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Relationship between Preoperative Anxiety and Urinary Catecholamine Levels Examination with Respect to Surgery Acceptance Ryoko Nemoto 1 1Division of Clinical Nursing, Department of Nursing, Yamagata University School of Medicine pp.207-220
Published Date 1998/6/15
DOI https://doi.org/10.11477/mf.1681900453
  • Abstract
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 This study serially evaluated the psychological state and physiological response in patients prior to surgery and investigated the association of these parameters with surgery acceptance and psychological and physical factors.

 In 51 adult patients scheduled for surgery on the digestive system, the anxiety score and daily total urinary excretion of catecholamine were measured 3 days and one day before surgery. Surgery acceptance was investigated by interview the day before surgery.

 As a result, noradrenaline levels were significantly reduced the day before surgery compared to those 3 days before surgery. There were no significant decreases in adrenaline or anxiety. In approximately 70% of patients, urinary catecholamine levels prior to surgery correlated with anxiety scores. In 43% of patients, both values were decreased the day before surgery. Surgery acceptance was highest and both values were increased in 30% of patients. Either of the two values was increased in 27% of patients. Compared to that in the group showing increased in both values, surgery acceptance was significantly lower in all other groups. In groups with lower degrees of surgery acceptance, there were slightly higher proportions of patients with progression of clinical stage, those undergoing additional surgery for relapse, and those requiring artificial anus. These findings suggest that it would be useful to provide nursing and assistance to improve surgery acceptance and relieve preoperative anxiety.


Copyright © 1998, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1405 印刷版ISSN 0022-8370 医学書院

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