Authors (including presenting author) :
Fung KY(1), Po YM (1)
Affiliation :
(1) Tseung Kwan O Hospital
Keyword 1: :
Preoperative Video
Keyword 3: :
Anxiety Management
Keyword 4: :
Community Collaboration Program
Introduction :
Preoperative anxiety (PA) represents a significant challenge in day surgery settings, affecting patients' psychological and physiological well-being preoperatively. This anxiety often stems from uncertainties about the surgical journey and can manifest through various symptoms, including insomnia, pain, nausea, vomiting, and neurocognitive dysfunction.
Objectives :
This study aimed to collaborate with NGO (Play-right) to design a pediatric version video, evaluate the effectiveness of a preoperative orientation video in reducing anxiety levels among day surgery patients at Tseung Kwan O Hospital Day Surgery Centre (TKOH DSC).
Methodology :
Patients scheduled for elective day surgery at TKOH DSC were recruited. Anxiety levels were assessed using both the Amsterdam Preoperative Anxiety and Information Scale (APAIS) and the State-Trait Anxiety Inventory (STAI). Patients were shown an orientation video designed to familiarize them with the perioperative environment and procedures. The pediatric version video was collaborated with NGO (Play-right). Data analysis was conducted by using SPSS version 27.
Result & Outcome :
39 patients were recruited. Results demonstrated that over 40% of patients initially presented with medium to high levels of preoperative anxiety according to STAI measurements. Following the video intervention, significant reductions in anxiety levels were observed. The STAI and The APAIS mean scores showed a statistically significant decrease as the following: the STAI mean scores decreased from 39.72 to 35.36 (p< .001), the Anesthesia-related-anxiety mean scores decreased from 3.87 to 3.21 (p=.003), the Surgery-related-anxiety mean scores decreased from 4.28 to 3.36 (p< .001) and the Information-desire-component mean scores decreased from 4.64 to 3.67 (p=.002). The study revealed that the prevalence of anxiety among TKOH DSC patients was moderate, and the implementation of the on-day admission orientation video proved effective in reducing anxiety levels. The video not only enhanced patient’s adaptability of the perioperative setting, but also improved their satisfaction peri-operatively as over 80% of patients rated 8 out of 10 about the adaptability and satisfaction levels. This intervention not only helps reduce patient anxiety but also potentially improves overall perioperative satisfaction and the quality of patient care.
