Non-pharmacologic Approaches in Preoperative Anxiety, a Comprehensive Review

Frontiers in Public Health

article

Rulin Wang¹  Xin Huang²  Yuan Wang²  Masod Akbari³ 

[1] Medical College, Xijing University;Department of Psychiatry, Wuhan Fourth Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology;Research Center for Psychiatric Diseases, Tehran University of Medical Sciences

关键词: preoperative anxiety;    non-pharmacological;    cognitive-behavioral therapy;    aromatherapy;    relaxation;   

DOI  :  10.3389/fpubh.2022.854673

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

During the pre-operation period, surgical candidates experience situations that stimulate psychological anxiety leading to stress during and after surgery which is known as preoperative anxiety. This condition can cause psychological and physiological adverse effects on both children and adults. Due to the high prevalence and adverse effects of preoperative anxiety, different treatments have been evaluated including pharmacological and non-pharmacological approaches. As pharmacological treatments may cause adverse effects such as breathing problems, drowsiness, interfering with anesthetic drugs, and prolonged recovery, non-pharmacological interventions are becoming more popular. These methods include cognitive-behavioral therapy, music therapy, pre-op preparation video, aromatherapy, hypnosis, guided imagery relaxation therapy, and massage. In this study, the most popular non-pharmacological approaches to preoperative anxiety are reviewed focusing on more recent evidence provided by clinical studies. The reviewed clinical evidence on the mentioned methods shows the efficacy of non-pharmacological interventions for the treatment of preoperative anxiety, so they can be used in patients of different ages and types of disease and surgery.

【 授权许可】

CC BY