Anesthesia, General, Anxiety
Conditions
Keywords
Preoperative anxiety, Concordance, Self-assessment assessment of anxiety, Nurse anesthesist hetero-assessment of anxiety
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).
Interventions
OTHERPre operative assessment
Anxiety assessment : Numeric rating scale (patient and caregiver), APAIS scale (patient), Covi Scale (Caregiver) Verbalization : anesthesia-related concerns (expressed by patient and considered by caregiver)
Sponsors
Centre Hospitalier Universitaire de Besancon
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Patient Inclusion Criteria: * Age \> 18 years old * Patients with ASA 1, ASA 2 ou ASA 3 * Patients undergoing planned surgery with general anesthesia Patient
Exclusion criteria
* Age \<18 * 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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of preoperative anxiety level expressed by the patient (self-assessment) with that estimated by murse anesthetist (hetero-assessment) | 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
| Measure | Time frame | Description |
|---|---|---|
| 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. | correlation between NRS and APAIS scale |
| 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. | correlation between NRS and Covi scale |
| 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. | sub group analysis based on nurse anesthetist professional experience |
| 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. | Comparison between the patient's expression and caregiver's estimate |
Countries
France
Outcome results
None listed