Efficacy of nonpharmacologic interventions in preoperative anxiety: A systematic review of systematic reviews.
anxiety
comparative effectiveness research
music therapy
nursing
preoperative care
systematic review
virtual reality exposure therapy
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
revised:
17
04
2023
received:
29
01
2023
accepted:
25
04
2023
medline:
21
8
2023
pubmed:
7
5
2023
entrez:
7
5
2023
Statut:
ppublish
Résumé
Evidence suggests that preparing patients for surgery using nonpharmacological strategies reduces their anxiety. However, there is no consensus on what the best practices are. This study aims to answer the question: Are interventions using nonpharmacological therapies effective in reducing preoperative anxiety? Preoperative anxiety causes physiological and psychological adverse effects, with a negative effect on postoperative recovery. According to the World Health Organization, between 266 and 360 million surgical procedures are performed annually worldwide, and it is estimated that more than 50% of patients will experience some degree of preoperative anxiety. Systematic review of systematic reviews with results of interventions aimed at mitigating preoperative anxiety. A search was conducted for systematic reviews with meta-analyses published between 2012 and 2021 in Medline, Scopus, Web of Science and Cochrane Library. Quality was assessed using the AMSTAR-2 scale. The protocol was registered in PROSPERO. A total of 1016 studies were examined, of which 17 systematic reviews were selected, yielding 188 controlled trials with 16,884 participants. In adults, the most common intervention included music, followed by massage, in children virtual reality and clowns. Almost all controlled trials reported a reduction in preoperative anxiety after the intervention, of which almost half had statistically significant results. Interventions that include music, massage and virtual reality reduce preoperative anxiety and have shown that they are cost-effective, minimally invasive and with a low risk of adverse effects. Preoperative anxiety can be reduced through a short-term intervention involving nursing professionals as an alternative or complement to drugs. This review suggests that nursing professionals, in collaboration with other health professionals, should continue to conduct research on the reduction in preoperative anxiety. Further research in this area is needed, to reduce heterogeneity and consolidate the results. Not applied to our study, as it is a systematic review of systematic reviews.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
Evidence suggests that preparing patients for surgery using nonpharmacological strategies reduces their anxiety. However, there is no consensus on what the best practices are. This study aims to answer the question: Are interventions using nonpharmacological therapies effective in reducing preoperative anxiety?
BACKGROUND
BACKGROUND
Preoperative anxiety causes physiological and psychological adverse effects, with a negative effect on postoperative recovery.
INTRODUCTION
BACKGROUND
According to the World Health Organization, between 266 and 360 million surgical procedures are performed annually worldwide, and it is estimated that more than 50% of patients will experience some degree of preoperative anxiety.
DESIGN
METHODS
Systematic review of systematic reviews with results of interventions aimed at mitigating preoperative anxiety.
METHODS
METHODS
A search was conducted for systematic reviews with meta-analyses published between 2012 and 2021 in Medline, Scopus, Web of Science and Cochrane Library. Quality was assessed using the AMSTAR-2 scale. The protocol was registered in PROSPERO.
RESULTS
RESULTS
A total of 1016 studies were examined, of which 17 systematic reviews were selected, yielding 188 controlled trials with 16,884 participants. In adults, the most common intervention included music, followed by massage, in children virtual reality and clowns. Almost all controlled trials reported a reduction in preoperative anxiety after the intervention, of which almost half had statistically significant results.
CONCLUSION
CONCLUSIONS
Interventions that include music, massage and virtual reality reduce preoperative anxiety and have shown that they are cost-effective, minimally invasive and with a low risk of adverse effects. Preoperative anxiety can be reduced through a short-term intervention involving nursing professionals as an alternative or complement to drugs.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
This review suggests that nursing professionals, in collaboration with other health professionals, should continue to conduct research on the reduction in preoperative anxiety. Further research in this area is needed, to reduce heterogeneity and consolidate the results.
NO PATIENT OR PUBLIC CONTRIBUTION
UNASSIGNED
Not applied to our study, as it is a systematic review of systematic reviews.
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Pagination
6229-6242Informations de copyright
© 2023 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
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