The Effect of Pre-anesthetic Education on Cardiac Surgery Patients' Anxiety Level

NCT02755909 | Completed

• 1 other identifier: IndonesiaUAnes002
• Study Type: interventional
• Target: 36
• Locations: 0 countries
• Sites: N/A

Brief Summary

The study aims to investigate the effect of pre-anesthetic education on patients undergoing cardiac surgery

Conditions

Cardiac Surgery Patients

Keywords

Cardiac surgery, anxiety, education

Outcome Measures

Primary Outcomes (2)

• Subjects' Anxiety Level before Education

  Subjects' anxiety level before education was measure using APAIS instrument.

  2 months

• Subjects' Anxiety Level after Education

  Subjects' anxiety level after education was measure using APAIS instrument.

  2 months

Study Arms (1)

Subjects

OTHER

Pra-anesthetic education given to the subjects includes the anatomy of a normal heart, normal blood circulation, anatomy and pathophysiology of the disease in the respected subject, surgery procedures needed, anesthetic procedures needed for the surgery, and cardiopulmonary bypass procedures. Education and discussion were given repeatedly until subjects could repeat the materials given correctly.

Behavioral: Pre-anesthetic Education

Interventions

Pre-anesthetic Education BEHAVIORAL

Education was done before the anesthetic procedure, using a flip chart made by the researchers.

Subjects

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Subjects aged 18-65 years old
• Subjects able to read and write properly
• Subjects have adequate communication ability
• Subjects were able to speak Indonesian language properly
• Subjects were planned to undergo cardiac surgery
• Subjects have given informed consent for the anesthetical and surgical procedures.

You may not qualify if:

• Subjects who did not give informed consent
• Subjects who had done a cardiac surgery before this study commenced,
• Subjects who had a cognitive/psychiatric problem that decreased communication ability
• Subjects in antianxiety and/or antidepressant treatment.
• Drop out criteria:
• Subjects who had anxiety sign and symptoms with/without cardiovascular alarming signs and could not be eased down during education
• Subjects decided to drop out the study.

Sponsors & Collaborators

• Indonesia University: lead

Related Publications (12)

• Domar AD, Everett LL, Keller MG. Preoperative anxiety: is it a predictable entity? Anesth Analg. 1989 Dec;69(6):763-7.

  PMID: 2589657 BACKGROUND

• Maranets I, Kain ZN. Preoperative anxiety and intraoperative anesthetic requirements. Anesth Analg. 1999 Dec;89(6):1346-51. doi: 10.1097/00000539-199912000-00003.

  PMID: 10589606 BACKGROUND

• Kiyohara LY, Kayano LK, Oliveira LM, Yamamoto MU, Inagaki MM, Ogawa NY, Gonzales PE, Mandelbaum R, Okubo ST, Watanuki T, Vieira JE. Surgery information reduces anxiety in the pre-operative period. Rev Hosp Clin Fac Med Sao Paulo. 2004 Apr;59(2):51-6. doi: 10.1590/s0041-87812004000200001. Epub 2004 Apr 26.

  PMID: 15122417 BACKGROUND

• Valenzuela Millan J, Barrera Serrano JR, Ornelas Aguirre JM. Anxiety in preoperative anesthetic procedures. Cir Cir. 2010 Mar-Apr;78(2):147-51. English, Spanish.

  PMID: 20478116 BACKGROUND

• Moerman N, van Dam FS, Muller MJ, Oosting H. The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Anesth Analg. 1996 Mar;82(3):445-51. doi: 10.1097/00000539-199603000-00002.

  PMID: 8623940 BACKGROUND

• Wetsch WA, Pircher I, Lederer W, Kinzl JF, Traweger C, Heinz-Erian P, Benzer A. Preoperative stress and anxiety in day-care patients and inpatients undergoing fast-track surgery. Br J Anaesth. 2009 Aug;103(2):199-205. doi: 10.1093/bja/aep136. Epub 2009 May 30.

  PMID: 19483203 BACKGROUND

• Laufenberg-Feldmann R, Kappis B. Assessing preoperative anxiety using a questionnaire and clinical rating: a prospective observational study. Eur J Anaesthesiol. 2013 Dec;30(12):758-63. doi: 10.1097/EJA.0b013e3283631751.

  PMID: 23787971 BACKGROUND

• Kindler CH, Harms C, Amsler F, Ihde-Scholl T, Scheidegger D. The visual analog scale allows effective measurement of preoperative anxiety and detection of patients' anesthetic concerns. Anesth Analg. 2000 Mar;90(3):706-12. doi: 10.1097/00000539-200003000-00036.

  PMID: 10702461 BACKGROUND

• Millar K, Jelicic M, Bonke B, Asbury AJ. Assessment of preoperative anxiety: comparison of measures in patients awaiting surgery for breast cancer. Br J Anaesth. 1995 Feb;74(2):180-3. doi: 10.1093/bja/74.2.180.

  PMID: 7696068 BACKGROUND

• Julian LJ. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11(0 11):S467-72. doi: 10.1002/acr.20561. No abstract available.

  PMID: 22588767 BACKGROUND

• Bonnet C, Greffier A. Paediatric cardiac catheterization: an information sheet. Arch Cardiovasc Dis. 2013 Apr;106(4):228-37. doi: 10.1016/j.acvd.2013.01.007. Epub 2013 Apr 23.

  PMID: 23706369 BACKGROUND

• Bensing J. Doctor-patient communication and the quality of care. Soc Sci Med. 1991;32(11):1301-10. doi: 10.1016/0277-9536(91)90047-g.

  PMID: 2068614 BACKGROUND

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Officials

• Arif HM Marsaban, Consultant

  Indonesia University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Consultant, Anesthesiologist

Study Record Dates

• First Submitted: April 28, 2016
• First Posted: April 29, 2016
• Study Start: December 1, 2015
• Primary Completion: March 1, 2016
• Study Completion: March 1, 2016
• Last Updated: May 3, 2016

Record last verified: 2016-05