Southern Clinics of Istanbul Eurasia, cilt.34, sa.4, ss.342-349, 2023 (TRDizin)
Objective: This study aimed to compare the effectiveness of preoperative information and sedative premedication for decreasing preoperative anxiety of patients scheduled for elective surgery. Methods: ASAI-II, aged 20–65 years, 90 patients who were scheduled for surgery in a University Hospital, Gynaecology and Obstetrics Service were included in the study. Anxiety levels of all patients were measured with the STAI questionnaire one day before the opera- tion. The patients were divided into three groups. After the questionnaire, detailed private information was given to a group of patients (GroupP) by the anaesthesiologist who will perform the anaesthesia. Oral diazepam was given to a group of patients (GroupPh) before they came to the operating room. Routine preoperative visits were made to the patients in the control group (GroupC) after applying the questionnaire. After they were brought to the operating room, the STAI questionnaire was applied to all patients again before the surgery. Results: Median State anxiety was 48 (23-70), median Trait anxiety was 44 (31-67) and median VAS was 50 (0-100) in all patients.After preoperative information, the state anxiety was lower significantly in GroupP (p<0.001).After diazepam, the state anxiety was lower significantly in Group Ph (p<0.001).The median state anxiety of GroupP and GroupPh that were assessed just before the surgery was lower than GroupC (p=023, p=0.007). There was no significant difference between the state anxiety of GroupP and GroupPh after the intervention (p=0.750). Conclusion: It has been shown that effective use of the time allocated to patients and in- forming by the anaesthesiologist who will perform the anaesthesia in reducing preoperative anxiety is as effective as drug-induced premedication.