Does Minimally Invasive Surgery Reduce Anxiety?

Study Overview
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Brief Summary
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The purpose of this study was to identify factors that may contribute to anxiety of patients undergoing total abdominal hysterectomy(TAH) or total laparoscopic hysterectomy(TLH) before and after the operation. Thus, we aimed to learn whether anxiety levels change according to the type of hysterectomy.

Detailed Description
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Hysterectomy is the most common gynecological procedure worldwide. . There has been a increasing interest towards to more minimally invasive procedures in the past decade. Hysterectomy operation anxiety is a complex phenomenon affected by various parameters. Patients' anxiety may be affected by their age, gender, educational status,type of operation and personality. Each patient's anxiety was measured using Spielberger's State-Trait Anxiety Inventory immediately before, immediately after the operation.

Official Title
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Factors Related to Patients' Anxiety Before and After Hysterectomy

Conditions
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Anxiety

Intervention / Treatment
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* Behavioral: Spielberger's State-Trait Anxiety Inventory(STAI )
* Procedure: total laparoscopic hysterectomy(TLH)
* Procedure: total abdominal hysterectomy(TAH)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: undergone hysterectomies for benign reasons. Exclusion Criteria: malignancy, additional operation beside hysterectomy( such as salpingo-oophorectomy), history of two or more previous caesarean sections, history of previous abdominal surgery, autoimmune disease, coagulation disorders, with known systemic or psychiatric disease, those receiving any regular sedative medication at the time of the procedure

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: total laparoscopic hysterectomy(TLH)<br>Each patient's anxiety was measured using Spielberger's State-Trait Anxiety Inventory immediately before, immediately after the operation. | Behavioral: Spielberger's State-Trait Anxiety Inventory(STAI )<br>* State anxiety (STAI-S) refers to a temporary emotional state related to a specific situation, whereas trait anxiety (STAI-T) represents anxiety as a relatively stable personality character. Each scale has values ranging from 20 to 80, with higher scores representing more severe anxiety. The STAI has no established categories, but a cutoff score of 40 has been used to identify patients with high/very high anxiety. The validity and reliability of the Turkish versions of these instruments have been validated.<br>Procedure: total laparoscopic hysterectomy(TLH)<br> <br> |
| Experimental: total abdominal hysterectomy(TAH)<br>Each patient's anxiety was measured using Spielberger's State-Trait Anxiety Inventory immediately before, immediately after the operation. | Behavioral: Spielberger's State-Trait Anxiety Inventory(STAI )<br>* State anxiety (STAI-S) refers to a temporary emotional state related to a specific situation, whereas trait anxiety (STAI-T) represents anxiety as a relatively stable personality character. Each scale has values ranging from 20 to 80, with higher scores representing more severe anxiety. The STAI has no established categories, but a cutoff score of 40 has been used to identify patients with high/very high anxiety. The validity and reliability of the Turkish versions of these instruments have been validated.<br>Procedure: total abdominal hysterectomy(TAH)<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| STAI-S's Inventory |  | change from immediately before operation to immediately after the operation. | 
| STAI-T's Inventory |  | change from immediately before operation to immediately after the operation. |