Assessment of Patient Preoperative Anxiety by Nurse Anesthetist
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Comparison of preoperative anxiety level expressed by the patient (self-assessment) with that estimated by murse anesthetist (hetero-assessment)
研究概览
简要总结
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.
详细描述
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).
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age > 18 years old
- •Patients with ASA 1, ASA 2 ou ASA 3
- •Patients undergoing planned surgery with general anesthesia
排除标准
- •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
结局指标
主要结局
Comparison of preoperative anxiety level expressed by the patient (self-assessment) with that estimated by murse anesthetist (hetero-assessment)
时间窗: 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)
次要结局
- 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.)