Assesment of Patients' Basic Knowledge and Concerns About Anesthesia: A survey study

Year 2024, Volume: 4 Issue: 1, 1 - 9, 30.04.2024

Andaç Dedeoğlu , Yusuf İpek , Cem Kıvılcım Kaçar , Hakan Akelma , Haktan Karaman

https://doi.org/10.61139/ijdor.1434753

Abstract

Background/Aim: This survey study aimed to investigate the knowledge and concerns of patients about anesthesia in the preoperative period.
Materials and Methods: A total of 150 patients scheduled for elective surgery, aged 18 to 65, with ASA (American Society of Anesthesiologists) classification 1-2, were included in the study. Patients who come to the anesthesia outpatient clinic in the preoperative period were asked to complete survey forms.
Results: It was observed that 47% of patients aged 60 and older had previous experiences with anesthesia (p=0.01). When the responses to the question "Do you know why you came to the anesthesia outpatient clinic?" were examined by age groups, it was found that 70% of patients aged 18-30, 70% of patients aged 31-60, and 29% of patients aged 60 and older did not know why they came to the anesthesia outpatient clinic (p=0.004). It was determined that as the level of education increased, the knowledge level about anesthesia increased and the level of concern decreased. Furthermore, it was found that as the socioeconomic status increased, the knowledge level about anesthesia increased.
Conclusion: It was determined that the level of education and socioeconomic status were factors affecting the level of anesthesia knowledge. Furthermore, it was found that the level of concern related to anesthesia was also associated with the level of education.

Keywords

Anesthesia, questionnaire, anxiety

Ethical Statement

This article is read and reviewed by all authors and then sent to your journal for publication. This article has not been published elsewhere and there is no conflict of interest. This study has not been published in any language, including the abstract, and is not being considered for publication elsewhere. Note: Our article was produced from a thesis study conducted in 2010.

Hastaların Anestezi İle İlgili Temel Bilgi ve Kaygılarının Değerlendirilmesi: Bir anket çalışması

Abstract

Amaç: Bu anket çalışması, ameliyat öncesi dönemde hastaların anestezi hakkındaki bilgi düzeyini ve endişelerini araştırmayı amaçlamaktadır.
Materyal ve Metod: Çalışmaya, elektif cerrahi planlanan, 18 ila 65 yaş arasındaki, ASA (American Society of Anesthesiologists) sınıflandırmasına göre 1-2 derecesinde olan toplam 150 hasta dahil edilmiştir. Ameliyat öncesi dönemde anestezi polikliniğine başvuran hastalardan anket formlarını doldurmaları istenmiştir.
Bulgular: 60 yaş ve üzerindeki hastaların %47'sinin daha önce anestezi deneyimleri olduğu gözlemlenmiştir (p=0.01). "Anestezi polikliniğine neden geldiğinizi biliyor musunuz?" sorusuna verilen yanıtlar yaş gruplarına göre incelendiğinde, 18-30 yaş arasındaki hastaların %70'inin, 31-60 yaş arasındaki hastaların %70'inin ve 60 yaş ve üzerindeki hastaların %29'unun neden anestezi polikliniğine geldiklerini bilmedikleri bulunmuştur (p=0.004). Eğitim düzeyi arttıkça, anestezi hakkındaki bilgi düzeyinin arttığı ve endişe düzeyinin azaldığı belirlenmiştir. Ayrıca, sosyoekonomik durum arttıkça, anestezi hakkındaki bilgi düzeyinin de arttığı bulunmuştur.
Sonuç: Eğitim düzeyi ve sosyoekonomik durumun anestezi bilgi düzeyini etkileyen faktörler olduğu belirlenmiştir. Ayrıca, anestezi ile ilgili endişe düzeyinin de eğitim düzeyi ile ilişkili olduğu bulunmuştur.

Keywords

Anestezi, anket, kaygı

References

• 1. Tobias JD. Preoperative anesthesia evaluation. Semin Pediatr Surg. 2018;27(2):67-74.
• 2. Blitz JD, Kendale SM, Jain SK, Cuff GE, Kim JT, Rosenberg AD. Preoperative Evaluation Clinic Visit Is Associated with Decreased Risk of In-hospital Postoperative Mortality. Anesthesiology. 2016;125(2):280-94.
• 3. Rosiek A, Kornatowski T, Rosiek-Kryszewska A, Leksowski Ł, Leksowski K. Evaluation of Stress Intensity and Anxiety Level in Preoperative Period of Cardiac Patients. Biomed Res Int. 2016;2016:1248396.
• 4. Uysal AI, Altıparmak B, Guner O. The Effect of an Informative Leaflet on Preoperative Anxiety and Patient's Knowledge of Anesthesia and Anxiety. J Clin Anal Med 2017;8(5): 370-4.
• 5. Walker EMK, Bell M, Cook TM, Grocott MPW, Moonesinghe SR; Central SNAP-1 Organisation; National Study Groups. Patient reported outcome of adult perioperative anaesthesia in the United Kingdom: a cross-sectional observational study. Br J Anaesth. 2016:12;117(6):758-766.
• 6. Aust H, Eberhart L, Sturm T, Schuster M, Nestoriuc Y, Brehm F, Rüsch D. A cross-sectional study on preoperative anxiety in adults. J Psychosom Res 2018;111:133-139.
• 7. Buonanno P, Laiola A, Palumbo C, Spinelli G, Terminiello V, Servillo G. Italian validation of the Amsterdam Preoperative Anxiety and Information Scale. Minerva Anestesiol. 2017;83(7):705-711.
• 8. Nagrampa D, Bazargan-Hejazi S, Neelakanta G, Mojtahedzadeh M, Law A, Miller M. A survey of anesthesiologists' role, trust in anesthesiologists, and knowledge and fears about anesthesia among predominantly Hispanic patients from an inner-city county preoperative anesthesia clinic. J Clin Anesth. 2015;27(2):97-104.
• 9. Özvurmaz S, Büyükçoban S. Kırsal Bir Bölgede Halkın Anesteziyoloji Uygulamaları Hakkındaki Bilgi ve Korkuları ile İlişkili Faktörlerin Değerlendirilmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2018; 5(3): 99-106.
• 10. Gençay I, Aydın G. Operasyon planlanan hastalarda anestezi ile ilgili farkındalığın değerlendirilmesi. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2020;22(2 ): 225-232.
• 11. Budiman M, Izaham A, Abdul Manap N, Zainudin K, Kamaruzaman E, Masdar A, Dan A. The patients' understanding on the status and role of anaesthesiologists. Clin Ter. 2015;166(6):227-35.
• 12. Ribeiro CS, Mourão JI. Anesthesiologist: the patient's perception. Braz J Anesthesiol. 2015;65(6):497-503.
• 13. Marulasiddappa V, Nethra HN. A Survey on Awareness about the Role of Anesthesia and Anesthesiologists among the Patients Undergoing Surgeries in a Tertiary Care Teaching Women and Children Hospital. Anesth Essays Res. 2017;11(1):144-150.
• 14. Singh T, Sharma S, Banerjee B, Garg S. Knowledge regarding anesthesiologist and anesthesiology among patients and attendants attending a rural hospital of New Delhi. J Educ Health Promot. 2018;7:12.
• 15. Uyar Türkyılmaz HE, Camgöz Eryılmaz N, Aydın Güzey N, Gedikli A. Hastaların Anestezi Hakkında Bilgi Düzeylerinin Saptanması Ve Anestezi Öncesi Korkularının Belirlenmesi. Çağdaş Tıp Dergisi 2018; 8(4): 350-355.
• 16. Roublah EA, Alqurashi RN, Kandil MA, Neama SH, Roublah FA, Arab AA, Boker AM. Patients' concerns and perceptions of anesthesia-associated risks at University Hospital: A cross-sectional study. Saudi J Anaesth. 2020;14(2):157-163.
• 17. Lin SY, Huang HA, Lin SC, Huang YT, Wang KY, Shi HY. The effect of an anaesthetic patient information video on perioperative anxiety: A randomised study. Eur J Anaesthesiol. 2016 ;33(2):134-9.
• 18. Ortiz J, Wang S, Elayda MA, Tolpin DA. Informação pré-operatória ao paciente: podemos melhorar a satisfação e reduzir a ansiedade? [Preoperative patient education: can we improve satisfaction and reduce anxiety?]. Rev Bras Anestesiol. 2015;65(1):7-13.
• 19. Fetene MB, Bayable SD, Wendimu ES, Belehu KD, Almaw AA, Dula PK, Bejiga BZ. Perioperative patient satisfaction and its predictors following surgery and anesthesia services in North Shewa, Ethiopia. A multicenter prospective cross-sectional study. Ann Med Surg (Lond). 2022;76:103478.
• 20. Demir A, Turan S, Balaban F, Karadeniz Ü, Erdemli Ö. Anestezi uygulamaları ile ilgili olarak preanestezik değerlendirme sırasında hastalarda yapılan anket çalışması. Türk Anest Der Dergisi 2009; 37(4):225–233.
• 21. Fathi M, Alavi SM, Joudi M, Joudi M, Mahdikhani H, Ferasatkish R, Bakhshandeh H, Jabbari Nooghabi M. Preoperative anxiety in candidates for heart surgery. Iran J Psychiatry Behav Sci. 2014;8(2):90-6.
• 22. Erkilic E, Kesimci E, Soykut C, Doger C, Gumus T, Kanbak O. Factors associated with preoperative anxiety levels of Turkish surgical patients: from a single center in Ankara. Patient Prefer Adherence. 2017;11:291-296. 23. Woldegerima Y.B., Fitwi G.L., Yimer H.T., Hailekiros A.G. Prevalence and factors associated with preoperative anxiety among elective surgical patients at University of Gondar Hospital. Gondar, Northwest Ethiopia, 2017. A cross-sectional study. International jornal of Surgery open. 10 (2018) 21-29
• 24. Kakinuma A, Nagatani H, Otake H, Mizuno J, Nakata Y. The effects of short interactive animation video information on preanesthetic anxiety, knowledge, and interview time: a randomized controlled trial. Anesth Analg. 2011;112(6):1314-8.
• 25. Edward GM, v d Naald N, Oort FJ, de Haes HC, Biervliet JD, Hollmann MW, Preckel B. Information gain in patients using a multimedia website with tailored information on anaesthesia. Br J Anaesth. 2011;106(3):319-24. 26. Lemos MF, Lemos-Neto SV, Barrucand L, Verçosa N, Tibirica E. Preoperative education reduces preoperative anxiety in cancer patients undergoing surgery: Usefulness of the self-reported Beck anxiety inventory]. Braz J Anesthesiol. 2019;69(1):1-6.
• 27. Vergara-Romero M, Morales-Asencio JM, Morales-Fernández A, Canca- Sanchez JC, Rivas-Ruiz F, Reinaldo-Lapuerta JA. Validation of the Spanish version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Health Qual Life Outcomes. 2017;15(1):120.