EVALANXI: Nurse Anesthesist Assessment of Patient Preoperative Anxiety
Study Details
Study Description
Brief Summary
Preoperative anxiety is a major concern for patients who undergo surgery. To accurately identify anxious patient is therefore crucial to improve perioperative patient care. Preoperative anxiety remain highly difficult to quantify in current practice. Many patient fail to express their anxiety and the assessment of the level of anxiety is mainly based on heteroevaluation by caregivers. Nurse anesthetists provide closed support to patient prior to the induction of anesthesia. The aim of the study is to assess whether nurse anesthetist accurately assess patient preoperative anxiety from arrival to the operating room to the induction of anesthesia.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
EVALANXI is a single-center prospective observational study. The main objective of the study is to assess whether the assessment of preoperative anxiety by nurse anesthetist (hetero-assessment) accurately estimate the level of anxiety reported by the patient from arrival to the operating room to the induction of anesthesia (self-assessment).
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| PATIENT group Adult patients shedule for general anesthesia |
Other: Pre operative assessment
Anxiety assessment : Numeric rating scale (patient and caregiver), APAIS scale (patient), Covi Scale (Caregiver)
Verbalization : anesthesia-related concerns (expressed by patient and considered by caregiver)
|
| NURSE group Nurse anesthesist in charge of the corresponding patient |
Other: Pre operative assessment
Anxiety assessment : Numeric rating scale (patient and caregiver), APAIS scale (patient), Covi Scale (Caregiver)
Verbalization : anesthesia-related concerns (expressed by patient and considered by caregiver)
|
Outcome Measures
Primary Outcome Measures
- Comparison of preoperative anxiety level expressed by the patient (self-assessment) with that estimated by murse anesthetist (hetero-assessment) [Self- and hetero-assessment will be performed peroperatively during the period from arrival in the operating room to the induction of general anesthesia.]
Agreement between patient's Numeric Rating Scale (NRS from 0 to 10) and nurse anesthetist NRS (kappa coefficient)
Secondary Outcome Measures
- Patient anxiety self assessment : NRS (from 0 to 10) versus Amsterdam Preoperative Anxiety and Information (APAIS) scale (from 6 to 30) [Self- and hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.]
correlation between NRS and APAIS scale
- Patient's Anxiety assessment by caregiver : NRS (from 0 to 10) versus Covi scale from 3 to 15) (Lipman & Covi 1976) [Self- and hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.]
correlation between NRS and Covi scale
- Reliability of hetero-assessment performed by caregiver [Hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.]
sub group analysis based on nurse anesthetist professional experience
- Anesthesia-related concerns [Anesthesia-related concerns observed by the patient and the corresponding nurse anesthetist will be collected preoperatively from arrival in the operating room to induction of general anesthesia.]
Comparison between the patient's expression and caregiver's estimate
Eligibility Criteria
Criteria
Patient Inclusion Criteria:
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Age > 18 years old
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Patients with ASA 1, ASA 2 ou ASA 3
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Patients undergoing planned surgery with general anesthesia
Patient Exclusion Criteria:
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Age <18
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Refusal, inability to oral consent
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Cardio-thoracic surgery or emergency surgery
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Patient with dementia, medically diagnosed psychiatric disorder, inability to answer questions
Nurse anesthetist Inclusion Criteria:
- Nurse anesthesis in charge of the corresponding patient
Nurse anesthetist Exclusion Criteria:
- Assessment of the preoperative anxiety of a previously included patient
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | CHU de Besançon | Besançon | France | 25000 |
Sponsors and Collaborators
- Centre Hospitalier Universitaire de Besancon
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- EPP/2020/01