Clinical trial NCT04752423: Nurse Anesthesist Assessment of Patient Preoperative Anxiety
Official title: Assessment of Patient Preoperative Anxiety by Nurse Anesthetist
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Anxiety
Anesthesia, General
Keywords: Preoperative anxiety
Concordance
Self-assessment assessment of anxiety
Nurse anesthesist hetero-assessment of anxiety
Lead sponsor: Centre Hospitalier Universitaire de Besancon
Sponsor class: OTHER
First posted: 2021-02-12
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: 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

Brief summary: 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.

Detailed description: 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).

Eligibility criteria: Patient Inclusion Criteria:

* Age \> 18 years old
* Patients with ASA 1, ASA 2 ou ASA 3
* Patients undergoing planned surgery with general anesthesia

Patient Exclusion Criteria:

* Age \<18
* Refusal, inability to oral consent
* Cardio-thoracic surgery or emergency surgery
* Patient with dementia, medically diagnosed psychiatric disorder, inability to answer questions

Nurse anesthetist Inclusion Criteria:

* Nurse anesthesis in charge of the corresponding patient

Nurse anesthetist Exclusion Criteria:

* Assessment of the preoperative anxiety of a previously included patient

Primary outcomes:
measure: Comparison of preoperative anxiety level expressed by the patient (self-assessment) with that estimated by murse anesthetist (hetero-assessment)
timeFrame: Self- and hetero-assessment will be performed peroperatively during the period from arrival in the operating room to the induction of general anesthesia.
Secondary outcomes:
measure: Patient anxiety self assessment : NRS (from 0 to 10) versus Amsterdam Preoperative Anxiety and Information (APAIS) scale (from 6 to 30)
timeFrame: Self- and hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.
measure: Patient's Anxiety assessment by caregiver : NRS (from 0 to 10) versus Covi scale from 3 to 15) (Lipman & Covi 1976)
timeFrame: Self- and hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.
measure: Reliability of hetero-assessment performed by caregiver
timeFrame: Hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.
measure: Anesthesia-related concerns
timeFrame: 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.
Other outcomes:
Locations:
city: Besançon
country: France
facility: CHU de Besançon
Study officials:
References: