Fear of going under general anesthesia: A cross-sectional study

Fear of going under general anesthesia: A cross-sectional study

Objectives: Fears related to anesthesia have affected a considerable number of patients going for surgery. The purpose of this survey was to identify the most common concerns about general anesthesia during the preoperative anesthetic clinic in different healthcare settings, and whether they are aff...

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Bibliographic Details
Published in:Saudi journal of anaesthesia Vol. 10; no. 3; pp. 317 - 321
Main Authors: Ruhaiyem, M, Alshehri, A, Saade, M, Shoabi, T, Zahoor, H, Tawfeeq, N
Format: Journal Article
Language:English
Published: India Wolters Kluwer - Medknow Publications 01-07-2016
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects:
Age
Anesthesia
Anesthesia; cross-sectional study; fear; general anesthesia
Anxiety
Clinics
Confidence intervals
Conflicts of interest
Data collection
Education
Fear & phobias
Gender
Hospitals
Original
Pain
Patients
Personal information
Questionnaires
Surgery
Surveys
Variables
Anesthesia
cross-sectional study
general anesthesia
fear
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Summary:Objectives: Fears related to anesthesia have affected a considerable number of patients going for surgery. The purpose of this survey was to identify the most common concerns about general anesthesia during the preoperative anesthetic clinic in different healthcare settings, and whether they are affected by patients′ sex, age, education, or previous experience of anesthesia or not. Materials and Methods: Structured questionnaires with consent forms were distributed to patients in their preanesthesia clinic visit in three tertiary hospitals (King Abdul-Aziz Medical City, King Faisal Specialist Hospital, and King Khalid University Hospital) in Riyadh, Saudi Arabia. Patients′ demographics and questions related to their fears regarding general anesthesia were included in the questionnaires. All categorical and interval variables were compared statically using a Chi-square test for independence and a t-test, respectively. All statistical tests were declared significant at α level of 0.05 or less. Results: Among 450 questionnaires that were disturbed, 400 questionnaires were collected and analyzed. Eighty-eight percent experienced preoperative fear. The top three causes of their fears were fear of postoperative pain (77.3%), fear of intraoperative awareness (73.7%), and fear of being sleepy postoperatively (69.5%). Patients are less fearful of drains and needles in the operative theater (48%), of revealing personal issues under general anesthesia (55.2%), and of not waking up after surgery (56.4%). Age and gender were significant predictors of the overall fear among preanesthetic patients. Females are 5 times more likely to experience fear before surgery (P = 0.0009). Patients aged more than 40 years old are also at 75% higher risk of being afraid (P = 0.008). Conclusion: The majority of the patients going for surgery experienced a fear of anesthesia. Mostly females, especially those over 40, were at a higher risk of being afraid. Fear can bring anxiety which, in turn, might affect the patient′s surgery.
Bibliography:ObjectType-Article-1
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ISSN:1658-354X
0975-3125
DOI:10.4103/1658-354X.179094