Browsing by Author "Gurung, Renu"
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Publication Patients’ Operative Care Knowledge and Desire for Information About Surgery and Anesthesia(Institute of Medicine, 2021) Gurung, Renu; Acharya, Binita; Shakya, Bigen MABSTRACT Introduction: Good communication between patients and health professionals and sharing of information on operative procedures form the basis of informed consent. The objective of the study was to assess our patients’ information on the operative procedures and their desire for information about surgery and anesthesia. Methods: This was a descriptive cross-sectional study done in one of the academic institutes of Nepal. The sample size calculated was 422. A simple random sampling by proportionate method was used. Patients between 18 to 80 yrs. scheduled for elective surgeries were included in the study. The questionnaires were read by anesthesiologist to the participants after preanesthetic check-up just before scheduled operation in the preparation room. Patients were requested to complete a 100 mm visual analogue scale by marking a cross to indicate level of anxiety on a spectrum of 'not anxious ' to 'extremely anxious'. Results: The final number of participants were 404. About 21.53 % of the patients did not know about the type of operation that they were about to undergo and 19.8 % of the patients were unaware whether they would be put into unconscious state or not. More than half did not know about duration of surgical procedure (61.88%), time of resuming daily activities after surgery (60.64%), duration of stay in hospital (48.76%), pain after surgery (47.77%). There was positive correlation between the information and level of education (p<0.001) and patients with past history of surgeries (p=0.001). Conclusion: The patients lacked information on operative care especially regarding duration of surgical procedure, duration of stay in hospital and time required for resuming daily activities. Keywords: Access to information, communication, knowledgePublication Preoperative Anxiety Assessment in Adult Patients Undergoing Elective Surgeries: A Cross-Sectional Observational Study(Institute of Medicine, 2020) Acharya, Santosh; Gurung, Renu; Parajuli, BasudevABSTRACT Introduction: Anxiety is the subjective unpleasant feeling of dread over something unlikely to happen. The incidence of preoperative anxiety ranges from 32% to 76.7%. We aimed to measure the preoperative anxiety level using Amsterdam Preoperative Anxiety and Information Scale questionnaire and clinical rating scale given by attending anesthesiologist / anesthesia residents. Methods: It was cross-sectional observational study conducted in wards. We enrolled 110 adult patients planned for elective gynecological and gastrointestinal surgeries. After taking informed written consent, principal investigator interviewed the patient, one day prior to surgery in wards using a structured questionnaire of Amsterdam Preoperative Anxiety and Information Scale. Demographics characters were recorded. The attending anesthesia residents (blinded to patient response) performed preanesthetic assessment, provided their subjective rating about patient anxiety and need for information using Clinical Rating Scale. Results: Out of 110 patient, 57(51.81%) were found to have higher anxiety level. Comparing the APAIS score with various factors, we found younger age, female gender, unemployed status, higher level of education, adverse events in previous surgery and higher grade of surgery was associated with higher anxiety score. Comparing APAIS with Clinical Rating Score, there was poor correlation. Conclusion: The incidence of preoperative anxiety is high (51.81%) in adult patients undergoing elective surgery. During the preoperative anesthetic checkup, APAIS can be used as a screening tool. It provides relevant information on the presence of preoperative anxiety and need for information, which helps to achieve patient satisfaction and better outcome. Keywords: Amsterdam preoperative anxiety and information scale (APAIS), anxiety, clinical rating score, need for information, preoperative anxiety