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Preoperative anxiety is a major concern for patients who undergo surgery. To accurately identify anxious patient is therefore crucial to improve perioperative patient care. Preoperative anxiety remain highly difficult to quantify in current practice. Many patient fail to express their anxiety and the assessment of the level of anxiety is mainly based on heteroevaluation by caregivers. Nurse anesthetists provide closed support to patient prior to the induction of anesthesia. The aim of the study is to assess whether nurse anesthetist accurately assess patient preoperative anxiety from arrival to the operating room to the induction of anesthesia.
EVALANXI is a single-center prospective observational study. The main objective of the study is to assess whether the assessment of preoperative anxiety by nurse anesthetist (hetero-assessment) accurately estimate the level of anxiety reported by the patient from arrival to the operating room to the induction of anesthesia (self-assessment).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PATIENT group | Adult patients shedule for general anesthesia |
| |
| NURSE group | Nurse anesthesist in charge of the corresponding patient |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pre operative assessment | Other | Anxiety assessment : Numeric rating scale (patient and caregiver), APAIS scale (patient), Covi Scale (Caregiver) Verbalization : anesthesia-related concerns (expressed by patient and considered by caregiver) |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of preoperative anxiety level expressed by the patient (self-assessment) with that estimated by murse anesthetist (hetero-assessment) | Agreement between patient's Numeric Rating Scale (NRS from 0 to 10) and nurse anesthetist NRS (kappa coefficient) | Self- and hetero-assessment will be performed peroperatively during the period from arrival in the operating room to the induction of general anesthesia. |
| Measure | Description | Time Frame |
|---|---|---|
| Patient anxiety self assessment : NRS (from 0 to 10) versus Amsterdam Preoperative Anxiety and Information (APAIS) scale (from 6 to 30) | correlation between NRS and APAIS scale | Self- and hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia. |
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Patient Inclusion Criteria:
Patient Exclusion Criteria:
Nurse anesthetist Inclusion Criteria:
Nurse anesthetist Exclusion Criteria:
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Patient undergoing general anesthesia and the corresponding nurse anesthetist in charge of the patient.
To avoid any learning effect, each nurse can only participate once in the study
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Besançon | Besançon | 25000 | France |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| Patient's Anxiety assessment by caregiver : NRS (from 0 to 10) versus Covi scale from 3 to 15) (Lipman & Covi 1976) |
correlation between NRS and Covi scale |
| Self- and hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia. |
| Reliability of hetero-assessment performed by caregiver | sub group analysis based on nurse anesthetist professional experience | Hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia. |
| Anesthesia-related concerns | Comparison between the patient's expression and caregiver's estimate | Anesthesia-related concerns observed by the patient and the corresponding nurse anesthetist will be collected preoperatively from arrival in the operating room to induction of general anesthesia. |