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- DOI 10.18231/pjms.v.15.i.2.304-311
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CrossMark
To evaluate the level of anxiety and depression in patients admitted in surgical wards: A cross-sectional study
- Author Details:
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Deherkar Juthikaa
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Abhay Kumar
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Swapnil Pramod Korde *
Deherkar Juthikaa
Swapnil Pramod Korde *
Introduction: To evaluate anxiety and depression, and their prevalence and risk factors in preoperative patients admitted in general surgery wards. Assessing the need for appropriate interventions to better manage these conditions allowing for better outcomes.
Materials and Methods: The study involves 93 pre-operative patients in a Cross-sectional design with face-to-face interviews conducted by the author a day prior to the surgery. General Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) scales were used to assess patient anxiety and depression, respectively. The data obtained was then analyzed and appropriate conclusions were derived.
Result: The prevalence of Anxiety and Depression among preoperative patients was found to be 20.4% and 10.8%, respectively. About 22.2% of female participants and 19.7% of male participants were diagnosed with Anxiety. Among participants with no past operative history, 20.6% and 17.2% were diagnosed with Anxiety and Depression, respectively. Among the participants who had undergone an operation before, 4.3% and 12.8% were diagnosed with Anxiety and Depression, respectively. Among patients with co-morbidities 22.5% and 25% had Anxiety and Depression, respectively.
Conclusion: Female patients and those with comorbidities are at higher risk of developing anxiety and depression in the preoperative period. Therefore precautions should be taken when considering such patients for surgery and use of tools should be promoted for diagnosis of anxiety and depressive disorders in clinical settings.
References
- Ramsay MA. A survey of pre-operative fear. Anaesthesia. 1972;27(4):396–402.
- Corman HH, Hornick EJ, Kritchman M, Terestman N. Emotional reactions of surgical patients to hospitalization, anesthesia and surgery. Am J Surg. 1958;96(5):646–53.
- Wallace LM. Psychological preparation as a method of reducing the stress of surgery. J Human Stress. 1984;10(2):62-77.
- von Känel R, Rosselet K, Gessler K, Haeussler A, Aschmann J, Rodriguez H, et al. Preoperative depression and anxiety as predictors of postoperative C-reactive protein levels in patients undergoing cardiac surgery: a prospective observational study. Swiss Med Wkly. 2022;152:40018.
- Marcolino JÁ, Suzuki FM, Alli LA, Gozzani JL, Mathias LA. Measurement of anxiety and depression in preoperative patients. Comparative study. Rev Bras Anestesiol. 2007;57(2):157–66.
- Czeisler CA, Ede MC, Regestein QR, Kisch ES, Fang VS, Ehrlich EN. Episodic 24-hour cortisol secretory patterns in patients awaiting elective cardiac surgery. J Clin Endocrinol Metab. 1976;42(2):273–
- Prado-Olivares J, Chover-Sierra E. Preoperatory Anxiety in Patients Undergoing Cardiac Surgery. Diseases. 2019;7(2):46.
- Carneiro AF, Mathias LA, Rassi Júnior A, Morais NS, Gozzani JL, Miranda AP. Evaluation of preoperative anxiety and depression in patients undergoing invasive cardiac procedures. Rev Bras Anestesiol. 2009;59(4):431–8.
- Ghoneim MM, O'Hara MW. Depression and postoperative complications: an overview. BMC Surg. 2016;16:5.
- Guo P, East L, Arthur A. A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: a randomized controlled trial. Int J Nurs Stud. 2012;49(2):129–37.
- Basak F, Hasbahceci M, Guner S, Sisik A, Acar A, Yucel M, Kilic A, Bas G. 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.
- Saini S, Dayal M. Preoperative Anxiety in Indian Surgical Patients- Experience of a Single Unit. IJAR. 2016;6(9):476–9.
- Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13.
- Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–7.
- Erkilic E, Kesimci E, Soykut C, Doger C, Gumus T, Kanbak O. Factors associated with preoperative anxiety levels of Turkish surgical patients: from a single center in Ankara. Patient Prefer Adherence. 2017;11:291–6.
- Lin KY, Chou CY, Chang CY, Lin WC, Wan L. Association between oophorectomy and depression in patients with comorbidities: A nationwide cohort study in Taiwan. Taiwan J Obstet Gynecol. 2020;59(6):899–905.
- Perks A, Chakravarti S, Manninen P. Preoperative anxiety in neurosurgical patients. J Neurosurg Anesthesiol. 2009;21(2):127–
- Givel JC, Meier B. How much information do patients want or need. World J Surg. 2014;38(7):1610–3.
- De Oliveira-Jr GS, Holl JL, McCarthy RJ, Butt ZA, Nouriel J, McCaffery K, et al. Overestimation of mortality risk and preoperative anxiety in patients undergoing elective general surgery procedures: a propensity matched analysis. Int J Surg. 2014;12(12):1473-7.