Preoperative Anxiety in Patients Undergoing Laproscopic Cholecystectomy in a Rural Area in Haryana Region - An Observational Study

Preoperative anxiety in laparoscopic cholycystectomy

Abstract

Background: Preoperative anxiety is common in patients undergoing surgical procedures, as it causes emotional and psychiatric problems as well as physical problems for patients, surgeons and anesthesiologist. Therefore, detecting the patients existing preoperative anxiety is vital   so that appropriate measures can be taken accordingly. Our primary aim in this study is to observe the level of anxiety, on the day and the     day prior to surgery, in the patients undergoing laparoscopic cholecystectomy. Subjects and Methods: An institutional based observational study was conducted on 30 patients scheduled for laparoscopic cholecystectomy under general anaesthesia. The data was collected using the Amsterdam Preoperative Anxiety and Information Scale on the day and a day before the surgery and the scoring was done according the  Likert scale. Statistical analysis was done by using SPSS 21. Data were expressed using descriptive statistics for continuous variables and frequency. Chi-square test was used among categorical variables. Results: Demographic variables like age, gender, ASA grade and history of anesthesia/operation are correlated with the prevalence of preoperative anxiety on the day and the day before of the surgical procedure and were not found significant. Higher anxiety level was observed in patients who have not experienced any previous anesthesia or operation. Statistical significant difference was found in heart rate and mean blood pressure one day before and on the day of surgery. Conclusion : According to the results, the study illustrates that patients lacked significant preoperative anxiety levels.