The Effect of Video Information on Preoperative Anxiety Levels in Patients Undergoing Total Knee Replacement
Journal Title: Journal of Academic Research in Medicine - Year 2020, Vol 10, Issue 2
Abstract
Objective: The preoperative anxiety rate in patients waiting for elective surgery varies between 60% and 80%. We aimed to reduce preoperative anxiety in patients undergoing total knee replacement using a video demonstration of combined spinal-epidural anesthesia on a tablet computer. Methods: Fifty adult patients, scheduled to undergo total knee replacement, were enrolled in a randomized controlled study. Anxiety levels were assessed using the State-trait Anxiety Inventory (STAI) and the Amsterdam Preoperative Anxiety and Information scale. The assessment was based on questionnaires completed by the patients. Patients were randomly divided into two groups: video and control groups. In the video group, a video demonstration of combined spinal-epidural anesthesia was provided, along with verbal information about the procedure. On the day of surgery, the same questionnaires were again completed for the assessment of anxiety levels. Results: There were no significant differences between groups regarding age, sex, occupation, education, and previous history of anesthesia and surgery. The STAI scale scores were found to be significantly lower in the video group than in the control group (p=0.000; p<0.005). The Amsterdam Preoperative Anxiety and Information scale scores were found to be significantly lower in the video group compared to the control group (p=0.000; p<0.05). Conclusion: New devices and technologies may be used in daily anesthetic practice to offer patient information more efficiently. This may help reduce preoperative anxiety levels among patients undergoing elective surgery.
Authors and Affiliations
Onur Baran, Cengiz Mordeniz, Makbule Cavidan Arar, Mustafa Günkaya
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