TY - JOUR T1 - Effect of Preanesthetic Assessment Timing on Preoperative Anxiety in Ambulatory Surgery Patients TT - Ambulatuvar Cerrahi Hastalarında Preanestezi Değerlendirme Zamanlamasının Preoperatif Anksiyete Üzerine Etkisi AU - Ateş Ayhan, Nazire AU - Hancı, Volkan AU - Özbilgin, Şule AU - Yurtlu, Bülent Serhan PY - 2025 DA - February Y2 - 2024 DO - 10.52827/hititmedj.1448591 JF - Hitit Medical Journal JO - Hitit Medical Journal PB - Hitit Üniversitesi WT - DergiPark SN - 2687-4717 SP - 61 EP - 69 VL - 7 IS - 1 LA - en AB - Objective: Preoperative anxiety is a prevalent concern among ambulatory surgery patients. Besides controversialfindings between preoperative anesthesia evaluation and anxiety in ambulatory surgical patients, its optimaltiming on anxiety levels remains unclear. This study aimed to explore the impact of preoperative anesthesiaevaluation timing on anxiety levels in patients undergoing ambulatory surgery.Material and Method: A prospective, non-randomized, observational study was conducted between May 2016 andAugust 2016. Adult patients scheduled for elective surgery under local anesthesia with sedation were included.Participants were divided based on the timing of anesthesia evaluation: Group OP (evaluated before surgery) andGroup AS (assessed on the day of surgery). Preoperative anxiety was measured using the Spielberger State-TraitAnxiety Inventory (STAI) and Visual Analog Scale (VAS) at two time points: just before preoperative anesthesiaevaluation (Score 1) and immediately before surgery (Score 2).Results: The study comprised 144 patients, with 72 in each group. No significant differences between groupswere observed in baseline sociodemographic characteristics (p>0.05), except for significantly older patientsin Group OP than those in Group AS (p=0.030). Median STAI-S, STAI-T, and VAS scores (Score 1) showed nosignificant differences between groups (p>0.05). Both groups significantly increased STAI-S scores betweenScore 1 and Score 2 measurements (p=0.015 for Group OP and p KW - ambulatory surgical procedures KW - anesthetic assessment KW - preoperative anxiety KW - state-trait anxiety inventory KW - visual analog scale. N2 - Amaç: Preoperatif anksiyete, ambulatuvar cerrahi hastaları arasında yaygın bir endişe kaynağıdır. Ameliyat öncesianestezi değerlendirmesi ile ambulatuvar cerrahi hastalarındaki anksiyete arasındaki tartışmalı bulgulara rağmen,bu değerlendirmenin anksiyete düzeyleri üzerindeki optimal zamanlaması belirsiz kalmaktadır. Bu çalışmanınamacı, preoperatif anestezi değerlendirmesi zamanının ambulatuvar cerrahi geçirecek hastaların ameliyat öncesianksiyete düzeyleri üzerindeki etkisini araştırmaktır.Gereç ve Yöntem: Mayıs 2016 ile Ağustos 2016 arasında, prospektif, non-randomize, gözlemsel bir çalışmaplanlandı. Lokal anestezi altında sedasyon ile elektif cerrahi planlanan yetişkin hastalar dahil edildi. Katılımcılar,anestezi değerlendirmesinin zamanlamasına göre iki gruba ayrıldı. Anestezi değerlendirmesi cerrahi günündenönce yapılan hastalar Grup OP ve cerrahi günü yapılan hastalar Grup AS olarak tanımlandı. Preoperatif anksiyete,preoperatif anestezi değerlendirmesinden hemen önce (Skor 1) ve cerrahiden hemen önce (Skor 2) olmak üzereiki farklı zaman diliminde Spielberger Durum-Sürekli Anksiyete Envanteri (STAI) ve Görsel Analog Skala (VAS)kullanılarak ölçüldü.Bulgular:Çalışmada 144 hasta olup, her bir grupta 72 hasta bulunmaktadır. Gruplar arasında temel sosyodemografiközellikler açısından, Grup OP’de anlamlı olarak daha ileri yaşı olan hastalar olması dışında (p=0,030), anlamlıbir fark gözlenmedi (p>0,05). Medyan STAI-S, STAI-T ve VAS skorları (Skor 1) arasında gruplar arası anlamlı birfark bulunmadı (p>0,05). Her iki grup da Skor 1 ve Skor 2 ölçümleri arasında STAI-S skorlarında anlamlı bir artışgösterdi (Grup OP için p=0,015 ve Grup AS için p0,05). Her iki grup da Skor 1 ve Skor 2 ölçümleri arasında STAI-S skorlarında anlamlı bir artış göstermiştir (Grup OP için p=0,015 ve Grup AS için p CR - Guerrier G, Pisanu G, Baillard C. Assessing Preoperative Anxiety: Nurses Versus Health Care Assistants. J Perianesthesia Nurs 2021;36(5):514–517. CR - Ryu J-H, Ko D, Han J-W, et al. The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial. Front Pediatr 2022;10:899152. CR - Majumdar J, Vertosick E, Cohen B, Assel M, Levine M, BartonBurke M. Preoperative Anxiety in Patients Undergoing Outpatient Cancer Surgery. Asia-Pacific J Oncol Nurs 2019;6(4):440–445. CR - Stephanie C-J, Mathieu A, Aurore M, Monique MR-T. Outpatients’ perception of their preoperative information regarding their health literacy skills and their preoperative anxiety level. Medicine (Baltimore) 2021;100(20):e26018. CR - Porcar E, Peral D. Usefulness of pre-anesthetic consultation to reduce the degree of anxiety in patients scheduled for surgical intervention. Rev Esp Anestesiol Reanim 2020;67(10):545–550. CR - Fatih Y, Arife S, Aysegul B, Betul B. The Effect of Child Preference for Parental Selection on Pediatric Anxiety During Induction in Children Undergoing Elective Day Case Surgery. J Perianesthesia Nurs 2024;39(3):397-402. CR - Nytun KL, Moldestad IO, Snibsøer AK, Espehaug B. The effect of web-based preoperative information on parents of children who are going through elective ambulatory surgery: A systematic review and meta-analysis. Patient Educ Couns 2022;105(12):3389–3397. CR - Vongchaiudomchoke W, Wongcharoen P, Wongyingsinn M. The impact of a preanesthesia assessment clinic on scheduled elective case cancelations at a Thai university hospital. Medicine (Baltimore) 2023;102(34):e34823. CR - Carty NJ, Curtis NJ, Ranaboldo CJ. Single hospital visit day case laparoscopic hernia repair without prior outpatient consultation is safe and acceptable to patients. Surg Endosc 2016;30(12):5565–5571. CR - Alacadag M, Cilingir D. Presurgery Anxiety and Day Surgery Patients’ Need for Information. J Perianesthesia Nurs 2018;33(5):658–668. CR - Hounsome J, Lee A, Greenhalgh J, et al. A systematic review of information format and timing before scheduled adult surgery for perioperative anxiety. Anaesthesia 2017;72(10):1265–1272. CR - Akhlaghi F, Azizi S, Malek B, Mahboubi F, Shams S, Karimizadeh M. Effect of Preoperative Anesthesia Consultation on Decreasing Anxiety in Patients Undergoing Oral and Maxillofacial Surgery. J Dent 2020;21(2):102–105. CR - Twersky RS, Lebovits AH, Lewis M, Frank D. Early anesthesia evaluation of the ambulatory surgical patient: Does it really help? J Clin Anesth 1992;4(3):204–207. CR - Arellano R, Cruise C, Chung F. Timing of the Anesthetist’s Preoperative Outpatient Interview. Anesth Analg 1989;68(5):645– 648. CR - Tasdemir A, Erakgun A, Nuri Deniz M, Certug A. Comparison of Preoperative and Postoperative Anxiety Levels with StateTrait Anxiety Inventory Test in Preoperatively Informed Patients. Turkish J Anesth Reanim 2013;41(2):44–49. CR - Emons WH, Habibović M, Pedersen SS. Prevalence of anxiety in patients with an implantable cardioverter defibrillator: measurement equivalence of the HADS-A and the STAI-S. Qual Life Res 2019;28(11):3107–3116. CR - Li X-R, Zhang W-H, Williams JP, et al. A multicenter survey of perioperative anxiety in China: Pre- and postoperative associations. J Psychosom Res 2021;147:110528. CR - Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. State-Trait Anxiety Inventory for Adults: Sampler Set. Manual, Instrument, and Scoring Guide. Palo Alto: Consulting Psychologists Press, 1983. CR - Oner N, Le Compte A. Durumluk Sürekli Kaygı Envanteri El Kitabı. Istanbul: Bogazici Universitesi Yayinlari, 1983; 1–26. CR - Kayikcioglu O, Bilgin S, Seymenoglu G, Deveci A. State and Trait Anxiety Scores of Patients Receiving Intravitreal Injections. Biomed Hub 2017;2(2):1–5. CR - 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;90(3):706–712. CR - Lee E, Jee Y-J, Jung J, Lee MH, Hong SO. Extraction of mandibular third molars: relationship of preoperative anxiety with body mass index, serum high-sensitivity C-reactive protein levels, and visual analog scale scores and predictors of postoperative complications. J Korean Assoc Oral Maxillofac Surg 2023;49(5):252–261. CR - Aviado-Langer J. Measuring preoperative anxiety in patients with breast cancer using the visual analog scale. Clin J Oncol Nurs 2014;18(5):489–491. CR - Woldegerima Berhe Y, Belayneh Melkie T, Fitiwi Lema G, Getnet M, Chekol WB. The overlooked problem among surgical patients: Preoperative anxiety at Ethiopian University Hospital. Front Med (Lausanne) 2022;9:912743. CR - Basak F, Hasbahceci M, Guner S, et al. Prediction of anxiety and depression in general surgery inpatients: A prospective cohort study of 200 consecutive patients. Int J Surg 2015;23(Pt A):18-22. UR - https://doi.org/10.52827/hititmedj.1448591 L1 - https://dergipark.org.tr/tr/download/article-file/3779143 ER -