Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2018.01.004
Brazilian Journal of Anesthesiology
Scientific Article

Effect of video-based education on anxiety and satisfaction of patients undergoing spinal anesthesia

Efeito de informações por meio de vídeo sobre a ansiedade e satisfação de pacientes submetidos à anestesia espinhal

Meltem Cakmak; Isil Kose; Ciler Zinzircioglu; Yucel Karaman; Zeki Tuncel Tekgul; Sinan Pektas; Yelda Balik; Mustafa Gonullu; Pervin Sutas Bozkurt

http://dx.doi.org/10.1016/j.bjane.2018.01.004 Braz J Anesthesiol, vol.68, n3, p.274-279, 2018
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Abstract

Abstract Background: Providing sufficient information during a preanesthetic interview may help improve patient understanding and decrease anxiety related to spinal anesthesia. We investigated the effect of video-based education on anxiety and satisfaction in patients about to undergo spinal anesthesia. Methods: A total of 198 patients scheduled for minor elective surgery under spinal anesthesia were prospectively enrolled. The State-Trait Anxiety Inventory (State-Trait Anxiety Inventory/State and State-Trait Anxiety Inventory/Trait) questionnaires and visual analog scale were used to measure anxiety levels before the standard anesthesia evaluation was initiated. Then, 100 patients in Group 1 received written, verbal, and video-based education, whereas 98 patients in Group 2 received only written and verbal instructions regarding spinal anesthesia. Then all participants completed the State-Trait Anxiety Inventory/State and visual analog scale to evaluate anxiety. Finally, a 5-point Likert scale was used to measure satisfaction during postoperative period. Results: No differences were found in the State-Trait Anxiety Inventory/State, State-Trait Anxiety Inventory/Trait, or visual analog scale scores between the two groups before the information period. The State-Trait Anxiety Inventory/State scores evaluating anxiety during the post-information period were differed in both groups and they found as 36.5 ± 10.0 in Group 1 and 39.6 ± 8.6 in Group 2 (p = 0.033). The 5-point Likert scale scores to measure satisfaction were stated as 4.5 ± 0.6 in Group 1 and 3.5 ± 1.2 in Group 2 (p < 0.001). Conclusions: Providing video-based information during the preanesthetic interview alleviated anxiety and increased satisfaction in patients undergoing spinal anesthesia.

Keywords

Video information, Spinal anesthesia, Anxiety, Satisfaction

Resumo

Resumo Justificativa: Fornecer informação suficiente durante uma consulta pré-anestesia pode aumentar a compreensão do paciente e diminuir a ansiedade relacionada à anestesia espinhal. Investigamos o efeito do fornecimento de informação via vídeo sobre a ansiedade e satisfação em pacientes prestes a serem submetidos à anestesia espinhal. Métodos: Foram inscritos prospectivamente 198 pacientes agendados para cirurgias eletivas de pequeno porte sob anestesia espinhal. Os questionários de avaliação de estado e traço de ansiedade (State-Trait Anxiety Inventory/State e State-Trait Anxiety Inventory/Trait) e uma escala visual analógica foram usados para medir os níveis de ansiedade antes de a avaliação-padrão da anestesia ter sido iniciada. Em seguida, 100 pacientes do Grupo 1 receberam informação por escrito, verbal e via vídeo, enquanto 98 pacientes do Grupo 2 receberam apenas informação por escrito e verbal sobre a anestesia espinhal. Em seguida, todos os participantes responderam os inventários de estado e traço de ansiedade e a escala visual analógica para avaliar a ansiedade. Por fim, a escala de Likert de 5 pontos foi usada para medir a satisfação durante o período pós-operatório. Resultados: Não houve diferença nos escores dos questionários de estado e traço de ansiedade e da escala visual analógica entre os dois grupos antes do período de informação. Os escores de estado e traço de ansiedade que avaliam a ansiedade durante o período pós-informação foram diferentes em ambos os grupos: 36,5 ± 10,0 no Grupo 1 e 39,6 ± 8,6 no Grupo 2 (p = 0,033). Os escores da escala Likert de 5 pontos para medir a satisfação foram: 4,5 ± 0,6 no Grupo 1 e 3,5 ± 1,2 no Grupo 2 (p < 0,001). Conclusão: Fornecer informação via vídeo durante a consulta pré-anestésica aliviou a ansiedade e aumentou a satisfação em pacientes submetidos à anestesia espinhal.

Palavras-chave

Informação via vídeo, Anestesia espinhal, Ansiedade, Satisfação

References

Macario A, Weinger M, Truong P. Which clinical anesthesia outcomes are both common and important to avoid? The perspective of a panel of expert anesthesiologists. Anesth Analg. 1999;88:1085-91.

Krupat E, Fancey M, Cleary PD. Information and its impact on satisfaction among surgical patients. Soc Sci Med. 2000;51:1817-25.

Moerman N, Van Dam FS, Muller MJ. The Amsterdam preoperative anxiety and information scale (APAIS). Anesth Analg. 1996;82:445-51.

Matthey PW, Finegan BA, Finucane BT. The public's fears about and perceptions of regional anesthesia. Reg Anesth Pain Med. 2004;29:96-101.

Lee A, Gin T. Educating patients about anaesthesia: effect of various modes on patient's knowledge, anxiety and satisfaction. Curr Opin Anaesthesiol. 2005;18:205-8.

Snyder-Ramos SA, Seintsch H, Böttiger BW. Patient satisfaction and information gain after the preanesthetic visit: a comparison of face to-face interview, brochure, and video. Anesth Analg. 2005;100:1753-8.

Done ML, Lee A. The use of a video to convey preanesthetic information to patients undergoing ambulatory surgery. Anesth Analg. 1998;87:531-6.

Lee A, Chui PT, Gin T. Educating patients about anesthesia: a systematic review of randomized controlled trials of media-based interventions. Anesth Analg. 2003;96:1424-31.

Zvara DA, Mathes DD, Brooker RF. Video as a patient teaching tool: does it add to the preoperative anaesthetic visit?. Anesth Analg. 1996;82:1065-8.

Spielberger CD, Lushene RE, Jacobs GA. Manual for the State-Trait Anxiety Inventory, STAI (Form Y). 1983.

Oner N, Le-Compte A. Handbook of the State-Trait Anxiety Inventory. 1985:10-6.

Marteau TM, Bekker H. The development of a six-item short-form of the state scale of the Spielberg State-Trait Anxiety Inventory (STAI). Br J Clin Psychol. 1992;31:301-6.

Kindler CH, Harms C, Amsler F. The visual analog scale allows effective measurement of preoperative anxiety and detection of patients' anesthetic concerns. Anesth Analg. 2000;90:706-12.

Maranets I, Kain ZN. Preoperative anxiety and intraoperative anesthetic requirements. Anesth Analg. 1999;89:1346.

Bailey L. Strategies for decreasing patient anxiety in the perioperative setting. AORN J. 2010;92:445-60.

Bellani ML. Psychological aspects in day-case surgery. Int J Surg. 2008;6:544-6.

Taylor IR, Bullough AS, van Hamel JC. Partner anxiety prior to elective Caesarean section under regional anaesthesia. Anaesthesia. 2002;57:600-5.

Stanley BM, Walters DJ, Maddern GJ. Informed consent: how much information is enough. Aust N Z J Surg. 1998;68:788-91.

Jlala HA, French JL, Foxall GL. Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. Br J Anaesth. 2010;104:369-74.

Salzwedel C, Petersen C, Blanc I. The effect of detailed, video-assisted anesthesia risk education on patient anxiety and the duration of the preanesthetic interview: a randomized controlled trial. Anesth Analg. 2008;106:202-9.

Lin SY, Huang HA, Lin SC. The effect of an anaesthetic patient information video on perioperative anxiety: a randomised study. Eur J Anaesthesiol. 2016;33:134-9.

Bondy LR, Sims N, Schroeder DR. The effect of anesthetic patient education on preoperative patient anxiety. Reg Anesth Pain Med. 1999;24:158-64.

Pascoe G. Patient satisfaction in primary health care: a literature review and analysis. Eval Program Plan. 1983;6:185-210.

Klafta JM, Roizen MF. Current understanding of patients' attitudes toward and preparation for anesthesia: a review. Anesth Analg. 1996;83:1314-21.

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