Qu L, Ma R, Ma YK, Zhao X, Jin J, Zhu QQ, Chen XY, Xu GP. Influence of preoperative comprehensive education on anxiety, depression, pain, and sleep in elderly patients operated under general anesthesia. World J Psychiatry 2024; 14(12): 1845-1853 [DOI: 10.5498/wjp.v14.i12.1845]
Corresponding Author of This Article
Gui-Ping Xu, MM, Doctor, Department of Anesthesia, People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Clinical Research Center for Anesthesia Management, No. 91 Tianchi Road, Tianshan District, Urumqi 830001, Xinjiang Uygur Autonomous Region, China. xgpsyl@yeah.net
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Dec 19, 2024; 14(12): 1845-1853 Published online Dec 19, 2024. doi: 10.5498/wjp.v14.i12.1845
Influence of preoperative comprehensive education on anxiety, depression, pain, and sleep in elderly patients operated under general anesthesia
Li Qu, Rui Ma, Yan-Kai Ma, Xuan Zhao, Jing Jin, Qian-Qian Zhu, Xue-Ying Chen, Gui-Ping Xu
Li Qu, Yan-Kai Ma, Xuan Zhao, Jing Jin, Qian-Qian Zhu, Xue-Ying Chen, Gui-Ping Xu, Department of Anesthesia, People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Clinical Research Center for Anesthesia Management, Urumqi 830001, Xinjiang Uygur Autonomous Region, China
Rui Ma, Department of Psychology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, Xinjiang Uygur Autonomous Region, China
Author contributions: Qu L, Ma R and Xu GP designed the study, collected and analyzed data, and wrote the manuscript; Qu L, Ma R, Ma YK, Zhao X, Jin J, Zhu QQ, Chen XY and Xu GP participated in the study’s conception and data collection; Qu L, Ma R and Xu GP participated in study design and provided guidance; All authors read and approved the final version.
Supported by the Autonomous Region Key R&D Program Project “Research on the Prevention and Treatment System and Key Technologies of Elderly Related Diseases", No. 2022B03009-4.
Institutional review board statement: This study was approved by the Ethic Committee of People’s Hospital of Xinjiang Uygur Autonomous Region (Approval No. KY2021031901).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gui-Ping Xu, MM, Doctor, Department of Anesthesia, People’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Clinical Research Center for Anesthesia Management, No. 91 Tianchi Road, Tianshan District, Urumqi 830001, Xinjiang Uygur Autonomous Region, China. xgpsyl@yeah.net
Received: September 25, 2024 Revised: October 26, 2024 Accepted: November 1, 2024 Published online: December 19, 2024 Processing time: 63 Days and 3.4 Hours
Abstract
BACKGROUND
Owing to the particularities of their physical characteristics, older patients undergoing surgery under general anesthesia experience great surgical traumas. Thus, exploring more refined and individualized nursing approaches is an urgent need to mitigate the negative effects of surgery on such patients.
AIM
To analyze the influence of preoperative comprehensive education on anxiety, depression, pain, and sleep in older patients who underwent surgery under general anesthesia.
METHODS
In total, 163 older adults who underwent surgery under general anesthesia between June 2022 and November 2023 were selected, 77 of them received routine nursing care (control group), and 86 received preoperative comprehensive education (research group). Subsequently, comparative analyses were performed from the following perspectives: Surgical indicators (operation time, time to complete regain of consciousness, and temperature immediately after the procedure and upon recovery from anesthesia) before and after nursing care; negative emotions [self-rating anxiety scale (SAS)/self-rating depression scale (SDS)]; pain severity [visual analog scale (VAS)]; sleep quality [Pittsburgh sleep quality index (PSQI)]; incidence of sleep disturbances (difficulties in falling asleep for the first time, falling asleep again after waking up frequently at night, falling asleep again after waking up early, and falling asleep all night); and incidence of adverse events (airway obstruction, catheter detachment, aspiration, and asphyxia).
RESULTS
The research group had significantly lower operation time and time to complete regain of consciousness than the control group after nursing care and markedly better recovery of postoperative body temperature and body temperature at awakening. In addition, more notable decreases in SAS, SDS, VAS, and PSQI scores were observed in the research group than in the control group. Furthermore, the incidence rate of sleep disturbance (8.14% vs 29.87%) and adverse events (4.65% vs 19.48%) were lower in the research group than in the control group.
CONCLUSION
Preoperative comprehensive education in older patients who underwent surgery under general anesthesia can improve postoperative indicators, effectively reduce the occurrence of anxiety and depression, alleviate postoperative pain, and improve sleep quality.
Core Tip: This study primarily analyzed the influence of preoperative comprehensive education on anxiety, depression, pain, and sleep in older patients who underwent surgery under general anesthesia to address the relatively greater surgical traumas endured by older patients owing to their particular physical characteristics. We conducted a comprehensive analysis from multiple dimensions, including surgical indicators, negative emotions, pain levels, sleep quality, incidence of sleep disturbances, and the incidence of adverse events. Providing comprehensive preoperative education to older patients undergoing surgery under general anesthesia can improve postoperative indicators, significantly reduce anxiety and depression, alleviate postoperative pain, and enhance patients’ sleep quality. Our findings can provide more optimized management options for older patients undergoing general anesthesia surgery.
