Evaluation of preoperative anxiety level of the surgeons

Year 2023, Volume: 6 Issue: 3, 458 - 462, 31.12.2023

Tuna Şahin , Semiha Görgün , Hatice Kaya Özdoğan

https://doi.org/10.36516/jocass.1371406

Abstract

Giriş:Ameliyat öncesi kaygı, cerrahi işlem geçiren hastaların sıklıkla yaşadığı bir durumdur.Ameliyat öncesi kaygı sadece hastalarda değil cerrahlarda da ortaya çıkabilmektedir. Bu çalışmanın amacı cerrahların ameliyat öncesi kaygı düzeylerini değerlendirmektir.
Gereç ve Yöntemler:Çalışma yaşları 26-64 arasında değişen 100 cerrahı kapsamaktadır. Günün ilk elektif ameliyatına katılmadan önce cerrahlardan Durumluk-Sürekli Kaygı Envanteri'ni (STAI) doldurmaları istendi ve onlardan ameliyat öncesi tükürük kortizol örneği alındı. Cerrahlar ayrıca kendi cerrahi branşları, akademik ünvanları, tıbbi ve cerrahi deneyim yılları , yapılan ameliyatın adı ve işlem grubu hakkında bilgilerin yer aldığı değerlendirme formunu doldurdular.
Sonuç:Çalışmaya 46 asistan doktor, 34 uzman, 15 doçent, 3 profesör ve 2 doktor öğretim görevlisinden oluşan 100 cerrah katıldı. Ortalama STAI-1 skoru 39,5±11,2 ve ortalama STAI-2 skoru 40,4±8,7 idi. Ortalama tükürük kortizol düzeyleri 12,0 ± 8,1 nmol/l idi. STAI-1 skorları, STAI -2 skorları ve tükürük kortizol düzeyleri açısından cinsiyetler, cerrahi branşlar, akademik ünvanlar, tıbbi ve cerrahi deneyim yılı ve ameliyat işlem grupları arasında istatistiksel olarak anlamlı fark yoktu (p>0,05)
Tartışma:STAI-1 skorları, STAI-2 skorları ve tükürük kortizol düzeylerine göre cerrahların ameliyat öncesi kaygı düzeyleri cinsiyete, cerrahi branşa, akademik ünvana, tıbbi ve cerrahi deneyim yılına ve ameliyat işlem gruplarına göre farklılık göstermedi.
Anahtar kelimeler:Anksiyete, kortizol, ameliyat öncesi, cerrah

Keywords

anxiety, ,cortisol, ,preoperative, ,surgeon

Ethical Statement

Ethical approval number: Ethics Committee of Adana Numune Training and Research Hospital (approval no:746 on March 11, 2020)

References

• 1.Caumo W, Schmidt AP, Schneider CN, et al. Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scand. 2001; 45: 298-307. https://doi.org/10.1034/j.1399-6576.2001.045003298.x
• 2.Wetzel CM, Kneebone RL, Woloshynowych M, et al. The effects of stress on surgical performance. Am J Surg. 2006; 191: 5-10. https://doi.org/10.1016/j.amjsurg.2005.08.034
• 3.Arora S, Sevdalis N, Nestel D, et al. Managing intraoperative stress: what do surgeons want from a crisis training program? Am J Surg. 2009; 197: 537-43. https://doi.org/10.1016/j.amjsurg.2008.02.009
• 4.Arora S, Hull L, Sevdalis N, et al. Factors compromising safety in surgery: stressful events in the operating room. Am J Surg. 2010; 199: 60-5. https://doi.org/10.1016/j.amjsurg.2009.07.036
• 5.Miller R, Hotton M, Williamon A, et al. Surgical performance anxiety and wellbeing among surgeons: a cross-sectional study in the United Kingdom. Ann Surg. 2022; 275: 632-39. https://doi.org/10.1097/SLA.0000000000005199
• 6.Beck AT, Emery G, Greenberg RL. Anxiety disorders and phobias: A cogni¬tive perspective. New York: Basic Books; 2005.
• 7.Duffy E. Activation and Behavior. New York: Wiley; 1962
• 8.Hotton MT, Miller R, Chan JKK. Performance anxiety among surgeons. The Bulletin of the Royal College of Surgeons of England. 2019; 101: 20-6. https://doi.org/10.1308/rcsbull.2019.20
• 9.Brooks AW, Schroeder J, Risen JL, et al. Don't stop believing: Rituals im-prove performance by decreasing anxiety. Organ Behav Hum Decis Process 2016; 137: 71-85. https://doi.org/10.1016/j.obhdp.2016.07.004
• 10.Spielberger CD. Manual for the State-Trait Anxiety Inventory (STAI: Form Y). Palo Alto, CA: Consulting Psychologists Press; 1983. https://doi.org/10.1037/t06496-000
• 11.Toda M, Morimoto K. Evaluation of effects of lavender and peppermint aromatherapy using sensitive salivary endocrinological stress markers. Stress and Health. 2011; 27: 430-35. https://doi.org/10.1002/smi.1402
• 12.Uğraş GA, Yıldırım G, Yüksel S, et al. The effect of different types of music on patients' preoperative anxiety: A randomized controlled trial. Comple-ment Ther Clin Pract. 2018; 31: 158-63. https://doi.org/10.1016/j.ctcp.2018.02.012
• 13.Jansen P, Stoffels I, Müseler AC, et al. Salivary cortisol levels and anxiety in melanoma patients undergoing sentinel lymph node excision under local anesthesia versus general anesthesia: a prospective study. World J Surg On¬col. 2020; 18: 53. https://doi.org/10.1186/s12957-020-01823-w
• 14.Spielberger CD. Manual for the State-Trait Anxiety Inventory STAI. Red¬wood City, CA: Consulting Psychologists Press;1983. https://doi.org/10.1037/t06496-000
• 15.Jawaid M, Mushtaq A, Mukhtar S, et al. Preoperative anxiety before elec-tive surgery. Neurosciences.2007; 12: 145-48.
• 16.Nigussie S, Belachew T, Wolancho W. Predictors of preoperative anxiety among surgical patients in Jimma University specialized teaching hospital, Southwestern Ethiopia, BMC Surg. 2014; 14: 67. https://doi.org/10.1186/1471-2482-14-67
• 17.Jones KI, Amawi F, Bhalla A, et al. Assessing surgeon stress when operat¬ing using heart rate variability and the State Trait Anxiety Inventory: will surgery be the death of us? Colorectal Dis. 2014; 17: 335-41. https://doi.org/10.1111/codi.12844
• 18.Erestam S, Bock D, Andersson AE, et al. The perceived benefit of in-traoperative stress modifiers for surgeons: an experimental simulation study in volunteers. Patient Saf Surg. 2021; 15: 23. https://doi.org/10.1186/s13037-021-00294-6
• 19.Marrelli M, Gentile S, Palmieri F, et al. Correlation between surgeon 's ex¬perience, surgery complexity and the alteration of stress related physiologi¬cal parameters. PLoS One. 2014;9(11): e112444. https://doi.org/10.1371/journal.pone.0112444
• 20.Ray A, Gulati K, Rai N. Stress, anxiety, and immunomodulation: a pharma¬cological analysis. Vitam Horm. 2017; 103: 1-25. https://doi.org/10.1016/bs.vh.2016.09.007
• 21.Kilavuz AE, Bayram AA. Surgeons' preferences and anxiety levels in pae¬diatric adenotonsillectomy: European perspective. J Laryngol Otol 2019; 133: 333-8. https://doi.org/10.1017/S0022215119000434
• 22.Australian Bureau of Statistics. National Survey of Mental Health and Wellbeing: Summary of Results. Canberra, Australian Bureau of Statistics, 2007.
• 23.Norton G. R, McLeod L, Guertin J, et al. The growth of anxiety disorders during the 1980s. J Anxiety Disord.1995; 9: 75-85. https://doi.org/10.1016/0887-6185(94)00029-A
• 24.Tulloch I, Rubin JS. Assessment and management of preoperative anxiety. J Voice. 2019; 33: 691-6. https://doi.org/10.1016/j.jvoice.2018.02.008
• 25.Kiyohara LY, Kayano LK, Oliveira LM, et al. Surgery information reduces anxiety in the pre-operative period. Rev Hosp das Clin Fac Med Sao Paulo.2004; 59: 51-6. https://doi.org/10.1590/S0041-87812004000200001
• 26.Jlala HA, French JL, Foxall GL, et al. Effect of preoperative multimedia in-formation on perioperative anxiety in patients undergoing procedures un-der regional anaesthesia. Br J Anesth. 2010; 104: 369-74.