title: [Anaesthesiological experience and factoid public information - effects, interactions and possible strategies for perioperative stress reduction].
abstract: BACKGROUND
  Preoperative stress influences perioperative complications. Their severity is influenced by advanced information and previous experience. This study evaluates the emotional effects of these factors.
  
  
  METHODS
  In a prospective observational study we documented existing anaesthesiological pre-information and previous experience of 461 patients (255 w/206 m) individually. In addition, we recorded the affective emotional condition of each patient before and after the premedication visit via a visual analogue scale (VAS) and a test of current stress (KAB).
  
  
  RESULTS
  248 patients had previous anaesthesiological pre-information. Of those 61 were of a negative nature. These patients showed a significantly higher level of stress and anxiety compared to those with positive information. 41 of 388 patients reported bad experiences with increased anxiety and stress. The premedication visits caused a significant attenuation of the overall stress level in patients with negative experience/information.
  
  
  CONCLUSIONS
  During the individual premedication visit, patients should be asked directly about negative pre-information and perioperative experience. Thus the conversation can be customised to the individual stress factors and show empathy as well. Independent of any medical intervention, this approach can be an effective contribution to stress reduction.
authors.affiliation: Abteilung für Anästhesie und Intensivtherapie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Marburg. aust@staff.uni-marburg.de
authors.forename: H
authors.initials: H
authors.lastname: Aust
authors.forename: A
authors.initials: A
authors.lastname: Borgert
authors.forename: V
authors.initials: V
authors.lastname: Vogelsang
authors.forename: M
authors.initials: M
authors.lastname: Zoremba
authors.forename: W
authors.initials: W
authors.lastname: Höltermann
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000758:Anesthesia / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000706:statistics & numerical data*; D019990:Perioperative Care / Q000523:psychology / Q000706:statistics & numerical data; D011292:Premedication / Q000523:psychology* / Q000706:statistics & numerical data; D011300:Preoperative Care / Q000523:psychology* / Q000706:statistics & numerical data; D015995:Prevalence; D018570:Risk Assessment; D013315:Stress, Psychological / Q000453:epidemiology* / Q000517:prevention & control* / Q000523:psychology; D055815:Young Adult