Preoperative evaluation of the knowledge and concerns of gynecology patients regarding anesthesia: A questionnaire based observational study

Buket Özyaprak; Nermin Kılıçarslan; Gönül Erkan

doi:10.28982/josam.677470

Authors

Buket Özyaprak https://orcid.org/0000-0002-6327-4573
Nermin Kılıçarslan https://orcid.org/0000-0002-5855-9099
Gönül Erkan https://orcid.org/0000-0002-2028-4288

DOI:

https://doi.org/10.28982/josam.677470

Keywords:

Anesthesia, Worry, Females, Questionnaire

Abstract

Aim: Anesthesiology is an advancing discipline that is progressively recognized by the society. Preoperative patients may have concerns about anesthesia as well as surgical operations. There are various surveys on this subject, in which the knowledge of the subjects about the anesthesiologist, anesthesia, and related concerns were questioned. In this study, we aimed to determine the knowledge, experiences and concerns of our female patients who were to undergo gynecological operations regarding the anesthesiologists and anesthesia with the questionnaire we conducted, and to contribute to the literature by evaluating our results and discussing the precautions to be taken.

Methods: A questionnaire-based observational study method was used in this study. The questionnaire, which was developed by the researchers, was conducted on the patients who were referred to the anesthesiology policlinic for gynecological operations and signed the informed consent forms. The patients were questioned in terms of knowledge and concerns about the anesthesiologist and anesthesia in general.

Results: This questionnaire was conducted on 150 patients. Seventy-eight percent of our patients were educated below high-school level, while 22% had high school diplomas or higher. 93.33% percent of our patients had already experienced anesthesia and 68% knew that it was administered by a specialist. The most common causes of worry on anesthesia and the operations included inability to regain consciousness (58%), followed by postoperative pain (52%). Less frequent anxiety factors were determined as nausea and vomiting after anesthesia and prior fasting.

Conclusion: As with all segments of the society, increasing the knowledge about anesthesia in women will reduce related anxiety. We believe that this information should be provided not only in polyclinic conditions but also through visual communication tools and brochures.

Downloads

Download data is not yet available.

References

Vincent JC. The History of Anesthesiology. In Principles of Anesthesiology. Philadelphia: Lea & Febiger, 1993;3-28.

Leroy DV. History of Anesthetic Practice. In: RD Miller ed. Anesthesia. NewYork: Churchill Livingstone. 1994;9-19.

Sait S, Trabulsi N, Zagzoog M, Mortada H, Altowaireb A, Hemdi A, et al. Prevalence of depression and anxiety disorders among bariatric surgery patients. J Surg Med. 2019;3(8):574-8.

Taşdelen Y, Yağcı İ. Anxiety, depression, type D personality, somatosensory amplification levels and childhood traumas in patients with panic disorders. J Surg Med. 2019;3(5):366-70.

Shevde K, Panagopoulos G. A Survey of 800 patients knowledge, attitudes, and concerns regarding anesthesia. Anesth Analg. 1991;73:190-8.

Chew ST, Tan T, Tan SS. A survey of patients knowledge of anaesthesia and perioperative care. Singapore Med J. 1998;39:399-402.

Miller KM, Wysocki T, Cassady JF, Cancel D, Izenberg N. Validation of measures of parents' preoperative anxiety and anesthesia knowledge. Anesth Analg. 1999;88:251-7.

Yoldaş TK, Yoldaş M, Karagöz S, Güven AÇ, Çelik Y, Kızılkaya M, et al. Preanestezik değerlendirmede hastaların anestezi uygulamalarına ilişkin bilgi, deneyim ve kaygıları ile ilgili anket çalışması. Ege Journal of Medicine 2016;55(3):109-16.

Demir A, Turan S, Balaban F, Karadeniz Ü, Erdemli Ö. Anestezi uygulamaları ile ilgili olarak preanestezik değerlendirme sırasında hastalarda yapılan anket çalışması. Türk Anesteziyoloji Derneği Dergisi. 2009;37(4):225-33.

Özvurmaz S, Büykçoban S. Kırsal bir bölgede anesteziyoloji uygulamaları hakkındaki bilgi ve korkuları ile ilişkili faktörlerin değerlendirilmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2018;5.3:99-106.

Garcia-Miguel FJ, Serrano-Aguilar PG, Lopez-Bastida J. Preoperative assessment. Lancet. 2003;362:1749-57.

Mathur SK, Dube SK, Jain S. Knowledge about anaesthesia and anaesthesiologist amongst general population in India. Indian Journal of Anaesthesia. 2009;53:179-86.

JG Laffey, M Coleman, JF Boylan. Patient’s knowledge of perioperative care. Irish Journal of Medical Science. 2000;169 (2):113-8.

Sykes MK. Recognition of the anaesthetist (editorial). Anaesthesia. 1995;50(5):381-2.

Tohmo H, Pälve H, Illman H. The work, duties and prestige of Finnish anesthesiologists: patient’s view. Acta Anaesthesiol Scand. 2003;47(6):664-6.

Swinhoe CF, Groves ER. Patients’ knowledge of anaesthetic practice and the role of anaesthetists. Anaesthesia. 1994;49(2):165-6.

Calman LM, Mihalache A, Evron S, Ezri T. Current understanding of the patient’s attitude toward the anesthetist’s role and practice in Israel: effect of the patient’s experience. Journal of Clinical Anesthesia. 2003;15(6):451-4.

Ölmez D, Yıldırım H. Hastaların anestezi, anestezist ve görevleri hakkındaki bilgi düzeyleri: Anket çalışması. Medikal Journal of İzmir Hospital. 2003;9(4):135-9.

Hariharan S, Merritt-Charles L, Chen D. Patient perception of the role of anesthesiologists: a perspective from the Caribbean. Journal of clinical anesthesia. 2006;18(7):504-9.

Hume MA, Kennedy B, Asbury AJ. Patient knowledge of anaesthesia and peri-operative care. Anaesthesia. 1994;49:715-8.

Weis OF, Sriwatanakul K, Weintraub M. Reduction of anxiety and Postoperative analgesic requirements by audiovisual instruction. Lancet. 1983;1:43.

King MS. Preoperative evaluation. Am Fam Physician. 2000;62:387-96.