intensity of anxiety. But there were no standard guidelines to manage the same. Hence through this review we recommend that all the patients who are scheduled for the surgery should be assessed for the intensity of the anxiety and appropriate Non-Pharmacological and Pharmacological technique should be adopted to manage Pre-Operative Anxiety. This approach will also help us to Increase in the patient care and their satisfaction. Relieving the Pre-Operative Anxiety in both children and adults has now been a newer target in reducing the risk of surgical complications and post operative delirium.

Keywords: Pre-Operative, Anxiety, Surgery, Management.