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A preoperative theatre visit to reduce the anxiety: A randomized controlled trial at Colombo South Teaching Hospital
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  • Madura Jayawardane,
  • K.C.D.P Silva,
  • Indunil Piyadigama,
  • Ranawakage Don Jeewantha Ranawaka,
  • Liyanarachichige Praveen Upamal Samarawickrama
Madura Jayawardane
University of Sri Jayewardenepura Faculty of Medical Sciences

Corresponding Author:[email protected]

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K.C.D.P Silva
University of Sri Jayewardenepura Faculty of Medical Sciences
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Indunil Piyadigama
University of Sri Jayewardenepura Faculty of Medical Sciences
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Ranawakage Don Jeewantha Ranawaka
University of Sri Jayewardenepura Faculty of Medical Sciences
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Liyanarachichige Praveen Upamal Samarawickrama
University of Sri Jayewardenepura Faculty of Medical Sciences
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Abstract

Objective Hypothesis: Exposure of the patient to a theatre setting prior to surgery reduced the preoperative anxiety and adverse outcomes. Design: Single-center randomized controlled trial Setting: Professorial Gynecology Unit, Colombo South Teaching Hospital, Sri Lanka Sample: 64 adult patients. Methods: The patients were randomized and the intervention arm was given a pre-operative visit with an informative session regarding the surgery. These patients were assessed using an interviewer-administered questionnaire. The Statistical Package for Social Sciences (SPSS-17) was used to analyze the data. Main Outcome measures: Anxiety level before surgery, at the time of surgery and post-surgery, pre-induction parameters, and pain score. Results APAIS average combined anxiety level before the intervention was 10.19 ± 3.872 for the intervention group and 10.53 ± 4.303 for the control. This is on the day of the surgery after the intervention was 8.25 in the intervention group and 8.75 in the control. The reduction of anxiety as per HADS and VAS after surgery for the intervention group was 3.28 and 2.41 respectively, this is for control was 2.72 and 2.28. The pain score at 6 hours after surgery was 5.04 for the intervention group and 6.08 for the control. Conclusion Preoperative theatre visit prior to surgery made no significant difference in the patient’s anxiety, though a trend in reduction of pain and anxiety noted. Trial Registration Sri Lankan Clinical Trial Registry (Registration No: SLCTR/2019/015) https://slctr.lk/trials/slctr-2019-015.