Preoperative Anxiety Assessment in Adult Patients Undergoing Elective Surgeries: A Cross-Sectional Observational Study

Introduction Anxiety is the subjective unpleasant feeling of dread over something unlikely to happen. The incidence of preoperative anxiety ranges from 32% to 76.7%. We aimed to measure the preoperative anxiety level using Amsterdam Preoperative Anxiety and Information Scale questionnaire and clinical rating scale given by attending anesthesiologist / anesthesia residents. MethodsIt was cross-sectional observational study conducted in wards. We enrolled 110 adult patients planned for elective gynecological and gastrointestinal surgeries. After taking informed written consent, principal investigator interviewed the patient, one day prior to surgery in wards using a structured questionnaire of Amsterdam Preoperative Anxiety and Information Scale. Demographics characters were recorded. The attending anesthesia residents (blinded to patient response) performed preanesthetic assessment, provided their subjective rating about patient anxiety and need for information using Clinical Rating Scale. ResultsOut of 110 patient, 57(51.81%) were found to have higher anxiety level. Comparing the APAIS score with various factors, we found younger age, female gender, unemployed status, higher level of education, adverse events in previous surgery and higher grade of surgery was associated with higher anxiety score. Comparing APAIS with Clinical Rating Score, there was poor correlation. ConclusionThe incidence of preoperative anxiety is high (51.81%) in adult patients undergoing elective surgery. During the preoperative anesthetic checkup, APAIS can be used as a screening tool. It provides relevant information on the presence of preoperative anxiety and need for information, which helps to achieve patient satisfaction and better outcome.

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Reliability of Clinical Rating Scale in Evaluation of Head Control in children with Cerebral Palsy

Clinical Health Promotion - Research and Best Practice for patients staff and community ◽

10.29102/clinhp.21003 ◽

2021 ◽

Vol 11 (1) ◽

pp. 10-15

Author(s):

Adamu Yakubu Abdullahi ◽

◽

Auwal Abdullahi ◽

Keyword(s):

Quality Of Life ◽

Cerebral Palsy ◽

Rating Scale ◽

Kappa Statistics ◽

Cross Sectional ◽

Clinical Rating ◽

Children With Cerebral Palsy ◽

Head Control ◽

Clinical Rating Scale

Introduction The clinical rating scale for head control assesses control of head/neck in children with neurological conditions. Head control is important for activities of daily living and quality of life in children. Objectives The aim of the study was to determine the intra-rater and inter-rater reliability of the scale in children with Cerebral Palsy. Method The study was a cross-sectional study approved by Research ethics committees of Kano State Ministry of Health and Aminu Kano Teaching Hospital involving children with CP. Three independent raters assessed the children using Clinical Rating Scale for Head Control at two different times, and the intra-rater and inter-rater reliabilities were analyzed using kappa statistics and Bland-Altman analysis. Results Fifty children with CP with mean age, 24.17±12.17 months participated in the study. The result of the study showed that there were very good agreement in all the test positions for the three raters and between the first and the second ratings and in all the test positions between the three raters respectively (k>0.8). Similarly, there was no proportional bias between ratings in 24 of the measurements (p>0.05). Conclusion Clinical rating scale for head control seems to be a reliable instrument. Thus, it can be used to monitor the progress of rehabilitation in CP patients to help improve their quality of life.

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McMaster Clinical Rating Scale

PsycTESTS Dataset ◽

10.1037/t05952-000 ◽

1994 ◽

Author(s):

Ivan W. Miller ◽

Robert I. Kabacoff ◽

Nathan B. Epstein ◽

Duane S. Bishop ◽

Gabor I. Keitner ◽

...

Keyword(s):

Rating Scale ◽

Clinical Rating ◽

Clinical Rating Scale

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Hubungan Antara Tingkat Kecemasan Emosional Ibu Post Partum Dengan Kejadian Post Partum Blues Di Kelurahan Sukorame Wilayah Kerja Puskesmas Sukorame Kediri Tahun 2018

Jurnal Ilmu Kesehatan MAKIA ◽

10.37413/jmakia.v7i1.39 ◽

2020 ◽

Vol 7 (1) ◽

Author(s):

Halimatus Saidah

Keyword(s):

Rating Scale ◽

Post Partum ◽

Depression Scale ◽

Anxiety Level ◽

Cross Sectional ◽

Purposive Sampling ◽

Work Area ◽

Hamilton Anxiety Rating Scale ◽

Relationship Of ◽

The Relationship

ABSTRAKHubungan tingkat kecemasan emosional ibu Post Partum dengan kejadian Post Partum Blues sangat penting diketahui karena pada fase ini terjadi perubahan secara fisiologis maupun secara psikologis yang dapat mempengaruhi kelabilan emosional ibu setelah melahirkan. Tujuan dari penelitian ini untuk mengetahui hubungan tingkat kecemasan emosional ibu Post Partum dengan kejadian Post Partum Blues yang ada dikelurahan sukorame wilayah kerja puskesmas sukorame.Desain yang digunakan pada penelitian ini menggunakan analitik korelasional dengan pendekatan Cross Sectional. Sampel penelitian menggunakan teknik Purposive Sampling, diperoleh jumlah sampel 24 orang responden dengan kriteria responden yaitu ibu Post Partum hari ke 7- minggu ke 2, nifas normal. Pengumpulan data menggunakan lembar ceklist skala Hamilton Anxiety Rating Scale dan kuesioner Edinburgh Post Natal Depression Scale. Analisa data menggunkan uji Sperman Rank. Tingkat kecemasan emosional ibu post partum sebagian kecil (25,0%) yaitu 6 responden. dan kejadian Post Partum Blues sebagian besar (62,5%) yaitu 15 responden. Hasil analisa data dengan menggunakan uji Spearmen Rank didapatkan hasil p-value 0,000 taraf signifikan (α = 0,05) dengan demikian ada hubungan antara tingkat kecemasan emosional ibu post partum dengan kejadian Post Partum Blues di Kelurahan Sukorame wilayah Kerja Puskesmas Sukorame. Dan nilai koefisien (r) sebesar 0,859 kekuatan korelasi dalam kategori sangat kuat dengan arah positif.Dari hasil penelitian ini dapat disimpulkan adanya hubungan antara tingkat kecemasan emosional ibu post partum dengan kejadian Post Partum Blues di kelurahan Sukorame wilayah kerja Puskesmas Sukorame. Kata Kunci: Tingkat Kecemasan, Post Partum, dan Kejadian Post Partum Blues ABSTRACT The relationship between the level of emotional anxiety of the mother of post partum with Post Partum Blues occurrence is very important because in this phase there is a change physiologically and psychologically wich can affect the emotional stability of mother after giving birth. The purpose of this study to determine the relationship of emotional anxiety level of post partum mother with Post Partum Blues incident that exist in sukorame’s Village its work area of puskesmas Sukorame. Design used correlational analytics with cross sectional approach. The sample research using purposive sampling technique, obtained the number of samples 24 respondents with the criteria of respondents is post partum mother day 7 to week 2, its good puerperium. Data’s collection using hamilton anxiety rating scale and Edinburgh Postnatal Depression Scale. Data’s processing is interpreted according to the classification of each measuring instrument. The result of the research showed that the relationship of emotional anxiety level of post partum mother with Post Partum Blues incidence was the amount of the anxiety level 12,5%, 25% heavy anxiety , medium anxiety 16,6% and mild anxiety 20,9% with Post Partum Blues event. While those without anxiety were 0% for Post Partum Blues event. From the result of this study it can be concluded that almost all postpartum mothers with anxiety that there is in the field of Sukorame work area puskesmas Sukorame experience Post Partum Blues . As for recommendation of this research is holding counseling about how to handle Post Partum Blues .Key Word : Anxiety level, Post Partum, Post Partum Blues Event

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An observational study on quality of life and preferences to sustain life in locked-in state

Neurology ◽

10.1212/wnl.0000000000008064 ◽

2019 ◽

Vol 93 (10) ◽

pp. e938-e945 ◽

Cited By ~ 9

Author(s):

Magdalena Kuzma-Kozakiewicz ◽

Peter M. Andersen ◽

Katarzyna Ciecwierska ◽

Cynthia Vázquez ◽

Olga Helczyk ◽

...

Keyword(s):

Quality Of Life ◽

Observational Study ◽

Physical Function ◽

Rating Scale ◽

Well Being ◽

Psychosocial Adaptation ◽

Subjective Well Being ◽

Cross Sectional ◽

Hastened Death

ObjectiveThis is an observational study on well-being and end-of-life preferences in patients with amyotrophic lateral sclerosis (ALS) in the locked-in state (LIS) in a Polish sample within the EU Joint Programme–Neurodegenerative Disease Research study NEEDSinALS (NEEDSinALS.com).MethodsIn this cross-sectional study, patients with ALS in LIS (n = 19) were interviewed on well-being (quality of life, depression) as a measure of psychosocial adaptation, coping mechanisms, and preferences towards life-sustaining treatments (ventilation, percutaneous endoscopic gastroscopy) and hastened death. Also, clinical data were recorded (ALS Functional Rating Scale–revised version). Standardized questionnaires (Anamnestic Comparative Self-Assessment [ACSA], Schedule for the Evaluation of Individual Quality of Life-Direct Weighting (SEIQoL-DW), ALS Depression Inventory–12 items [ADI-12], schedule of attitudes toward hastened death [SAHD], Motor Neuron Disease Coping Scale) were used, which were digitally transcribed; answers were provided via eye-tracking control. In addition, caregivers were asked to judge patients' well-being.ResultsThe majority of patients had an ACSA score >0 and a SEIQoL score >50% (indicating positive quality of life) and ADI-12 <29 (indicating no clinically relevant depression). Physical function did not reflect subjective well-being; even more, those with no residual physical function had a positive well-being. All patients would again choose the life-sustaining techniques they currently used and their wish for hastened death was low (SAHD <10). Caregivers significantly underestimated patient's well-being.InterpretationSome patients with ALS in LIS maintain a high sense of well-being despite severe physical restrictions. They are content with their life-sustaining treatments and have a strong will to live, which both may be underestimated by their families and public opinion.

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A clinical rating scale of speech dysfunction on Parkinson's disease

South African Journal of Communication Disorders ◽

10.4102/sajcd.v25i1.371 ◽

1978 ◽

Vol 25 (1) ◽

Author(s):

Alison K. Thompson

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Rating Scale ◽

Muscle Rigidity ◽

Clinical Use ◽

Clinical Notes ◽

Clinical Rating ◽

Research Findings ◽

Clinical Rating Scale

The speech dysfunction of Parkinson's disease is complex and individually variable owing to the interaction of muscle rigidity, tremor and disturbance of movement. Eight speech dimensions which are characteristically disturbed in Parkinson's disease are discussed with reference to available research findings. In order to provide a more detailed description of the speech than could be obtained by clinical notes alone, a speech rating scale has been developed, and is presented in summarized form for clinical use. Incidence and progression of the speech dysfunction are considered in addition to the problems of assessment peculiar to the patient with Parkinson's disease.

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