Abstract

ANXIOLYTIC NEEDED FOR ELECTIVE PRE-OPERATIVE PATIENTS IN CONTROL OF ANXIETY AND DEPRESSION.

Sudipta Sil*, Tanima Saha, Swapan Kumar Dutta, Sandip Mukhopadhaya, Uttam Kumar Roy and Supreeti Biswas.

ABSTRACT

Introduction and objectives: High levels of preoperative anxiety and depression have unfavourable effects on induction, maintenance and recovery from anaesthesia. There is a need to assess the anxiety and depression to understand the experience of sufferings in the hospital setting. So, a study was planned to determine the effect of anxiolytics used preoperatively in patients admitted for planned surgical procedures. Methodology: In this prospective observational study adult patients of either sex scheduled to undergo planned surgery were selected randomly for a period of three months in two groups: Group A (control) patients did not receive any anxiolytic and group B (case) patients received anxiolytics preoperatively at night before the day of surgery. All eligible patients completed a questionnaire (Hospital Anxiety and Depression score) in the morning of their surgical operations. The questionnaire, having both anxiety and depression domains contains a list of questions which were asked to the patients and scorings was done accordingly. HADS score of two groups were compared using independent t-test. All statistical analyses were carried out using the IBM-SPSS ver.20 data processing software. Result: Total 613 patients are obtained. Among them 203 (33%) were in group A (received no anxiolytic) and 410 (67%) in group B (received anxiolytic). There was statistically significant difference in mean score between case and control groups. Conclusion: Preoperative anxiety and depression were common which were ameliorated by anxiolytics. So surgeons and anaesthetics should be aware of personal anxiety of patients.

Keywords: Anxiety, depression, HADS.