Cardiac Surgery
Conditions
Keywords
preoperative anxiety, cardiac surgery, evaluation of anxiety, admission day, APAIS scale
Brief summary
Prospective, observational, non-randomized study that evaluates the impact of the admission day (J-1 vs J-0) on preoperative anxiety in cardiac surgery patients.
Detailed description
The goal of this study is to determine whether the admission day (J-1 or J-0) has a significant effect on preoperative anxiety using the APAIS (Amsterdam Preoperative Anxiety and Information) scale and to identify modifiable factors to improve patient care. This study includes 400 patients divided into two groups : 200 patients admitted the day before their surgery (J-1) and 200 patients admitted on the day of surgery (J-0). Patients admitted for cardiac surgery at the University Hospital of Rennes will be invited to participate after verification of the inclusion criteria. A nurse or surgeon will explain the objectives and procedures of the study and provide the patient with an information and non-opposition letter. If the patient agrees, they will be included in the study, and the non-opposition form will be recorded in their medical file. Patients will complete the questionnaire in two stages : upon admission and just before leaving for the operating room. The estimated time to complete the questionnaire is approximately 15 minutes, with 10 minutes for the first part and 5 minutes for the second part.
Interventions
OTHERQuestionnaire including APAIS scale
Patients will complete a questionnaire in two stages : upon admission and just before leaving for the operating room
Sponsors
Rennes University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged over 18 years old * Scheduled for cardiac surgery * Have received written and oral information about the protocol * Admitted to the cardiac and thoracic surgery units * Not opposed to participating in the research.
Exclusion criteria
* Patient undergoing emergency cardiac surgery with no time for reflection * Legal adults under legal protection (guardianship, curators, or legal protection) * Pregnant or breastfeeding women, minors, individuals unable to express consent * Patient on long-term anxiolytic treatment * Patient with psychiatric disorders, cognitive impairments, or central neurological disorders. * Patient already participating in an ongoing study in the department of Thoracic and Cardiovascular Surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of the level of anxiety before leaving for the operating room between patients arriving the day before the operation and those arriving on the day of the operation. | Day of scale completion | Amsterdam Preoperative Anxiety and Information Scale (APAIS) - score 1 to 5 (1=not anxious at all ; 5=extremely anxious) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of of the level of anxiety at admission and before leaving for the operating room between the 2 groups | Day of scale completion | Amsterdam Preoperative Anxiety and Information Scale (APAIS) - score 1 to 5 (1=not anxious at all ; 5=extremely anxious) |
| Comparison of the level of preoperative anxiety before going to the operating room according to patient comfort parameters | Day of scale completion | Amsterdam Preoperative Anxiety and Information Scale (APAIS) - score 1 to 5 (1=not anxious at all ; 5=extremely anxious) |
| Comparison of preoperative anxiety according to patient's understanding of the surgery and the type of surgical procedure | Day of scale completion | Amsterdam Preoperative Anxiety and Information Scale (APAIS) - score 1 to 5 (1=not anxious at all ; 5=extremely anxious) |
| Comparison of preoperative anxiety according to the surgical schedule | Day of scale completion | Amsterdam Preoperative Anxiety and Information Scale (APAIS) - score 1 to 5 (1=not anxious at all ; 5=extremely anxious) |
Countries
France
Contacts
CONTACTSalomé HINGANT
CONTACTErwan FLECHER, MD, PHD
Outcome results
None listed