Pathological fear or dread free#
Some find it as relief as they are going to have a disease free life. Different patient react perioperative periods in different ways. It fluctuates over time starting prior to the surgery and persists until the late postoperative period. The extent of anxiety levels varies individually. Psychological response to perioperative anxiety The day of admission can also be very stressful, as patients have to cope with both the stress of hospitalization and the anxiety about the impending surgery. found that patients receiving better preanesthetic information during the visit with the anesthesiologist showed reduced rates of anxiety compared to those who did not receive it. Lack of adequate and timely information to patients during the pre-anesthetic consultation increases patient anxiety.
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Factors related to perioperative anxietyįactors responsible for preoperative fears depend on age, gender, single or divorce, education, uncertainty of the exact day of surgery, patient’s ability to understand the events that occur during surgical anesthesia, fear of surgery, separation from their family, financial loss, postoperative pain, fear of death and fear of unknown origin. The prevalence is higher ranging from 32% in a study done on patients awaiting general surgery to 50% in patients awaiting coronary artery bypass graft surgery (CABG) and the prevalence is similar or even higher in Asian population. The incidence of preoperative anxiety varies according to the setting of surgery, gender and motives for surgery. Perioperative period is a stressful event that triggers specific emotional, cognitive, and physiological responses of a patient.
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Anxiety occurs in any person in a transient or chronic form and can produce aggressive reactions that result in increased stress experienced by the patient, thus causing more difficult pain management in the postoperative period. Perioperative anxiety is described as a vague, uneasy feeling, the source of which is often nonspecific and unknown to the individual but known to cause abnormal hemodynamics as a consequence of sympathetic, parasympathetic and endocrine stimulation. It is often accompanied by restlessness, fatigue, problems in concentration, and muscular tension.
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Anxiety is the subjective unpleasant feelings of dread over something unlikely to happen, such as the feeling of imminent death.