Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Role of Comforting Manoeuvres in Reducing Perioperative Anxiety


Affiliations
1 Senior Resident, Department of Community Medicine, BRD Medical College, Gorakhpur, UP, India
2 Associate Professor, Department of Anesthesiology, SRMS, IMS, Bareilly, UP, India
     

   Subscribe/Renew Journal


Fear of unexpected scenarios and anxiety is common in preoperative cohorts. It is often multifactorial. Pre-operative anxiety, if not addressed appropriately may lead to difficulty in stabilizing hemodynamics owing to aggravated stress response due to sympathetic overactivity and catecholamine release. Moreover, it might be challenging for the treating physician to manage an apprehensive patient for the optimal outcome since they may not cooperate and need additional perioperative analgesics and anaesthetics leading to delayed recovery and discharge. Different non-pharmacological and pharmacological methods are used to allay the anxiety of patients. Honest communication with the patient, pre-operative educational materials like movies and bulletins, music, aromatherapy, having a family member accompany the patient during surgery, etc. are some non-pharmacological interventions that are frequently used. Various researchers have recommended including such calming and comforting manoeuvres to include in routine perioperative care to achieve high patient satisfaction.

Keywords

Anxiety, Calming conversation, Communication, Hand holding, Patient satisfaction
Subscription Login to verify subscription
User
Notifications
Font Size


  • Johnston M. Anxiety in surgical patients. Psychological medicine. 1980 Feb;10(1):145-52.
  • Bansal T, Joon A. Preoperative anxiety-an important but neglected issue: A narrative review. In The Indian Anaesthetists Forum 2016 Jul 1 (Vol. 17, No. 2, p. 37). Medknow Publications.
  • Wilson WE. Pre-operative anxiety and anaesthesia: Their relation. Anesth Analg [3] 1969; 48(4):605-11. PMID: 5815771.
  • Mulugeta H, Ayana M, Sintayehu M, Getenet D, Zewdu T. Pre-operative anxiety, and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC Anesthesiol. 2018;18(1):155. Doi: 10.1186/s12871-018-0619-0. PMID: 30376809.
  • Gilmartin J, Wright K. Day surgery: patients’ felt abandoned during the preoperative wait. Journal of clinical nursing. 2008 Sep;17(18):2418-25.
  • Aust H, Rüsch D, Schuster M, Sturm T, Brehm F, Nestoriuc Y. Coping strategies in anxious surgical patients. BMC health services research. 2016 Dec;16(1):1-0.
  • Ahmetovic-Djug J, Hasukic S, Djug H, Hasukic B, Jahic A. Impact of preoperative anxiety in patients on hemodynamic changes and a dose of anaesthetic during induction of anaesthesia. Medical Archives. 2017 Oct;71(5):330. Doi: 10.5455/ medarh.2017.71.330-333.
  • Kalkman CJ, Visser K, Moen J, Bonsel GJ, Grobbee DE, Moons KG. Preoperative prediction of severe postoperative pain. Pain. 2003 Oct 1;105(3):415-23.
  • Hobson JA, Slade P, Wrench IJ, Power L. Preoperative anxiety, and postoperative satisfaction in women undergoing elective caesarean section. International journal of obstetric anaesthesia. 2006 Jan 1;15(1):18-23. Doi: 10.1016/j. ijoa.2005.05.008.
  • Maranets I, Kain ZN. Preoperative anxiety and intraoperative anaesthetic requirements. Anesthesia & Analgesia. 1999 Dec 1;89(6):1346. Doi: 10.1097/00000539-199912000-00003.
  • Carr E, Brockbank K, Allen S, Strike P. Patterns, and frequency of anxiety in women undergoing gynaecological surgery. Journal of clinical nursing. 2006 Mar;15(3):341-52.
  • Wang R, Huang X, Wang Y, Akbari M. Non-pharmacologic approaches in pre- [14] operative anxiety, A comprehensive review. Front Public Health. 2022; 10:854673. Doi: 10.3389/ fpubh.2022.854673.
  • Şimşek BK, Şahin ŞK, Akyilmaz AA, Özkaplan ŞE, Özdurak İH. Effect of calming conversation on anxiety levels in Cesarean section. Cukurova Medical Journal. 2019;43(Ek 1):7- 14.
  • Pritam Yadav, Deepika Budhwar, Vineet Kumar, Suresh Singhal, Prashant Kumar, Rahul Saini. Efficacy of Comforting Manoeuvres in Reducing Anxiety in Patients Undergoing Caesarean Section under Regional Anaesthesia- Randomised Control Trial. Journal of Clinical and Diagnostic Research. 2023 Mar, Vol-17(3): UC01-UC05. DOI: 10.7860/ JCDR/2023/59520.17512
  • Sriramka B, Mallik D, Singh J, Khetan M. Effect of handholding and conversation alone or with midazolam premedication on preoperative anxiety in adult patients—A randomised controlled trial. Indian Journal of Anaesthesia. 2021 Feb;65(2):128.
  • Anuja BS, Devi ES, Sequira L, Rao L, Pai V. Effectiveness of intra operative hand holding on anxiety and physiological parameters among patients undergoing cataract surgery. Journal of Health and Allied Sciences NU. 2014 Jun;4(02):027-33.
  • Brand LR, Munroe DJ, Gavin J. The effect of hand massage on preoperative anxiety in ambulatory surgery patients. AORN journal. 2013 Jun 1;97(6):708-17.
  • Li Z, Bauer B, Aaberg M, Pool S, Van Rooy K, Schroeder D, Finney R. Benefits of hand massage on anxiety in preoperative outpatient: A quasi-experimental study with pre-and post-tests. Explore. 2021 Sep 1;17(5):410-6.
  • Cutshall SM, Mahapatra S, Hynes RS, Van Rooy KM, Looker SA, Ghosh A, Schleck CD, Bauer BA, Wahner-Roedler DL. Hand massage for cancer patients undergoing chemotherapy as outpatients: a pilot study. Explore. 2017 Nov 1;13(6):393-9.
  • Khan IA, Aditya V, Mishra R, Tiwari HC. Dignity and respectful maternity care as an essential step towards universal health coverage. International Journal of Community Medicine and Public Health. 2022 Oct;9(10):3898. DOI: https:// dx.doi.org/10.18203/2394-6040.ijcmph20222585
  • Boitor M, Martorella G, Maheu C, Laizner AM, Gélinas C. Effects of massage in reducing the pain and anxiety of cardiac surgery critically ill—a randomized controlled trial. Pain Medicine. 2018 Dec 1;19(12):2556-69.
  • Mei L, Miao X, Chen H, Huang X, Zheng G. Effectiveness of Chinese hand massage on anxiety among patients awaiting coronary angiography: A randomized controlled trial. Journal of cardiovascular nursing. 2017 Mar 1;32(2):196-203.
  • Hudson BF, Davidson J, Whiteley MS. The impact of hand reflexology on pain, anxiety, and satisfaction during minimally invasive surgery under local anaesthetic: A randomised controlled trial. International Journal of Nursing Studies. 2015 Dec 1;52(12):1789-97.
  • Nazari R, Ahmadzadeh R, Mohammadi S, Kiasari JR. Effects of hand massage on anxiety in patients undergoing ophthalmology surgery using local anaesthesia. Journal of caring sciences. 2012 Sep;1(3):129.

Abstract Views: 131

PDF Views: 0




  • Role of Comforting Manoeuvres in Reducing Perioperative Anxiety

Abstract Views: 131  |  PDF Views: 0

Authors

Imran Ahmed Khan
Senior Resident, Department of Community Medicine, BRD Medical College, Gorakhpur, UP, India
Geeta Karki
Associate Professor, Department of Anesthesiology, SRMS, IMS, Bareilly, UP, India

Abstract


Fear of unexpected scenarios and anxiety is common in preoperative cohorts. It is often multifactorial. Pre-operative anxiety, if not addressed appropriately may lead to difficulty in stabilizing hemodynamics owing to aggravated stress response due to sympathetic overactivity and catecholamine release. Moreover, it might be challenging for the treating physician to manage an apprehensive patient for the optimal outcome since they may not cooperate and need additional perioperative analgesics and anaesthetics leading to delayed recovery and discharge. Different non-pharmacological and pharmacological methods are used to allay the anxiety of patients. Honest communication with the patient, pre-operative educational materials like movies and bulletins, music, aromatherapy, having a family member accompany the patient during surgery, etc. are some non-pharmacological interventions that are frequently used. Various researchers have recommended including such calming and comforting manoeuvres to include in routine perioperative care to achieve high patient satisfaction.

Keywords


Anxiety, Calming conversation, Communication, Hand holding, Patient satisfaction

References