Effects of Preoperative Operating Room Environment Presentation in Hypertensive Patients
The Effects of the Preoperative Operating Room Environment Presentation on Preanesthetic Anxiety and Blood Pressure in Hypertensive Patients: A Prospective, Randomized Controlled Trial
研究概览
详细说明
Procedure to be Applied:
In order to eliminate the other factors that cause essential HT, the patients' blood pressure due to HT should be controlled, the surgery will be planned as the first case in the morning and the patients will need 8 hours fasting period.
Patients' gender, age, height, weight values, ASA scores, body mass index (BMI) values will be recorded. Hemodynamic parameters (blood pressure, heart rate and SpO2 values) will be recorded in the services of the patients, in the preop unit and in the operation room. Hypertension requiring intervention or additional medication will be excluded from the study. A randomized number of patients will be included in the study according to the results of power analysis.
Introduction of the operating room environment (IORE): The procedure to be performed on the day of surgery will be simulated and accompanied by an anesthesiologist. The patient's hemodynamic data (blood pressure, pulse rate, respiratory rate, SpO2) will be measured at the time of operation, between 16: 00-18: 00 hours prior to the operation, and will be brought to the operating room with a service nurse. The hemodynamic data of the patient will be measured in the preop unit and the patient will be taken to the operating room with anesthesia doctor. Here, in addition to the patient's hemodynamic data, the instantaneous state anxiety scale (ST-STAI) will be completed and the patient will be left in service again. The procedure will be similar to the process that the patient will experience on the operation day.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Van、火鸡
- Van Yüzüncü Yıl University, Dursun Odabaş Medical Center
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- elective surgery
- informed consent,
- essential hypertension was diagnosed,
- Between the ages of 40-80,
- American Society of Anesthesiologists (ASA) class II-III
Exclusion Criteria:
- drug allergy,
- with a history of malignant hyperthermia,
- uncontrolled hypertension,
- cancer and psychological problems,
- patients with cardiac and endocrine diseases
- emergency surgery
学习计划
研究是如何设计的?
设计细节
- 主要用途:预防
- 分配:非随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
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有源比较器:Group IORE
This group will undergo the IORE procedure before surgery (operation).
On the day of surgery, the patient will be brought to the operating room by the anesthesiologist.
Hemodynamic data (blood pressure, pulse rate, respiratory rate, SpO2) will be measured at the service, preop unit and operating room.
The anxiety level in the operating room will be measured by the ST-STAI scale.
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This group will undergo the IORE procedure before surgery (operation).
On the day of surgery, the patient will be brought to the operating room by the anesthesiologist.
Hemodynamic data (blood pressure, pulse rate, respiratory rate, SpO2) will be measured at the service, preop unit and operating room.
The anxiety level in the operating room will be measured by the ST-STAI scale.
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无干预:Group NoIORE
The patient's hemodynamic data will be measured in the evening service before surgery.
The patient will be brought to the operating room by the anesthesiologist on the day of surgery and hemodynamic data (blood pressure, pulse rate, respiratory rate, SpO2) will be measured in the preop unit.
The hemodynamic data and the ST-STAI scale will measure the anxiety level in the operating room.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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anxiety
大体时间:1 day
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The patient's anxiety will be measured by instantaneous state anxiety scale (ST-STAI)
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1 day
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合作者和调查者
调查人员
- 学习椅:Nureddin Yüzkat、Yuzuncu Yil University Dursun Odabas Medical School Anesthesiology a nd Reanimation Department, Van, Turkey
出版物和有用的链接
一般刊物
- Kakinuma A, Nagatani H, Otake H, Mizuno J, Nakata Y. The effects of short interactive animation video information on preanesthetic anxiety, knowledge, and interview time: a randomized controlled trial. Anesth Analg. 2011 Jun;112(6):1314-8. doi: 10.1213/ANE.0b013e31820f8c18. Epub 2011 Feb 23.
- Shafer A, Fish MP, Gregg KM, Seavello J, Kosek P. Preoperative anxiety and fear: a comparison of assessments by patients and anesthesia and surgery residents. Anesth Analg. 1996 Dec;83(6):1285-91. doi: 10.1097/00000539-199612000-00027.
- Paterniti S, Alperovitch A, Ducimetiere P, Dealberto MJ, Lepine JP, Bisserbe JC. Anxiety but not depression is associated with elevated blood pressure in a community group of French elderly. Psychosom Med. 1999 Jan-Feb;61(1):77-83. doi: 10.1097/00006842-199901000-00013.
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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Group IORE的临床试验
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Centro Hospitalar do PortoUniversity of Trás-os-Montes and Alto Douro; Foundation for Science and Technology, Portugal; Institute...招聘中
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Amsterdam UMC, location VUmcRed Cross Hospital Beverwijk完全的
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Case Western Reserve UniversityNational Institutes of Health (NIH); American Heart Association完全的
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Northern Illinois UniversityUniversity Autonoma de Santo Domingo终止