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Effectiveness of Preoperative Audiovisual Information in Reducing Patient Anxiety about Spinal Anaesthesia: A Randomized Controlled Study

Basavaraj Padara , Bharat Kumar¹ , Basavaraj Padara² , Ajay BC³

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Indian Journal of Anesthesia and Analgesia 6(4):p 1121-1126, July-August 2019. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6419.9

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Bharat Kumar, Basavaraj Padara, Ajay BC. Effectiveness of Preoperative Audiovisual Information in Reducing Patient Anxiety about Spinal Anaesthesia: A Randomized Controlled Study. Indian J Anesth Analg. 2019;6(4):1121-1126.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Aims: A high incidence of anxiety about anesthetic procedure is seen in patients undergoing surgical procedures, which can be related to their unawareness about anaesthesia and anaesthetist's role in perioperative care. we aimed at assessing the effectiveness of a simple informative audiovisual clip as preoperative educational tool in reducing the anxiety in patients undergoing surgical procedures under spinal anaesthesia. Methods: A prospective randomized study involving 200 patients undergoing surgery under spinal anaesthesia was conducted. 2 groups with 100 patients in each group were formed and named as group AV (those who were shown audiovisual clip) and group NV (patients in this group were not shown the audiovisual clip). Anxiety scores were assessed using the spielberger state - trait anxiety inventory at both preoperative visit and just before the surgery. Hydrodynamic parameters like Heart rate and mean arterial pressures were recorded. Appropriate statistical tests were applied for analysis of the obtained data. Results: Baseline anxiety scores and hemodynamic parameters were comparable in both the groups. Compared to AV group the patients in NV group showed statistically significant rise in anxiety scores when measured before the spinal anaesthesia (p <0.001). Hemodynamic parameters were stable in AV group when compared to NV group (p < 0.001). Patients in AV group showed statistically significant decrease in anxiety scores from baseline values, when measured just before the spinal anaesthesia. Conclusion: Preoperative education in the form of informative audiovisual clip is effective in reducing patient anxiety about spinal anaesthesia.

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Bharat Kumar, Basavaraj Padara, Ajay BC. Effectiveness of Preoperative Audiovisual Information in Reducing Patient Anxiety about Spinal Anaesthesia: A Randomized Controlled Study. Indian J Anesth Analg. 2019;6(4):1121-1126.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6419.9

Keywords

Anxiety; Audiovisual clip; Spinal anaesthesia; Spielberger state - trait anxiety inventory.

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