Assessment of Patient Preoperative Anxiety by Nurse Anesthetist
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anxiety
- Sponsor
- Centre Hospitalier Universitaire de Besancon
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Comparison of preoperative anxiety level expressed by the patient (self-assessment) with that estimated by murse anesthetist (hetero-assessment)
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Preoperative anxiety is a major concern for patients who undergo surgery. To accurately identify anxious patient is therefore crucial to improve perioperative patient care. Preoperative anxiety remain highly difficult to quantify in current practice. Many patient fail to express their anxiety and the assessment of the level of anxiety is mainly based on heteroevaluation by caregivers. Nurse anesthetists provide closed support to patient prior to the induction of anesthesia. The aim of the study is to assess whether nurse anesthetist accurately assess patient preoperative anxiety from arrival to the operating room to the induction of anesthesia.
Detailed Description
EVALANXI is a single-center prospective observational study. The main objective of the study is to assess whether the assessment of preoperative anxiety by nurse anesthetist (hetero-assessment) accurately estimate the level of anxiety reported by the patient from arrival to the operating room to the induction of anesthesia (self-assessment).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age \> 18 years old
- •Patients with ASA 1, ASA 2 ou ASA 3
- •Patients undergoing planned surgery with general anesthesia
Exclusion Criteria
- •Refusal, inability to oral consent
- •Cardio-thoracic surgery or emergency surgery
- •Patient with dementia, medically diagnosed psychiatric disorder, inability to answer questions
- •Nurse anesthetist Inclusion Criteria:
- •Nurse anesthesis in charge of the corresponding patient
- •Nurse anesthetist Exclusion Criteria:
- •Assessment of the preoperative anxiety of a previously included patient
Outcomes
Primary Outcomes
Comparison of preoperative anxiety level expressed by the patient (self-assessment) with that estimated by murse anesthetist (hetero-assessment)
Time Frame: Self- and hetero-assessment will be performed peroperatively during the period from arrival in the operating room to the induction of general anesthesia.
Agreement between patient's Numeric Rating Scale (NRS from 0 to 10) and nurse anesthetist NRS (kappa coefficient)
Secondary Outcomes
- Patient's Anxiety assessment by caregiver : NRS (from 0 to 10) versus Covi scale from 3 to 15) (Lipman & Covi 1976)(Self- and hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.)
- Reliability of hetero-assessment performed by caregiver(Hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.)
- Anesthesia-related concerns(Anesthesia-related concerns observed by the patient and the corresponding nurse anesthetist will be collected preoperatively from arrival in the operating room to induction of general anesthesia.)
- Patient anxiety self assessment : NRS (from 0 to 10) versus Amsterdam Preoperative Anxiety and Information (APAIS) scale (from 6 to 30)(Self- and hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.)