Does increased patient comprehension decrease preoperative anxiety before digestive surgery?

Does increased patient comprehension decrease preoperative anxiety before digestive surgery?

There exists a misalignment between the information given by a surgeon and the information retained by the patient. Inability to assimilate relevant information can be a factor of preoperative anxiety. The aim of this study was to assess patients’ information retention according to a Fédération de C...

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Bibliographic Details
Published in:Journal of visceral surgery Vol. 159; no. 2; pp. 114 - 120
Main Authors: Bounif, C., Ducos, V., Appourchaux, E., Ferrero, P.A., Roux, A., Mathonnet, M., Taibi, A.
Format: Journal Article
Language:English
Published: France Elsevier Masson SAS 01-04-2022
Elsevier
Subjects:
Anxiety
Anxiety - etiology
Anxiety - prevention & control
APAIS
Assimilation
Comprehension
Digestive surgery
Humans
Life Sciences
Pain Measurement
Preoperative Care
Preoperative information
Prospective Studies
Surveys and Questionnaires
VAS
Preoperative information
Assimilation
VAS
Anxiety
Digestive surgery
APAIS
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Summary:There exists a misalignment between the information given by a surgeon and the information retained by the patient. Inability to assimilate relevant information can be a factor of preoperative anxiety. The aim of this study was to assess patients’ information retention according to a Fédération de Chirurgie Viscérale et Digestive (FCVD) questionnaire. From 29 June 2020 to 2 August 2020, a prospective, comparative multicenter study was conducted among 89 patients who were about to undergo digestive surgery. They were included either in a standard group (management in accordance with the usual French guidelines) or experimental group, which received a second consultation, one week before surgery. The day before being operated, all the patients filled out 3 questionnaires analyzing their percentage of retention according to two scales: the Amsterdam Preoperative Anxiety and information Scale (APAIS) and the visual analogue scale for anxiety (VAS-A). Patient comprehension of the FCVD information was 94% and 63% in the experimental and the control groups, respectively (P<0.001). The standard group was significantly more anxious than the experimental group, with VAS-A rates of 6.2 and 4.6 (P=0.014), respectively. On the other hand, according to the APAIS scale, they were similarly anxious, with scores of 11.3 versus 11.9, respectively (P=0.200). A second transmission of exhaustive information shortly before digestive surgery was conducive to improved retention. Enhanced comprehension and memorization reduced preoperative anxiety.
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ISSN:1878-7886
1878-7886
DOI:10.1016/j.jviscsurg.2021.02.009