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Scholars Journal of Applied Medical Sciences | Volume-9 | Issue-03
Assessment of Anxiety at Three Different Point of Adult Elective Surgical Patient
Dr. AKM Faizul Hoque, Dr. Jeevan Pacchad, Dr. Ashfaqul Islam, Dr. Farida Khan, Dr. Moinuddin, Dr. Ranjan Kumar Nath
Published: March 30, 2021 | 115 72
DOI: 10.36347/sjams.2021.v09i03.036
Pages: 487-492
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Abstract
Background: Anxiety is a common experience it occurs adult patients undergoing elective surgery. It may alter autonomic and neuroendocrine function leading to increased anaesthetic consumption, delayed recovery, postoperative pain, prolonged hospital staying. Preoperative anxiety level and responsible factors should be measured. Objective: To evaluates the anxiety level at different time points during preoperative period in adults undergoing elective surgery. Methodology: This observational study was conducted on 117 patients of 18 -65 years and ASA I & II who were presented for surgery at Bangabandhu Sheikh Mujib Medical University from Jan-Dec2018. Consecutive sampling data were collected using sociodemographic and APAIS questionnaire. All data are collected analyses by using SPSS version 20 software. A p-value < 0.05 was considered as statistically significant. Results: Adult patients undergoing elective surgery had significant anxiety at PACU 67.5% followed by holding area 66.5% and before induction 24%. Female sex, younger age, previous surgery had higher anxiety. Conclusion: High prevalence of preoperative anxiety in adult surgical patients in the preanesthetic checkup unit, holding area and before induction of anesthesia but more anxious about anesthesia than surgery at holding area. Anxiolytics significantly reduce pulse, blood pressure and anxiety. Patient with intermediate and major type of surgery and younger age, low educational level and women had higher anxiety.