The effects of anesthesia procedures in preoperative and postoperative anxiety and pain levels in perianal surgery patients

Objective: Surgical operations and general anesthesia are the procedures that cause anxiety which means the person's worries and fears about life. Preoperative anxiety may increase the morbidity and mortality rates and requirement of anesthesia. The aim of this study is to evaluate the effects of the anesthesia procedures in pre and post-operative anxiety state and the level of pain for the day-case patients who need perianal surgery. Material and methods: The State and Trait Anxiety Inventory (STAI-S and STAI-T), Anesthesia Anxiety Inquiry, Amsterdam Preoperative Anxiety and Information Scale (APAIS) were used in pre-operative period and Visual Analog Scale for pain and STAI-S were used in post-operative period to evaluate the pre and post-operative anxiety status and post-operative pain levels. Results: In this study we found that preoperative STAI-S, T, and postoperative VAS averages are higher in women. In pre and postoperative periods no difference was found in anesthesia methods concerning the axiety tests, but a slight difference between regional and general anesthesia methods came out concerning patient's anxiety and postoperative pain. In general anesthesia group, anesthesia anxiety survey average and VAS measurements are much higher than the regional anesthesia group. Conclusion: Elimination of the patient's fear and anxiety and giving an accurate information to the patient who undergoes anesthesia, there will be less anxiety and less pain in postoperative period.