Ignite Creation Date:
2024-10-25 @ 7:58 PM
Last Modification Date:
2024-10-26 @ 3:36 PM
Study NCT ID:
NCT06531252
Status:
COMPLETED
Last Update Posted:
None
First Post:
2024-07-21
Brief Title:
Perioperative Anxiety Among Patients Undergoing Coronary Angiography or Angioplasty
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Factors Associated With Perioperative Anxiety Among Patients Undergoing Coronary Angiography or Angioplasty a Cross-sectional Study
Status:
COMPLETED
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Anxiety is defined as apprehension tension or uneasiness that originates from the danger which may be internal or external Anxiety may manifest with symptoms related to behavior emotions and cognition Anxiety is prevalent in patients before interventional procedures and deteriorates postoperative outcomes for example elevated level of postoperative pain increased infection rate and high mortality rate
Coronary artery disease is one of the leading causes of mortality disability and workforce loss resulting from the narrowing or obstruction of one or more branches of the coronary arteries due to the accumulation of atherosclerotic plaques Coronary angiogram and angioplasty are among the most popular diagnostic and treatment tools available to cardiologists However patients and their families often experience anxiety before the procedure due to inadequate psychological preparation
The majority of research about perioperative anxiety focused on surgery Magnitude of preoperative anxiety as reported in some studies was in the range of 60-80 in the western population while some researchers showed a wider range which was 11-80 However there is a lack of research reporting the prevalence of anxiety among patients arranged for minimally invasive procedures especially coronary procedures To the best of our knowledge a cross-sectional study conducted in Africa among 267 cardiac patients found that 704 of them experienced perioperative anxiety In contrast similar studies reported that this figure was 350 in Europe and 357 in Australia There was significant variation of anxiety level across countries As a result it is unacceptable to extrapolate the magnitude of anxiety in one nation to another with different socio-demographic characteristics healthcare systems and family support Moreover anxiety levels before surgery are influenced by various factors such as individual susceptibility age gender prior surgical experiences education type and complexity of the surgery current health condition and socioeconomic status Identifying risk factors helps healthcare provider to support psychological services during the preoperative visit so that stress can be reduced Thus the aim of this study was to evaluate the extent of preoperative anxiety among Vietnamese patients and explore the factors associated with it within the context of Asian culture
Coronary artery disease is one of the leading causes of mortality disability and workforce loss resulting from the narrowing or obstruction of one or more branches of the coronary arteries due to the accumulation of atherosclerotic plaques Coronary angiogram and angioplasty are among the most popular diagnostic and treatment tools available to cardiologists However patients and their families often experience anxiety before the procedure due to inadequate psychological preparation
The majority of research about perioperative anxiety focused on surgery Magnitude of preoperative anxiety as reported in some studies was in the range of 60-80 in the western population while some researchers showed a wider range which was 11-80 However there is a lack of research reporting the prevalence of anxiety among patients arranged for minimally invasive procedures especially coronary procedures To the best of our knowledge a cross-sectional study conducted in Africa among 267 cardiac patients found that 704 of them experienced perioperative anxiety In contrast similar studies reported that this figure was 350 in Europe and 357 in Australia There was significant variation of anxiety level across countries As a result it is unacceptable to extrapolate the magnitude of anxiety in one nation to another with different socio-demographic characteristics healthcare systems and family support Moreover anxiety levels before surgery are influenced by various factors such as individual susceptibility age gender prior surgical experiences education type and complexity of the surgery current health condition and socioeconomic status Identifying risk factors helps healthcare provider to support psychological services during the preoperative visit so that stress can be reduced Thus the aim of this study was to evaluate the extent of preoperative anxiety among Vietnamese patients and explore the factors associated with it within the context of Asian culture
Detailed Description:
This is a cross-sectional study conducted at University Medical Center Ho Chi Minh City The patients were included in our study when patients were more than 18 years old and were able to comprehend Vietnamese language The patients were excluded from study if the patients were unconscious and not oriented On the procedural day when the patients were in waiting room at DSA unit investigators distributed a self-administer questionnaire to patients who had accepted to participate The questionnaire is constructed from three parts namely demographics perioperative factors and the anxiety scale Investigators employed The Pre-operative Intrusive Thoughts Inventory PITI as a tool to measure the anxiety scale PITI 20 comprises twenty questions This valid and reliable tool has Cronbachs Alpha score of 091 The English questionnaire was adapted and translated into the Vietnamese language and back to English The answers contain 4 response options 4-point Likert scale ranging from not at all with 0 points some of the time with 1 point often with 2 points and most of the time with 3 points 0 and 60 points are the highest and lowest score respectively the author of the tool reported that patients with 15 or more scores on the PITI-20 scale reliably were classified as high preoperative anxiety while participants who scored less than fifteen were classified as low preoperative anxiety Section A Demographic characteristics 8 questions Section B perioperative factors 4 questions Section C Pre-operative Intrusive Thoughts Inventory PITI anxiety scale 20 questions
Categorical and nominal variables were presented as percentages and continuous variables as means and standard deviations Noncontinuous variables were compared using the chi-square test and continuous variables using Students t-test Independent variables were identified via logistic regression A two-sided p-value of 005 was considered to indicate statistical significance
Categorical and nominal variables were presented as percentages and continuous variables as means and standard deviations Noncontinuous variables were compared using the chi-square test and continuous variables using Students t-test Independent variables were identified via logistic regression A two-sided p-value of 005 was considered to indicate statistical significance
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None