scholarly journals Comparing the effects of nursing versus peer-based education methods on the preoperative anxiety in infertile women: An RCT

2019 ◽  
Author(s):  
Farahnaz Farnia ◽  
Abbas Aflatoonian ◽  
Athareh Kalantari
Keyword(s):  
Hospital Admission ◽  
Trait Anxiety ◽  
Preoperative Anxiety ◽  
Response To Treatment ◽  
State Trait Anxiety Inventory ◽  
Patient Anxiety ◽  
Staff Shortage ◽  
Infertile Women ◽  
Significant Difference ◽  
The Mean

Background: Preoperative anxiety is a common event in patients expecting surgery. Education can play an important role in reducing the negative effects of anxiety on the response to treatment. Therefore, identifying the appropriate method is important. Objective: The aim of this study was comparing the effects of nursing versus peer-based education on the preoperative anxiety in infertile women. Materials and Methods: In this clinical trial, 198 eligible infertile women were randomized into three groups (n= 66/each): the nurse-educated, peer-educated, and the controls. The Spielberger State-Trait Anxiety Inventory was filled out by all participants for measuring the patient anxiety at the time of hospital admission and prior to surgery. Participants in the nurse-educated and peer-educated groups received a group education program by a nurse or peer, respectively, after the initial completion of the Spielberger State-Trait Anxiety Inventory. Results: The mean score anxiety was 44.47, 46.92, and 42.60 at the time of hospital admission and 39.38, 41.06, and 43.42 prior to surgery in nurse-educated, peer-educated, and the control groups, respectively. There was a significant difference in the mean score of anxiety in each group before and after the intervention (p < 0.0001). However, the difference between the groups was not significant. Conclusion: Our findings demonstrate that nursing and peer education programs both reduce the preoperative anxiety. Hence, optimal use of the peer's potential regarding the compensation for staff shortage for preoperative education as well as investigating the effect of individual education is suggested for further studies. Key words: Education, Infertility, Preoperative anxiety, Nurse, Peer.

scholarly journals AB0637 EFFICACY OF COMEDICATION OF CONVENTIONAL SYNTHETIC DMARDS WITH TNF BLOCKERS IN PATIENTS WITH AXIAL SPONDYLOARTHRITIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1613.3-1614
Author(s):  
K. Ben Abdelghani ◽  
Y. Gzam ◽  
A. Fazaa ◽  
S. Miladi ◽  
K. Ouenniche ◽  
...  
Keyword(s):  
Partial Remission ◽  
Axial Spondyloarthritis ◽  
Combined Therapy ◽  
Response To Treatment ◽  
Tnf Alpha ◽  
Disease Modifying Antirheumatic Drugs ◽  
Significant Difference ◽  
Synthetic Dmards ◽  
The Mean ◽  
Necrosis Factor

Background:Tumour necrosis factor blockers (anti-TNFs) are typically used in axial spondyloarthritis (ax-SpA) when the disease has not responded adequately to conventional therapy. However, the effects of the comedication conventional synthetic disease modifying antirheumatic drugs (csDMARDs) with anti-TNFs are inconclusive.Objectives:The aim of this study was to evaluate the efficacy of comedication csDMARD and anti-TNF compared with anti-TNFs on monotherapy.Methods:A descriptive retrospective study including 85 patients with ax-SpA according to the criteria of the group ASAS on 2009 and having received anti-TNFs between January 2000 and October 2019.The patients were divided on two groups, those who had received combined therapy with cs-DMARDs and those who had received anti-TNFs on monotherapy.The response to treatment was assessed with the ASAS 40 response and partial remission at 3 and 6 months of treatment and was compared between the two groups.Results:Our populations consists of 67 men and 18 women with a mean age of 44,4 ± 10,9 years. The mean period of evolution was 12,3 ± 9,1 years and 52,2% of patients were HLA-B27 positive. The ax-SpA was associated with peripheral arthritis, enthesitis and dactylitis in 17,6%, 17,6% and 1,2% respectively.Fifty-nine patients (69,4%) were treated with anti-TNF alpha on monotherapy and 26 patients (30,6%) had combined therapy. The ASAS 40 response was achieved in 45,6% of patients at 3 months and 64,1 % of them at 6 months of anti-TNFs treatment. Among them, 7,4% had obtained partial remission at 3 months and 20,3% at 6 months of treatment.There was statically significant difference between the two groups on the ASAS 40 response or the partial remission at 3 and 6 months of treatments.Conclusion:The comedication therapy with csDMARDs does not influence the efficacy of anti-TNFs in ax-SpA patients suggesting no benefit in the concomitant use of these drugs in clinical practice.References:[1]Simone Det al. J Rheumatol Suppl. 2015;93:65–9.Disclosure of Interests:None declared

scholarly journals Comparison of different scales for the evaluation of anxiety and compliance with anesthetic induction in children undergoing scheduled major outpatient surgery

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Alberto Vieco-García ◽  
Amanda López-Picado ◽  
Manuel Fuentes ◽  
Laura Francisco-González ◽  
Belén Joyanes ◽  
...  
Keyword(s):  
Trait Anxiety ◽  
Outpatient Surgery ◽  
The State ◽  
Anxiety Scale ◽  
Preoperative Anxiety ◽  
State Trait Anxiety Inventory ◽  
Anesthetic Induction ◽  
The Moment ◽  
Assessment Scales ◽  
Surgical Unit

Abstract Introduction Anxiety in children triggered by a scheduled surgical intervention is a major issue due to its frequency and consequences. Preoperative anxiety is associated with increased patient fear and agitation on anesthetic induction. The aim of this study is to compare three preoperative anxiety scales for children undergoing elective outpatient surgery, and to correlate each of these tools with the degree of patient compliance on induction, as assessed by the Induction Compliance Checklist (ICC). Methods An observational prospective study was performed on a cohort of children with ages between 2 and 16 years old, scheduled for outpatient surgery. Anxiety was assessed upon arrival to the hospital (M0), during transfer to the surgical unit (M1), and in the operating room during anesthetic induction (M2). Anxiety in the parents (measured with the State-Trait Anxiety Inventory, STAI) and in the children (measured with the Spence Anxiety Scale-Pediatric, SCAS-P, the State-Trait Anxiety Inventory Children, STAIC, and Modified Yale Preoperative Anxiety Scale, m-YPAS) was assessed. Compliance with anesthetic induction was assessed with ICC. Results The study included 76 patients (72.4% male, median age 7.9 years). Anxiety scores (m-YPAS) increased as the moment of surgery approached, being greater at the entrance to the surgical unit (M0 = 26.1 ± 9.5; M1 = 31.8 ± 18.1; M2 = 33.5 ± 21.1). A strong correlation was found between ICC scale and m-YPAS at M1 (0.738) and M2 timepoints (0.794), but not with the rest of scales at M0. Conclusions Standard anxiety assessment scales do not predict the quality of anesthetic induction. m-YPAS scale can detect increasing anxiety in children as they approach the surgical procedure and this correlates strongly with a worse anesthetic induction, defined by higher score on ICC scale.

scholarly journals Surgery information reduces anxiety in the pre-operative period

2004 ◽  
Vol 59 (2) ◽  
pp. 51-56 ◽  
Author(s):  
Leandro Yoshinobu Kiyohara ◽  
Lilian Kakumu Kayano ◽  
Lorena Marçalo Oliveira ◽  
Marina Uemori Yamamoto ◽  
Marco Makoto Inagaki ◽  
...  
Keyword(s):  
Trait Anxiety ◽  
State Anxiety ◽  
Surgical Procedure ◽  
The State ◽  
Anxiety Level ◽  
Lower State ◽  
State Trait Anxiety Inventory ◽  
Patient Anxiety ◽  
Males And Females ◽  
Anxiety Levels

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.

scholarly journals A DESCRIPTION AND COMPARISON OF THE LEVELS OF ANXIETY AMONG COLLEGE ADMINISTRATORS

2006 ◽  
Vol 34 (6) ◽  
pp. 739-746
Author(s):  
Mehmet Durdu Karsli ◽  
Mustafa Baloğlu
Keyword(s):  
Trait Anxiety ◽  
Private Universities ◽  
The State ◽  
State Trait Anxiety Inventory ◽  
College Administrators ◽  
Significant Difference ◽  
State And Trait Anxiety ◽  
Anxiety Levels ◽  
Turkish State

Administrators, in general, are at greater risk of facing anxiety than are other people, due to their duties and responsibilities. In this study, both state and trait anxiety levels of college administrators were assessed and the administrators were compared based on their anxiety levels. For the purpose of assessing state and trait anxiety levels, the State-Trait Anxiety Inventory (STAI) (Spielberger, Gorsuch, & Lushene, 1970) adapted to Turkish by LeCompte and Oner (1975) was used. The sample of the study included 72 college administrators who were working in Turkish state and private universities in different regions of the country. Results showed significant correlation between the state and trait anxiety levels. No significant difference was found based on gender, age, administrative level, or tenure. However, the direction of the differences was similar to those of the previous studies. Results are discussed and suggestions are given.

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
Keyword(s):  
Trait Anxiety ◽  
Clinical Assessment ◽  
Operating Time ◽  
The State ◽  
Nasal Packing ◽  
State Trait Anxiety Inventory ◽  
Patient Anxiety ◽  
The Difference ◽  
Group 2 ◽  
Group 1

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.

scholarly journals Comparison of fear, anxiety and self-efficacy of childbirth among primiparous and multiparous women

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aazam Shakarami ◽  
Mojgan Mirghafourvand ◽  
Somyieh Abdolalipour ◽  
Mohammad Asghari Jafarabadi ◽  
Mina Iravani
Keyword(s):  
Trait Anxiety ◽  
Self Efficacy ◽  
Care Providers ◽  
Fear Of Childbirth ◽  
Confounding Variables ◽  
Significant Difference ◽  
Multiparous Women ◽  
The Mean ◽  
Efficacy Expectancies ◽  
Primiparous Women

Abstract Background The aim of this study was to compare fear of childbirth, state and trait anxiety, and childbirth self-efficacy among primiparous and multiparous women in Ahvaz, southwest of Iran. Methods This cross-sectional study was conducted with 200 pregnant women (100 primiparous and 100 multiparous women) who had been admitted to the maternity ward of hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. The instruments used for data collection in this study included a demographic questionnaire, Delivery Fear Scale (DFS), Spielberger's State-Trait Anxiety Inventory (STAI), and Childbirth Self-Efficacy Inventory (CBSEI). The data were analyzed by chi-square test and independent t-test. Also, the univariate general linear model was used by adjusting for the socio-demographic and obstetric characteristics that were considered as possible confounding variables. Results The mean score of DFS in primiparous women was significantly higher than that of multiparous women. The mean of the overall score of childbirth self-efficacy of primiparous women was significantly lower than that of multiparous women. The mean score of the outcome expectancies and self-efficacy expectancies was significantly lower in primiparous women compared with multiparous women. There was no statistically significant difference between the two groups in terms of the mean score of STAI. After adjusting for possible confounding variables, the differences between the two groups in terms of fear of childbirth scores, overall childbirth self-efficacy score and self-efficacy expectancies remained significant. Conclusion Given the high fear of childbirth and low childbirth self-efficacy in primiparous women compared to the multiparous women, appropriate interventions should be adopted by health care providers in order to reduce fear and improve childbirth self-efficacy in primiparous women.

scholarly journals COMPARISON OF ANXIETY LEVEL, BLOOD PRESSURE AND PULSE PARAMETERS OF PATIENTS WITH AND WITHOUT CORONARY ANGIOGRAPHY EXPERIENCE: A CROSS-SECTIONAL STUDY

2021 ◽  
Vol 54 (1) ◽  
pp. 107-115
Author(s):  
Yasemin Altınbaş ◽  
Emine Derya Derya Ister
Keyword(s):  
Blood Pressure ◽  
Coronary Angiography ◽  
Trait Anxiety ◽  
Blood Pressure Measurement ◽  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Significant Difference ◽  
State And Trait Anxiety ◽  
The Mean

Objective: The study aimed to compare state and trait anxiety, blood pressure, and heart rate of patients with and without coronary angiography experience who undergo coronary angiography intervention. Methodology: This study is cross-sectional comparative research. A total of 160 patients, including 80 patients undergo for the first time coronary angiography and 80 patients with at least one experience of coronary angiography were included in the sample of the study. In the study, data were collected using 'Patient Information Form' and 'State-Trait Anxiety Inventory', blood pressure measurement device, and pulse oximeter. Results: The mean of state anxiety scores of the patients with and without CA experience were 39.35±5.31 and 39.98±4.04, respectively; (p=0.395). The mean of trait anxiety scores of the patients with and without CA experience were 44.73±6.84 and 44.51±6.05, respectively (p=0.826).  There was no statistically significant difference observed in state and trait anxiety between two groups. Before the CA procedure, the systolic and diastolic blood pressure average of the patients with CA experience were statistically higher than those without CA experience (p<0.05). Conclusion: The anxiety levels of the patients before the CA were observed to be similar and moderate, regardless of their CA experience. It was observed that patients with CA experience before CA procedure had higher systolic and diastolic blood pressures compared to the group without experience.

scholarly journals Psychometric properties of a Serbian version of the State-Trait Anxiety Inventory X-2

2020 ◽  
Vol 12 (2) ◽  
pp. 13-22
Author(s):  
Damjan Jakšić ◽  
◽  
Jovana Trbojević Jocić ◽  
Stefan Maričić ◽  
• Bülent Okan Miçooğulları ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Positive Affect ◽  
Trait Anxiety ◽  
Latent Variables ◽  
The State ◽  
State Trait Anxiety Inventory ◽  
Internal Reliability ◽  
Male And Female ◽  
Latent Space ◽  
Significant Difference

Given that anxiety is a significant individual disposition that affects sports performance, this study aimed to verify the latent variables obtained by the State – Trait Anxiety Inventory X-2, and to compare the obtained factor solutions with the proposed model of latent variables. The second aim refers to the presentation of the results of the questionnaire State – Trait Anxiety Inventory X-2 answered by Serbian male and female handball players. The research was conducted on a sample of 170 respondents, 99 male and 71 female handball players, aged 14 to 39 years (average age = 21.9) with an average handball playing career of 9.39 years. Towards the end of 2019, the respondents filled in the above-mentioned questionnaire used to assess anxiety as a personality trait. Exploratory factor analysis with certain modifications of the algorithm was applied to determine accurately latent space. The overall analysis was performed using the R statistical package. Four factors were selected based on the conducted factor analysis of the latent space of the questionnaire. Ten, five, three and two items are projected on the first, second, third and fourth factor respectively. Since internal reliability of the fourth factor was 0.394 it was excluded from further consideration and interpretation. The achieved scores on four separate factors show that Serbian male and female handball players achieve average results on the first (Presence of Trait anxiety) and the third factor (Absence of proactivity), while they achieve scores above the average on the second factor (Positive affect). In order to examine the sex differences between the examined variables, a one-way analysis of variance was performed. The findings show that there is no statistically significant difference on all three factors between the scores achieved by male and female handball players. A statistically significant difference between handball players of different competitive ranks appeared only on the Positive affect factor between the top athletes and the athletes in the second league (p = .04).

scholarly journals Preoperative Anxiety and Fear of Anesthesia in Patients admitted in Tertiary Care Hospitals of Rawalpindi

2020 ◽  
Vol 24 (1) ◽  
pp. 52-58
Author(s):  
Zahra Mariyam ◽  
Laibah Safdar ◽  
Shafaq Fatima ◽  
Jawad Zaheer
Keyword(s):  
Formal Education ◽  
Tertiary Care ◽  
Previous History ◽  
Female Gender ◽  
Preoperative Anxiety ◽  
Cross Sectional ◽  
Significant Difference ◽  
History Of ◽  
History Of Anesthesia ◽  
The Mean

Background: Preoperative apprehension is a widespread global problem. This anxiety and apprehension can significantly affect all aspects of anesthesia and surgery. Thus, it is essential to detect and address the patient's anxiety to assist in recovery after surgery and improve the patient's outcome. Materials and Methods: This is a cross-sectional study conducted over one year in the allied hospitals of Rawalpindi Medical University (RMU). Our sample size was 380 preoperative patients, who were selected by convenience sampling. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) was used.Results: The overall prevalence of anxiety was 30.5%, while the prevalence of information requirement was 33.2%. The mean total APAIS was 12.73±8.56, the mean anxiety subscore was 8.25±5.58, and the mean need for information subscore was 4.48±3.16. A statistically significant difference was found in the scores of the patients based on age, gender, education, type of anesthesia, and type of surgery (p< 0.05). The previous history of anesthesia and the presence of comorbidities did not bring a significant difference in the scores of the patients (p>0.05). Postoperative pain was the most important concern, found in 32% of the patients. Conclusion: Younger age group, female gender, having no formal education, surgery under regional anesthesia, and undergoing C-section, IOL implantation and septoplasty are associated with higher preoperative anxiety, while the presence of comorbidities and previous history of anesthesia are factors that do not significantly affect preoperative anxiety in our population.

scholarly journals Assessment of Neopterin Serum Level for Monitoring Therapy of Patients with Mycobacterium Tuberculosis

2021 ◽  
Vol 13 (3) ◽  
Author(s):  
Shokrollah Salmanzadeh ◽  
Razieh Mombeini ◽  
Seyed Mohammad Alavi ◽  
Morteza Abdullatif Khafaie
Keyword(s):  
Serum Levels ◽  
Response To Treatment ◽  
Sputum Smear ◽  
Major Health Problem ◽  
Tb Treatment ◽  
Monitoring Therapy ◽  
Significant Difference ◽  
The Mean ◽  
First Time

Background: Tuberculosis (TB) is a major health problem worldwide. To date, the standard diagnostic method for TB is still the direct observation of Mycobacterium TB in a sputum smear or culture. Objectives: There is an urgent need for a method to detect the disease in a shorter time with acceptable sensitivity and specificity and help monitor the treatment. Methods: A panel of 34 adults newly diagnosed with smear-positive pulmonary TB was followed during their treatment period of five months. Neopterin (NPT) serum levels were measured three times (before treatment and two and five months after treatment) using the Brahms ELItest Neopterin kit, and the results were analyzed using descriptive and graphical methods. Results: The mean NPT for the first time before treatment was 27.47 ± 20.7 nmol/L. NPT was measured two months after the anti-TB treatment, and the associated mean was 16.97 ± 14.14 nmol/L. At the end of the fifth month, the mean NPT concentration reached 11.3 ± 10.5 nmol/L. The mean serum NPT before treatment had a statistically significant difference with the mean NPT at the end of the second and fifth months of the treatment (P = 0.001). Conclusions: According to the national protocol for treating TB, a sputum smear is still necessary for patients’ follow-up. It seems that the serum NPT level should be measured to monitor response to treatment in patients that, for any reason are not able to give sputum in TB treatment follow-up.

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