Abstract
Surgery is a stressful experience. Many minor interventions have been shown to cause considerable anxiety in patients, but whether arthroscopy leads to such anxiety is not well-known. Methods for lowering perioperative anxiety have been sought and listening to music or watching a movie have been recommended. The method of permitting patients to watch their own endoscopy has been studied infrequently. Our aim in this study was to find out the effect of watching simultaneous arthroscopic views on postoperative anxiety. A total of 63 patients were randomly divided into two groups: those watching their own arthroscopy formed group W, while patients that were only verbally informed formed group NW. The mean age of patients in both groups were 33 and 34, respectively. Meniscal surgery was the most commonly performed procedure (49/63 patients). The patients filled in state scale of State-trait anxiety inventory (STAI) forms and the study questionnaire (SQ) prepared for this study, just before and after the arthroscopy. Group W had significantly lower postoperative scores of STAI-S, whole questionnaire (Q-score) and all but one of individual statements in SQ. Having a previous operation history did not affect STAI scores. Age and level of education was not correlated with any of the studied parameters either. The ratio of patients that were pleased with the arthroscopy experience in group W and NW were 94 and 63%, respectively. Watching live arthroscopic views has led to a significant decrease in postoperative anxiety and worries about the surgery and the postoperative period, while increasing overall understanding and satisfaction of the patient.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Addolorato G, Ancona C, Capristo E, Graziosetto R, Di Rienzo L, Maurizi M, Gasbarrini G (1999) State and trait anxiety in women affected by allergic and vasomotor rhinitis. J Psychosom Res 46:283–289
Awaritefe A, Kadiri AU (1982) The state-trait anxiety inventory and sex. Physiol Behav 29:211–213
Ayral X, Gicquere C, Duhalde A, Boucheny D, Dougados M (2002) Effects of video information on preoperative anxiety level and tolerability of joint lavage in knee osteoarthritis. Arthritis Rheum 47:380–382
Bondy LR, Sims N, Schroeder DR, Offord KP, Narr BJ (1999) The effect of anesthetic patient education on preoperative patient anxiety. Reg Anesth Pain Med 24:158–164
Brown SM (1990) Quantitative measurement of anxiety in patients undergoing surgery for renal calculus disease. J Adv Nurs 15:962–970
Chan YM, Lee PW, Ng TY, Ngan HY, Wong LC (2003) The use of music to reduce anxiety for patients undergoing colposcopy: a randomized trial. Gynecol Oncol 91:213–217
de Groot KI, Boeke S, van den Berge HJ, Duivenvoorden HJ, Bonke B, Passchier J (1997) The influence of psychological variables on postoperative anxiety and physical complaints in patients undergoing lumbar surgery. Pain 69:19–25
Duits AA, Duivenvoorden HJ, Boeke S, Taams MA, Mochtar B, Krauss XH, Passchier J, Erdman RA (1999) A structural modeling analysis of anxiety and depression in patients undergoing coronary artery bypass graft surgery: a model generating approach. J Psychosom Res 46:187–200
Hobson JA, Slade P, Wrench IJ, Power L (2006) Preoperative anxiety and postoperative satisfaction in women undergoing elective caesarean section. Int J Obstet Anesth 15:18–23
Karanci AN, Dirik G (2003) Predictors of pre- and postoperative anxiety in emergency surgery patients. J Psychosom Res 55:363–369
Kesari D, Kovisman V, Cytron S, Benjamin J (2003) Effects on pain and anxiety of patients viewing their cystoscopy in addition to a detailed explanation: a controlled study. BJU Int 92:751–752
Leckie J (1994) The effects of informational intervention on state anxiety and satisfaction in patients undergoing bone scan. Nucl Med Commun 15:921–927
Lepage C, Drolet P, Girard M, Grenier Y, DeGagné R (2001) Music decreases sedative requirements during spinal anesthesia. Anesth Analg 93:912–916
Luck A, Pearson S, Maddern G, Hewett P (1999) Effects of video information on precolonoscopy anxiety and knowledge: a randomised trial. Lancet 354:2032–2035
Mackenzie JW (1989) Daycase anaesthesia and anxiety. A study of anxiety profiles amongst patients attending a day bed unit. Anaesthesia 44:437–440
Man AK, Yap JC, Kwan SY, Suen KL, Yip HS, Chen PP (2003) The effect of intra-operative video on patient anxiety. Anaesthesia 58:64–68
Nilsson U, Rawal N, Unosson M (2003) A comparison of intra-operative or postoperative exposure to music—a controlled trial of the effects on postoperative pain. Anaesthesia 58:699–703
O’Hara MW, Ghoneim MM, Hinrichs JV, Mehta MP, Wright EJ (1989) Psychological consequences of surgery. Psychosom Med 51:356–370
Öner N, Le Compte A (1985) Durumluk-Sürekli Kaygı Envanteri El Kitabı (Handbook of state-trait anxiety inventory). Boğaziçi Üniversitesi, İstanbul
Rossi MJ, Guttmann D, MacLennan MJ, Lubowitz JH (2005) Video informed consent improves knee arthroscopy patient comprehension. Arthroscopy 21:739–743
Spielberger CD, Gorsuch RL, Lushenene RE (1970) Manual for the state-trait anxiety inventory. Consulting Psychologists Press, Palo Alto
Tanaka M, Takahashi T, Yamamoto H (2003) Simultaneous live video presentation during knee arthroscopy. J Orthop Sci 8:518–521
Taenzer P, Melzack R, Jeans ME (1986) Influence of psychological factors on postoperative pain, mood and analgesic requirements. Pain 24:331–342
Wang SM, Kulkarni L, Dolev J, Kain ZN (2002) Music and preoperative anxiety: a randomized, controlled study. Anesth Analg 94:1489–1494
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bayar, A., Tuncay, İ., Atasoy, N. et al. The effect of watching live arthroscopic views on postoperative anxiety of patients. Knee Surg Sports Traumatol Arthr 16, 982–987 (2008). https://doi.org/10.1007/s00167-008-0576-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-008-0576-0