scholarly journals Transseptal Suturing Reduce Patient Anxiety after Septoplasty Compared to Nasal Packing

2016 ◽  
Vol 59 (4) ◽  
pp. 133-136 ◽  
Author(s):  
Kamran Sari ◽  
Ali Irfan Gul ◽  
Yunus Kantekin ◽  
Ozgul Karaaslan ◽  
Zeliha Kapusuz Gencer

Background: We measured postoperative anxiety in patients who underwent transseptal suturing or nasal packing after septoplasty. Materials and Methods: Transseptal suturing was performed on Group 1 patients and nasal splints with airway were placed after septoplasty in Group 2 patients. Postoperative 48-h anxiety levels of both groups were measured using the State-Trait Anxiety Inventory (STAI) clinical assessment scale, prior to removal of nasal packing in Group 2. Results: Transseptal suturing was performed after septoplasty in 28 patients and nasal packing in 34 patients. The State-Trait Anxiety Inventory clinical assessment state (STAI-S) and trait (STAI-T) instruments were used to measure postoperative anxiety. The STAI-S scores were found 35.00 in the transseptal suturing group and 43.8 in the nasal packing group; the difference was found significant (p < 0.05). The STAI-T scores were found 42.6 in the transseptal suturing group and 45.7 in the nasal packing group; the difference was not found significant (p > 0.05). The rate of minor hemorrhage was found 10.7% in Group 1 patients. Conclusions: Transseptal suturing is simple and reliable when performed after septoplasty. The technique is painless and comfortable, and reduces patient anxiety (compared to that associated with nasal packing) with only a minor increase in operating time and hemorrhage.

1983 ◽  
Vol 57 (1) ◽  
pp. 15-18 ◽  
Author(s):  
R. Ferreira ◽  
J. Murray

Half of the 56 subjects ( n = 28) performed 15 pre-treatment trials on a stabilometer, then six more with an audience of three faculty (Group 1), the other half performed the same task with no audience (Group 2). Subjects completed the State-Trait Anxiety Inventory prior to and after the treatments. Orthogonal contrasts indicated that Group 1 (audience) post-State-anxiety was significantly different from its own pre-State-anxiety and significantly different from Group 2 (no audience) on post-State-anxiety. It was concluded that the State-Trait Anxiety Inventory is an appropriate measure of trait and state anxiety in studies of motor performance.


2004 ◽  
Vol 59 (2) ◽  
pp. 51-56 ◽  
Author(s):  
Leandro Yoshinobu Kiyohara ◽  
Lilian Kakumu Kayano ◽  
Lorena Marçalo Oliveira ◽  
Marina Uemori Yamamoto ◽  
Marco Makoto Inagaki ◽  
...  

PURPOSE: Patients preparing to undergo surgery should not suffer needless anxiety. This study aimed to evaluate anxiety levels on the day before surgery as related to the information known by the patient regarding the diagnosis, surgical procedure, or anesthesia. METHOD: Patients reported their knowledge of diagnosis, surgery, and anesthesia. The Spielberger State-Trait Anxiety Inventory (STAI) was used to measure patient anxiety levels. RESULTS: One hundred and forty-nine patients were selected, and 82 females and 38 males were interviewed. Twenty-nine patients were excluded due to illiteracy. The state-anxiety levels were alike for males and females (36.10 ± 11.94 vs. 37.61 ± 8.76) (mean ± SD). Trait-anxiety levels were higher for women (42.55 ± 10.39 vs. 38.08 ± 12.25, P = 0.041). Patient education level did not influence the state-anxiety level but was inversely related to the trait-anxiety level. Knowledge of the diagnosis was clear for 91.7% of patients, of the surgery for 75.0%, and of anesthesia for 37.5%. Unfamiliarity with the surgical procedure raised state-anxiety levels (P = 0.021). A lower state-anxiety level was found among patients who did not know the diagnosis but knew about the surgery (P = 0.038). CONCLUSIONS: Increased knowledge of patients regarding the surgery they are about to undergo may reduce their state-anxiety levels.


2000 ◽  
Vol 58 (2A) ◽  
pp. 214-220 ◽  
Author(s):  
ELISABETE ABIB P. DE SOUZA ◽  
DAYSE M. B. KEIRALLA ◽  
DIOSELY C. SILVEIRA ◽  
CARLOS A. M. GUERREIRO

In order to evaluate the psychological variables that affect sexual dysfunction (SD) in epilepsy, where compared 60 epileptics (Group 1) with 60 healthy individuals (Group 2), through the State-Trait Anxiety Inventory (Spielberger et al., 1970), Beck Depression Inventory (Beck, 1974) and Sexual Behavior Interview (Souza, 1995). Sexual dysfunction (SD), anxiety and depression were found more frequently in Group 1 than in Group 2 and were not related to sex. Variables such as the onset duration and frequency of seizures as well as the use to medication were not associated with SD. Temporal lobe epilepsy was related to SD (p = 0.035) but not to anxiety or depression. Anxiety and depression were related to SD in both groups. Perception in controlling the seizures was closely related to anxiety (p = 0) and depression (p = 0.009). We conclude that psychological factors play an important role in the alteration of sexual behavior in epileptics and that suitable attention must be given to the control of these variables.


1999 ◽  
Vol 84 (2) ◽  
pp. 494-496 ◽  
Author(s):  
Noboru Iwata ◽  
Norio Mishima

The internal consistency of the State-Trait Anxiety Inventory, Form Y was examined using data collected from Japanese participants by five diverse surveys, in which one included American university students. Cronbach coefficient α was calculated separately for state and trait items as well as for anxiety-present and -absent items. The internal consistency was higher for the anxiety-absent items than those of the state and trait anxiety items, but this tendency was not clear for the anxiety-present items. The trait anxiety items showed the lowest internal consistency for all Japanese groups, whereas the anxiety-present items showed the lowest a for American university students. It can be considered that this difference might induce the difference in two-factor structure between Japanese and people in Western countries.


2021 ◽  
Vol 9 (T3) ◽  
pp. 139-142
Author(s):  
Zulfikar Chandra S. Harahap ◽  
Elmeida Effendy ◽  
Nazli Mahdinasari Nasution

Background: COVID-19 has caused changes in people's living conditions and has brought harmful psychological effects such as anxiety. The military has an important role as a health service provider in particular and accelerates control in disasters such as COVID-19. Mental health in the rapid adaptation of the military is an important thing in carrying out its duties. Objective: This study is to determine the adaptability of the Belawan Defense Marine Battalion Soldiers in dealing with situations that have never been faced before. Methods: This study is a paired numerical comparative analytical study using a retrospective approach. By assessing the difference in the State-Trait Anxiety Inventory-State (STAI-S) score and also the State-Trait Anxiety Inventory-Trait (STAI-T) score during the COVID-19 pandemic and normal conditions before the pandemic, with the study population of Marine Defense Battalion Soldiers Base- I Belawan. Results: the median of the STAI-S score during the COVID-19 pandemic in the Belawan Defense Base-I Marine Battalion Soldier is 35 with a minimum value of 20 and a maximum value of 55. There is a significant difference between the STAI-S score during the COVID-19 pandemic and normal conditions at Belawan I-Base Defense Marine Battalion Soldiers (p <0.001). There was no significant difference between the STAI-T score between the COVID-19 pandemic and the normal condition of the Belawan I-Base Marine Defense Battalion Soldiers (p = 0.45). Conclusion: There was a tendency for anxiety during the COVID-19 pandemic compared to normal conditions in the Belawan I Base Defense Marine Battalion soldier.


2016 ◽  
Vol 10 (5-6) ◽  
pp. 187 ◽  
Author(s):  
Rose Khavari ◽  
Cindy Gu ◽  
Anastasia C. Tran ◽  
Robert Chan

Introduction: We sought to determine whether listening to patientselected music during urodynamic study (UDS) reduced pain and anxiety while increasing overall patient satisfaction and willingness to repeat the procedure.Methods: Fifty-one (51) patients who underwent UDS from March to July 2014 were randomized into two groups: Group 1 with patient-selected music during the procedure (n=27) and Group 2 without music (n=24). Standard multichannel filling cystometry was performed. Anxiety was self-assessed using the State Trait Anxiety Inventory, while overall pain, satisfaction, and willingness to undergo the procedure again were self-measured using a visual analogue scale.Results: Demographic characteristics and reasons for testing were similar between the two groups. The state score for Groups 1 and 2 were 27.04 and 29.5, respectively (p=0.3225) and 31.78 and 33.86, respectively (p=0.4970) for the trait score. The mean pain scores were 1.04 and 1.57, respectively (p=0.2047); the mean satisfaction scores were 0.65 and 0.52, respectively (p=0.8169); and the scores for willingness to undergo the procedure again were 0.77 and 0.74, respectively (p=0.9442). While there were no significant differences between the two groups in anxiety and satisfaction scores, pain, and willingness to undergo the procedure again, both groups commented on the nurse as the most important factor in their overall comfort.Conclusions: Music during UDS did not appear to lower pain and anxiety, nor increase overall satisfaction and willingness to repeat the procedure. The most important aspect in alleviating patients’ pain and anxiety was the person actually performing the testing, highlighting the importance of having trained and dedicated staff.


2014 ◽  
Vol 8 (11-12) ◽  
pp. 894 ◽  
Author(s):  
Huseyin Tarhan ◽  
Ozgur Cakmak ◽  
Elif Unal ◽  
Ilker Akarken ◽  
Sitki Un ◽  
...  

Introduction: We assess the effect of video-based education on patient anxiety during transrectal prostate biopsy.Methods: A total of 246 patients who underwent transrectal prostate biopsy were prospectively enrolled in the study. Group 1 included 123 patients who received both written and video-based education, while Group 2 included 123 patients who received only written instructions regarding prostate biopsies. State-Trait Anxiety Inventory (STAI) was used to assess state and trait anxiety (STAI-S/T). After completing the STAI-S and STAI-T questionnaires, all patients in Group 1 received written information and video-based education and they again completed STAI-S before the biopsy. On the contrary, after completing the STAI-S and STAI-T questionnaires, the patients in Group 2 received only written information and then they completed the STAI-S before the biopsy. Moreover, a visual analog scale (VAS) was used to assess pain scores during digital rectal examination, probe insertion, periprostatic local anesthesic infiltration, and biopsy.Results: No difference was noted between 2 groups regarding VAS scores. Comparing the 2 groups on baseline anxiety, we found that trait anxiety scores (STAI-T) were similar (p = 0.238). Preinformation STAI-S scores were similar in both groups (p = 0.889) and they both indicated high anxiety levels (score ≥42). While post-information STAI-S scores remained high in Group 2, post-information STAI-S scores significantly decreased in Group 1 (p = 0.01).Conclusions: Undergoing a prostate biopsy is stressful and may cause anxiety for patients. Video-based education about the procedure can diminish patient anxiety.


2009 ◽  
Vol 17 (1) ◽  
pp. 19-28 ◽  
Author(s):  
Audrey Tluczek ◽  
Jeffrey B. Henriques ◽  
Roger L. Brown

Identifying the most efficient and theoretically appropriate methods to assess patient anxiety in fast-paced medical environments may be beneficial for clinical purposes as well as for research. The purpose of this study was to examine the reliability and validity of two previously published six-item versions of the State form of the State-Trait Anxiety Inventory (STAI) and to identify the version that would be most appropriate to use with a sample of parents who had infants with normal or abnormal newborn screens. In the current study, confirmatory factor analyses were conducted to evaluate the fit of the two six-item forms with STAI data collected at three time points from 288 parents of 150 infants. Study groups of parents were based upon infant newborn screens and subsequent diagnostic testing to include cystic fibrosis (CF; n = 26), congenital hypothyroidism (CH; n = 39), CF Carriers (CF–C; n = 45), and healthy infants (H; n = 40). The results showed the version containing items 1, 3, 6, 15, 16, and 17 of the State form of the STAI to be a better fitting model across all three time points, and it had better internal consistency than the version containing items 5, 9, 10, 12, 17, and 20. Both short forms were highly correlated with the 20-item STAI score, and all internal consistency reliabilities were greater than .90. It was concluded that the version containing items 1, 3, 6, 15, 16, and 17 of the State Anxiety scale was a reliable and valid instrument for this study sample.


2021 ◽  
pp. 105566562199265
Author(s):  
Ishwarya Shradha Mamidi ◽  
Esperanza Mantilla-Rivas ◽  
Brynne A. Ichiuji ◽  
Md Sohel Rana ◽  
Karen I. Ramirez ◽  
...  

Objective: Oronasal fistula (ONF) is a known complication after primary palatoplasty (PP). Studies investigating the effect of perioperative antibiotics on fistula rates after PP are limited by inadequate sample size or reliance on self-reporting through national databases. In this study, the authors evaluated the association between single-dose perioperative antibiotics and postoperative fistula rates after PP at a single institution. Design: A retrospective study. Participants: Children younger than 2 years who underwent PP from April 2009 to September 2019 were included. Interventions: Patients were divided into 2 categories: Group 1 received a single intraoperative dose of IV antibiotic, while group 2 did not. Main Outcome Measure(s): Outcome measures included ONF formation, length of stay (LOS), and 30-day readmission rates. Multivariable firth logistic regression, quantile regression, and χ2 tests were performed. Results: Of the 424 patients, 215 and 209 patients were in groups 1 and 2, respectively. The overall ONF rate was 1.9% among all patients. Patients in group 1 experienced an ONF rate of 3.3%, while patients in group 2 had an ONF rate of 0.5%. After correcting for confounding variables, the difference in ONF rates was not statistically different ( P = .68). Median LOS was 35.7 hours and 35.5 hours ( P = .17), while the rate of readmission within 30 days was 4.7% and 2.4% for group 1 and 2, respectively ( P = .96). Conclusions: Administration of a single-dose perioperative antibiotic did not decrease fistula formation after PP, nor did it affect the patient’s LOS or 30-day readmission rate.


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