Abstract
Purpose: Preoperative anxiety in relation to anesthesia remains for many patients a major subject of concern. The aim of the present study was to compare the level of preoperative anxiety in patients assessed in an outpatient consultation clinic with the anxiety level of those having been assessed by the anesthesiologist after entering the hospital.
Method: We studied two groups of 20 patients who underwent elective transurethral prostate or bladder resection: group A having the anesthetic assessment between one-two weeks before hospitalisation, group B having this assessment the evening before surgery, after entering the hospital. Two different methods to assess anxiety were used: the Multiple-Affect-Adjective-Check-List (MAACL) and the visual analogue scale of anxiety (VAS).
Results: Both anxiety provided scores, assessed by two different methods, were lower in group A, than in group B (P<0.01).
Conclusion: The results of this study confirm that an anesthetic assessment in an outpatient consultation clinic reduces preoperative anxiety, when compared with an assessment on the evening before surgery.
Résumé
Objectif: L’anxiété préopératoire reste aujourd’hui encore un phénomène mal résolu pour le patient. Le but de la présente étude est de comparer l’impact de deux types de visites préanesthésiques sur l’anxiété préopératoire: l’une, dans une clinique de consultation externe, l’autre, le jour avant l’opération alors que le patient est hospitalisé.
Méthode: Deux groupes de 20 patients, dont l’intervention chirurgicale urologique endoscopique avait été planifiée, ont été étudiés. Dans le groupe A, l’évaluation anesthésique a été réalisée une à deux semaines avant l’opération dans une clinique de consultation externe; dans le groupe B, il s’agissait de la visite préanesthésique la veille de l’opération et le patient était déjà hospitalisé. Nous avons utilisé 2 méthodes pour mesurer l’anxiété: un test verbal d’anxiété, selon Zuckermann, et une échelle visuelle analogique.
Résultats: Les patients du groupe A ont présenté un score d’anxiété préopératoire significativement plus bas (P<0,01) que ceux du groupe B, et cela selon les 2 méthodes de mesures de l’anxiété utilisées dans notre étude.
Conclusion: Les résultats de cette étude confirment qu’une consultation anesthésique externe réalisée une à deux semaines avant l’opération réduit significativement l’anxiété préopératoire du patient, comparée à une visite préanesthésique la veille de l’opération.
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Klopfenstein, C.E., Forster, A. & Van Gessel, E. Anesthetic assessment in an outpatient consultation clinic reduces preoperative anxiety. Can J Anesth 47, 511–515 (2000). https://doi.org/10.1007/BF03018941
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DOI: https://doi.org/10.1007/BF03018941