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Nurse Anesthesist Assessment of Patient Preoperative Anxiety (EVALANXI)

Assessment of Patient Preoperative Anxiety by Nurse Anesthetist

Preoperative anxiety is a major concern for patients who undergo surgery. To accurately identify anxious patient is therefore crucial to improve perioperative patient care. Preoperative anxiety remain highly difficult to quantify in current practice. Many patient fail to express their anxiety and the assessment of the level of anxiety is mainly based on heteroevaluation by caregivers. Nurse anesthetists provide closed support to patient prior to the induction of anesthesia. The aim of the study is to assess whether nurse anesthetist accurately assess patient preoperative anxiety from arrival to the operating room to the induction of anesthesia.

研究概览

地位

完全的

详细说明

EVALANXI is a single-center prospective observational study. The main objective of the study is to assess whether the assessment of preoperative anxiety by nurse anesthetist (hetero-assessment) accurately estimate the level of anxiety reported by the patient from arrival to the operating room to the induction of anesthesia (self-assessment).

研究类型

观察性的

注册 (实际的)

40

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Besançon、法国、25000
        • CHU de Besançon

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

是的

有资格学习的性别

全部

取样方法

非概率样本

研究人群

Patient undergoing general anesthesia and the corresponding nurse anesthetist in charge of the patient.

To avoid any learning effect, each nurse can only participate once in the study

描述

Patient Inclusion Criteria:

  • Age > 18 years old
  • Patients with ASA 1, ASA 2 ou ASA 3
  • Patients undergoing planned surgery with general anesthesia

Patient Exclusion Criteria:

  • Age <18
  • Refusal, inability to oral consent
  • Cardio-thoracic surgery or emergency surgery
  • Patient with dementia, medically diagnosed psychiatric disorder, inability to answer questions

Nurse anesthetist Inclusion Criteria:

  • Nurse anesthesis in charge of the corresponding patient

Nurse anesthetist Exclusion Criteria:

  • Assessment of the preoperative anxiety of a previously included patient

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

队列和干预

团体/队列
干预/治疗
PATIENT group
Adult patients shedule for general anesthesia

Anxiety assessment : Numeric rating scale (patient and caregiver), APAIS scale (patient), Covi Scale (Caregiver)

Verbalization : anesthesia-related concerns (expressed by patient and considered by caregiver)

NURSE group
Nurse anesthesist in charge of the corresponding patient

Anxiety assessment : Numeric rating scale (patient and caregiver), APAIS scale (patient), Covi Scale (Caregiver)

Verbalization : anesthesia-related concerns (expressed by patient and considered by caregiver)

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
Comparison of preoperative anxiety level expressed by the patient (self-assessment) with that estimated by murse anesthetist (hetero-assessment)
大体时间:Self- and hetero-assessment will be performed peroperatively during the period from arrival in the operating room to the induction of general anesthesia.
Agreement between patient's Numeric Rating Scale (NRS from 0 to 10) and nurse anesthetist NRS (kappa coefficient)
Self- and hetero-assessment will be performed peroperatively during the period from arrival in the operating room to the induction of general anesthesia.

次要结果测量

结果测量
措施说明
大体时间
Patient anxiety self assessment : NRS (from 0 to 10) versus Amsterdam Preoperative Anxiety and Information (APAIS) scale (from 6 to 30)
大体时间:Self- and hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.
correlation between NRS and APAIS scale
Self- and hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.
Patient's Anxiety assessment by caregiver : NRS (from 0 to 10) versus Covi scale from 3 to 15) (Lipman & Covi 1976)
大体时间:Self- and hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.
correlation between NRS and Covi scale
Self- and hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.
Reliability of hetero-assessment performed by caregiver
大体时间:Hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.
sub group analysis based on nurse anesthetist professional experience
Hetero-assessment will be performed preoperatively during the period from arrival in the operating room to induction of general anesthesia.
Anesthesia-related concerns
大体时间:Anesthesia-related concerns observed by the patient and the corresponding nurse anesthetist will be collected preoperatively from arrival in the operating room to induction of general anesthesia.
Comparison between the patient's expression and caregiver's estimate
Anesthesia-related concerns observed by the patient and the corresponding nurse anesthetist will be collected preoperatively from arrival in the operating room to induction of general anesthesia.

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2021年2月8日

初级完成 (实际的)

2021年7月31日

研究完成 (实际的)

2021年7月31日

研究注册日期

首次提交

2021年2月9日

首先提交符合 QC 标准的

2021年2月9日

首次发布 (实际的)

2021年2月12日

研究记录更新

最后更新发布 (实际的)

2021年8月20日

上次提交的符合 QC 标准的更新

2021年8月19日

最后验证

2021年8月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

未定

药物和器械信息、研究文件

研究美国 FDA 监管的药品

研究美国 FDA 监管的设备产品

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

Pre operative assessment的临床试验

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