The Effect of pre-anesthetic assessment aided with an epidural instructional video on the anxiety and information desire of parturients to continous lumbar epidural anesthesia (CLEA) / Philip G. Manalo.

Contributor(s):

Manalo, Philip G., MD [author]

Language: english Publication details: Fairview, Quezon City: Department of Anesthesiology, FEU-NRMF, 2009.Description: 25 pages: illustrations, tables; (in folder)Content type:

text

Media type:

unmediated

Carrier type:

volume

Subject(s):

LOC classification:

ANES 2009 0003

Summary: Abstract: Preoperative fear and anxiety have always been the concern of the patients as well as the anesthesiologists and the surgeons. Anxiety is an emotional state that patients must deal in combating the fear of regional anesthesia. Satisfactory pre-anesthetic preparation of patients can contribute to the success of anesthesia. The more interaction a patient has with the procedural aspects of anesthesia, the more positive will be that patient`s experience. Traditionally, pre-anesthetic assessment is used to address and alleviate patient`s concerns regarding their upcoming procedure. The main objective of this study is to determine the effect pre-anesthetic assessment aided with an epidural instructional video on the anxiety and information desire of parturients to continuous lumbar epidural anesthesia (CLEA). Thirty-two parturients for continuous lumbar epidural anesthesia were enrolled in this study. They were randomly allocated into two groups of sixteen. In the group with video (n=16), the investigator anesthesiologist showed a 2-minute epidural instructional audio-video via a portable media player while in the group without video (n=16), patients were informed only that an epidural catheter will be placed on her back without an epidural instructional video. Afterwards, the parturients will be assisted by an a nurse unaware of the randomization in filling up their Visual Analog Scale of Anxiety (VAS-A) and Modified Amsterdam Preoperative Anxiety and Information Scale (M-APAIS) data sheet. There was a significant difference between the two groups with respect to the Visual Analog Scale of Anxiety (VAS-A) as well as the Anesthesia-Related Anxiety and Information Desire components of the Modified Amsterdam Pre-operative Anxiety and Information Scale (M-APAIS). The results of this study demonstrates that parturients who viewed the epidural instructional video prior to anesthesia have lesser anxiety and information desire to continuous lumbar epidural anesthesia (CLEA).

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Item type	Current library	Call number	Status	Notes	Date due	Barcode
Research	Far Eastern University - Nicanor Reyes Medical Foundation Stock Room	ANES 2009 0003 (Browse shelf(Opens below))	Not For Loan	draft		R000638
Room Use	Far Eastern University - Nicanor Reyes Medical Foundation Research	ANES 2009 0003 (Browse shelf(Opens below))	Available			R000014

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Previous	ANES 2008 0005 When size matters a case report /	ANES 2009 0001 Difficult airway management /	ANES 2009 0002 Laryngeal mass- difficult airway management : a case report /	ANES 2009 0003 The Effect of pre-anesthetic assessment aided with an epidural instructional video on the anxiety and information desire of parturients to continous lumbar epidural anesthesia (CLEA) /	ANES 2009 0004 The Effect of oral lumiracoxib as preemptive analgesia for head and neck surgery under general anesthesia in the management of post-operative pain /	ANES 2010 0001 Attack of the hypokalemic periodic paralysis : a case report.	ANES 2010 0002 Difficult airway : a case report /	Next

Includes appendices and bibliographical references.

Abstract: Preoperative fear and anxiety have always been the concern of the patients as well as the anesthesiologists and the surgeons. Anxiety is an emotional state that patients must deal in combating the fear of regional anesthesia. Satisfactory pre-anesthetic preparation of patients can contribute to the success of anesthesia. The more interaction a patient has with the procedural aspects of anesthesia, the more positive will be that patient`s experience. Traditionally, pre-anesthetic assessment is used to address and alleviate patient`s concerns regarding their upcoming procedure. The main objective of this study is to determine the effect pre-anesthetic assessment aided with an epidural instructional video on the anxiety and information desire of parturients to continuous lumbar epidural anesthesia (CLEA). Thirty-two parturients for continuous lumbar epidural anesthesia were enrolled in this study. They were randomly allocated into two groups of sixteen. In the group with video (n=16), the investigator anesthesiologist showed a 2-minute epidural instructional audio-video via a portable media player while in the group without video (n=16), patients were informed only that an epidural catheter will be placed on her back without an epidural instructional video. Afterwards, the parturients will be assisted by an a nurse unaware of the randomization in filling up their Visual Analog Scale of Anxiety (VAS-A) and Modified Amsterdam Preoperative Anxiety and Information Scale (M-APAIS) data sheet. There was a significant difference between the two groups with respect to the Visual Analog Scale of Anxiety (VAS-A) as well as the Anesthesia-Related Anxiety and Information Desire components of the Modified Amsterdam Pre-operative Anxiety and Information Scale (M-APAIS). The results of this study demonstrates that parturients who viewed the epidural instructional video prior to anesthesia have lesser anxiety and information desire to continuous lumbar epidural anesthesia (CLEA).

Research - Department of Anesthesiology

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