title: [Effects of using an information leaflet in reducing perioperative anxiety and pain in patients undergoing urological surgery].
abstract: BACKGROUND
  The preoperative anxiety state is mainly caused by the fear of the circumstances surrounding the intervention. Anxiety causes increased postoperative pain, and a prolonged length of stay in hospital, which directly affect the cost of care.
  
  
  OBJECTIVE
  To evaluate the effects of providing an anaesthesia information leaflet on postoperative anxiety and pain in patients undergoing urological surgery in the Miguel Servet Hospital.
  
  
  METHODS
  A prospective quasi-experimental study of 100 cases, 51 of whom made up the intervention group who received the information leaflet, with the remaining 49 cases being in the control group. The Hospital Anxiety and Depression Scale and the visual analogue scale for pain were assessed in both groups, before and after surgery.
  
  
  RESULTS
  Of the 100 patients, 72% were male and 28% female, with an average age of 67.3 years (standard deviation, 9.7). In the intervention group, 21.6% showed anxiety before surgery and 0% in the postoperative period. In the control group 30.6% presented anxiety during the preoperative period and 4% in the postoperative period (χ(2) Pearson 5.20, P=.023). The study showed a direct relationship between preoperative anxiety and postoperative pain (χ(2) Pearson 10.519, P=.001).
  
  
  CONCLUSIONS
  Good information about the surgical process reduces anxiety levels in the postoperative period.
authors.affiliation: Enfermera de Quirófano Urología, Hospital Universitario Miguel Servet, Zaragoza, España. Electronic address: menchumiguelromeo@gmail.com.
authors.forename: M Carmen
authors.initials: MC
authors.lastname: Miguel Romeo
authors.affiliation: Enfermera quirófano, Hospital Royo Villanova, Zaragoza, España.
authors.forename: Lorena
authors.initials: L
authors.lastname: Sagardoy Muniesa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control*; D010353:Patient Education as Topic; D011300:Preoperative Care / Q000379:methods*; D011446:Prospective Studies; D013520:Urologic Surgical Procedures
keywords: Ansiedad postoperatoria; Ansiedad preoperatoria; Dolor postoperatorio; Dolor preoperatorio; Información preoperatoria; Postoperative anxiety; Postoperative pain; Preoperative anxiety; Preoperative information; Preoperative pain
vernacular_title: Efectos del uso de un tríptico informativo en la reducción de la ansiedad y el dolor perioperatorios en pacientes intervenidos de patología urológica.