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Calm or not calm: the question of anxiety in perioperative patients
Department of Health Sciences and Department of Cardiothoracic Surgery, Örebro University Hospital and School of Health and Medical Sciences, Örebro University.
2008 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 23, no 4, 237-246 p.Article in journal (Refereed) Published
Abstract [en]

Preoperative anxiety can be a major problem for the patient. Threedistinct dimensions of preoperative anxiety are known: fear of theunknown, fear of feeling ill, and fear for life. The aim of this studywas to investigate whether patients feel anxiety (calm or not calm)preoperatively before undergoing an elective day care surgery andalso to elucidate the factors contributing to a patient’s current stateof mind. A prospective study with 161 American Society of AnesthesiologistsI–II outpatients scheduled for elective surgery was conducted.In a questionnaire the patients were asked to state if theywere feeling calm or not and to describe factors contributing totheir current mood. If responding that they did not feel calm, theparticipants were asked to rate the level of anxiety on a NumericRating Scale, 1–10. The results showed that 57% (n591) of the participantsstated that they did not feel calm. A significantly higherproportion of women did not feel calm (65%), P , .05. Significantlymore participants with a previous experience of surgeryfelt calm (90%), P , .01. In all, 190 statements were submitted.The results show that nearly half of the participants felt calmbefore surgery. The reasons were earlier positive experiences, feelingof security and caring, being well-informed, and having positiveexpectations. Furthermore, a higher proportion of women didnot feel calm preoperatively. This indicates a need before surgeryto routinely document and evaluate the individual patient’s stateof mind and reasons for the state of mind. This individual preoperativecare can make it possible to provide emotional support,decrease anxiety, and give the patient a more positive surgicalexperience.

Place, publisher, year, edition, pages
2008. Vol. 23, no 4, 237-246 p.
Keyword [en]
anxiety, calm, day care surgery, nursing, ambulatory surgery
URN: urn:nbn:se:umu:diva-37407DOI: 10.1016/j.jopan.2008.05.002OAI: diva2:360222
Available from: 2010-11-05 Created: 2010-11-02 Last updated: 2010-12-20Bibliographically approved

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Nilsson, Ulrica
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