Translation and validation of the Amsterdam preoperative anxiety and information scale (APAIS) in Serbia

Abstract Background Preoperative anxiety is common among the oncological surgical population. Due to its psychological and physiological detrimental effects, identifying and addressing it is of uttermost importance to improve anesthetic management and patient’s outcomes. The aim of this study is to validate the Portuguese version of Amsterdam Preoperative Anxiety and Information Scale (APAIS) in the oncological population. Methods Following forward and backward translation of the original APAIS scale, further adaptation was obtained through cognitive interviewing. The resulting instrument was tested on the day before surgery on a sample of adult cancer surgical patients from a Portuguese oncology centre. Psychometric evaluation was derived from inter-item correlation, confirmatory factor analysis, Cronbach’s alpha, correlation with comparative scales, receiver operating characteristic curve and Youden index. Results 109 patients (58 males, 51 females) were included. A three-dimensional model—anxiety about anesthesia, anxiety about surgery and desire for information, showed the best fit to the data. The questionnaire revealed high internal consistency (Cronbach alpha 0.81) and good inter-item correlation. Also, Portuguese APAIS correlated well with the gold standard anxiety scale. Therefore, the psychometric properties of this scale version make it a valid and reliable instrument. The optimal cutoff to maximize both sensitivity and specificity was 12 for the APAIS global anxiety score. Conclusions Portuguese APAIS version is an accurate tool to identify preoperative anxiety among cancer patients and might impact its management, from premedication choice to provision of information and reassurance about either anesthesia or surgery.

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Penurunan Tingkat Kecemasan pada Pasien Pre Operasi Sectio Caesarea dengan Terapi Murotal dan Edukasi Pre Operasi

Holistic Nursing Care Approach ◽

10.26714/hnca.v1i1.8263 ◽

2021 ◽

Vol 1 (1) ◽

pp. 25

Author(s):

Laili Fatmawati ◽

Pawestri Pawestri

Keyword(s):

Informed Consent ◽

Preoperative Anxiety ◽

Sectio Caesarea ◽

Information Scale

Tindakan operasi sectio caesareadilakukan untuk mencegah kematian janin dan ibu karena adanya suatu komplikasi yang akan terjadi kemudian bila persalinan dilakukan secara pervaginam, sehingga dapat menyebabkan kecemasan pada pasien yang dapat menghambat proses penyembuhan post operasi. Berbagai macam cara dilakukan untuk mengatasi kecemasan pre operasi, diantaranya adalah terapi Murotal dan edukasi pre operasi.studi kasus ini bertujuan untuk mengetahui penurunan tingkat kecemasan pada pasien sectio caesareadengan penerapan terapi murotal dan edukasi pre operasi. Studi kasus ini menggunakan metode deskriptif dengan pendekatan proses asuhan keperawatan. Subjek studi kasus ini adalah pasien primigravida tanpa komplikasi penyakit yang akan dilakukan sectio caesarea. Subjek studi kasus berjumlah 3 orang yang didapatkan secara random. Subjek studi kasus telah menandatangani informed consent sebelum dilakukan pengambilan data. Pengukuran kecemasan dilakukan dengan menggunakanThe Amsterdam Preoperative Anxiety and Information Scale (APAIS)sebelum dan sesudah dilakukan terapi murotal dan edukasi prosedur operasi pada ketiga pasien selama 30 menit. Hasil studi kasus menunjukkan ada penurunan kecemasan secara signifikan dari ketiga kasus dengan nilai rerata 8.33. Terapi murotal dan edukasi pre operasi terbukti efektif menurunkan kecemasan pada pasien preoperasi sectio caesarea

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Is the Amsterdam Preoperative Anxiety and Information Scale (APAIS) a Valid Tool in Guiding the Management of Preoperative Anxiety in Adult Patients? A Literature Review

Journal of Nursing and Practice ◽

10.36959/545/368 ◽

2019 ◽

Vol 3 (1) ◽

Author(s):

Spanner Sarah ◽

Sayer Lynn

Keyword(s):

Literature Review ◽

Preoperative Anxiety ◽

Adult Patients ◽

Information Scale

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Validation of the Chinese version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS)

Health and Quality of Life Outcomes ◽

10.1186/s12955-020-01294-3 ◽

2020 ◽

Vol 18 (1) ◽

Author(s):

Hao Wu ◽

Xin Zhao ◽

Shuaishuai Chu ◽

Fangxia Xu ◽

Jia Song ◽

...

Keyword(s):

Preoperative Anxiety ◽

Chinese Version ◽

Information Scale

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Validation of the French version of the Amsterdam preoperative anxiety and information scale (APAIS)

Health and Quality of Life Outcomes ◽

10.1186/1477-7525-11-166 ◽

2013 ◽

Vol 11 (1) ◽

pp. 166 ◽

Cited By ~ 15

Author(s):

Axel Maurice-Szamburski ◽

Anderson Loundou ◽

Xavier Capdevila ◽

Nicolas Bruder ◽

Pascal Auquier

Keyword(s):

Preoperative Anxiety ◽

French Version ◽

Information Scale

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The question of preoperative anxiety and depression in older patients and family protectors

Anesthesia and Pain Medicine ◽

10.17085/apm.2020.15.2.217 ◽

2020 ◽

Vol 15 (2) ◽

pp. 217-225

Author(s):

Sehun Lim ◽

Younmi Oh ◽

Kwangrae Cho ◽

Myoung-hun Kim ◽

Sungho Moon ◽

...

Keyword(s):

Older Patients ◽

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Preoperative Anxiety ◽

Anxiety And Depression ◽

Preoperative Period ◽

Geriatric Depression ◽

Information Scale ◽

Insufficient Knowledge

Background: Higher levels of anxiety increase the risks of surgery, including morbidity and mortality. The objectives of this study were to measure anxiety and depression during the preoperative period and to identify the degree of knowledge and concerns of older patients and their family protectors regarding anesthesia, and the causes of these concerns. Methods: We administered a questionnaire to older patients scheduled to undergo surgery and their family protectors one day prior to the surgery. The questionnaire included tools for quantifying anxiety and depression (Anxiety-Visual Analogue Scale, the Amsterdam Preoperative Anxiety and Information Scale, State-Trait Anxiety Inventory Korean YZ Form, and Short Form Geriatric Depression Scale). We also asked about the concrete causes of anxiety using pre-created forms.Results: There were 140 older patients and family protectors who participated in the study. The majority of older patients (n = 114, 81.4%) undergoing surgery and their family protectors (n = 114, 81.4%) indicated that they were anxious. Most of the older patients and their family protectors responded that they had insufficient knowledge about anesthesia, and they were mostly worried about failure to awaken following surgery, and postoperative pain. Older patients with higher anxiety scores showed higher depression scores. There were significant differences in depression scores depending on the presence of cohabitating family members. Conclusions: It is important to remember that older patients with higher depression scores have higher anxiety during the preoperative period.

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