Does Preoperative Anxiety Affect Early Outcomes of Open-Heart Surgery? (original) (raw)
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Devotion Journal of Community Service
Anxiety is a negative or threatening emotion that a person feels in general, in the long term (anxiety trait), or in certain situations that fluctuates over time (anxiety state). The research method used is a systematic review conducted by looking for articles related to the assessment of factors supporting anxiety before surgery in cardiac surgery patients who do not have a history of postoperative anxiety and morbidity through an electronic database search, namely ProQuest, and Google Scholar conducted in June – August 2022. RESULTS AND DISCUSSION: Patients with preoperative heart surgery have a moderate-high level of anxiety with many influencing risk factors. The extent to which each patient manifests his or her preoperative anxiety depends on many factors such as the patient's susceptibility to preoperative anxiety, age, gender, past experience with surgery, educational status, type and degree of proposed surgery, current health status, and socioeconomic status. . Patients ...
Relationship of Patients’ Anxiety Levels Prior to Open Heart Surgery with Postoperative Symptoms
Sakarya üniversitesi holistik sağlık dergisi, 2022
Objective: It was aimed to assess the relationship between patients' anxiety levels before open heart surgery with postoperative pain, dyspnea, and nausea-vomiting in this study. Method(s): The study was performed between September 2017 and April 2018 with 77 patients who underwent open heart surgery after obtaining ethical approval. Before the surgery, the "Anxiety Specific to Surgery Questionnaire" and patient information forms were completed, while after the surgery, the "Visual Analogue Scale for Pain", the "Modified Borg Scale" andthe "Rhodes Index of Nausea, Vomiting, and Retching" were implemented within three days after the patients were discharged from the intensive care unit to follow-up services. Results: The average age of the patients was 58.63±11.85; 72.7% of the patients were male and 46.8% were overweight. The patients were determined to experience medium-level anxiety before open heart surgery. The total anxiety and nausea-vomiting-retching distress scores obtained by the females were higher than those obtained by the males. A positive statistical correlation was detected in mid-levels between pain and dyspnea and in low levels between pain and nausea-vomiting. Conclusion: The patients were determined to experience medium-level anxiety before open heart surgery, and it was found that there was no relationship between anxiety and pain, dyspnea, or nausea-vomiting.
Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery
Acta medica Lituanica, 2019
The study was conducted at the Centre of Anaesthesiology, Intensive Care and Pain Management of Vilnius University Hospital Santaros Klinikos. Background. Due to its implications on postoperative outcomes and patient satisfaction, anxiety evaluation should be incorporated in the preoperative assessment of the patients. Materials and methods. A series of consecutive patients undergoing elective surgery were included in the study. Preoperative anxiety was evaluated using the Hospital Anxiety and Depression Scale (HADS), the Amsterdam Preoperative Anxiety and Information Scale (APAIS), and the Visual Analogue (Face) Scale (VAFS). Qualitative and quantitative analyses were used to describe features of anxiety. Results. 149 patients were included in the study, of whom 40.9% were scheduled for low, 47.7% for intermediate, and 11.4% for highrisk procedures. Based on HADS, 19 patients (12.6%) were positive for anxiety. VAFS revealed that 10.3% of patients experience medium/high intensity of...
Preoperative anxiety in candidates for heart surgery
Iranian journal of psychiatry and behavioral sciences, 2014
The goal of this study was to evaluate preoperative anxiety and its predisposing factors in a group of adult patients who were candidate for any kind of heart surgery. We evaluated preoperative anxiety in 300 patients undergoing heart surgery whose ages ranged between 18-65 years. Relationship of probable demographic factors like gender, educational level, marital status, number of children, family support, opium addiction, occupational status, and left ventricular ejection fraction (LVEF) with anxiety level of the patients were evaluated. To determine anxiety, the State-Trait Anxiety Inventory (STAI) was completed by the subjects. Descriptive anxiety levels showed that mean of state and trait anxiety of our studied patients were in moderate scaling. Correlation between state and trait anxiety was more prominent in females (r = 0.80) than in males (r = 0.70) (p < 0.001). Distribution of males and females was significantly different (p = 0.048). All the patients had significantly ...
Predictors of pre- and postoperative anxiety in emergency surgery patients
Journal of Psychosomatic Research, 2003
Objective: Emergency surgery is a highly stressful life event. Patients experience distressing anxiety both before and after surgery and this anxiety affects their recovery process. The aim of the present study is to examine variables related to pre-and postoperative anxiety in emergency surgery patients. Methods: The sample consisted of 146 emergency surgery patients who had abdominal surgery in an emergency surgery clinic. The research instruments were administered before and after the surgery. State Anxiety Inventory (STAI-A State), Anxiety Specific to Surgery Questionnaire (ASSQ), a scale tapping fears and worries specific to surgery developed for the present study, Ways of Coping Inventory (WCI), and the Multidimensional Scale of Perceived Social Support (MSPSS) were administered. Data analysis: Data were analyzed by using the appropriate programs of the Statistical Package for the Social Sciences (SPSS). Results: There was a significant drop in anxiety from the pre-to the postoperative period. Female patients had higher preoperation anxiety than males. Females and males did not differ in anxiety at the postoperation period. Being female, waiting for primary suture for peptic ulcer perforation operation, and helplessness and selfblaming coping appeared as significant predictors of anxiety specific to surgery. Being female and awaiting for primary suture for peptic ulcer perforation were significant predictors of preoperative state anxiety. Finally, years of education were negatively and use of active coping was positively related to postoperative state anxiety. Conclusion: Patient sociodemographic and psychological characteristics and type of surgery need to be considered for identifying patients at risk of experiencing anxiety both before and after surgery and psychological support and clinical management needs to be tailored to the needs of the patients to alleviate their anxiety.
A cross-sectional study on preoperative anxiety in adults
Journal of Psychosomatic Research, 2018
The main objective of this study was a detailed comparison of the level of anxiety about surgery and anesthesia. Other objectives included the assessment of the prevalence and intensity of preoperative anxiety. Methods: This cross-sectional single-center survey used the validated Amsterdam anxiety and information scale (APAIS) and a modified numeric rating scale (mNRS) to assess preoperative anxiety, anxiety about surgery and anxiety about anesthesia. Prevalences and intensities of anxieties were predominantly analyzed descriptively. Results: 3200 patients were enrolled and 3087 (57% females) were analyzed. 92.6% reported preoperative anxiety according to APAIS scores. The average total APAIS anxiety score (APAIS-AT) was 9.9 (SD 3.6). 40.5% reported high anxiety (defined as APAIS-AT > 10). Mean anxiety about surgery (APAIS-A-Su) was higher than mean anxiety about anesthesia (APAIS-A-An): 5.5 (SD 2.1) vs. 4.3 (SD 1.9), p < 0.0001. Accordingly, more patients were substantially more afraid (score difference > 2) of surgery (642, 20.8%, 95% CI 19.4-22.3) than of anesthesia (48, 1.6%, 95% CI 1.2-2.1). Conclusion: Preoperative anxiety is still very common among adult patients scheduled to undergo an elective procedure. Therefore, it should be evaluated routinely. Anxiety about surgery and anxiety about anesthesia differ in many patients. For this reason, anxiety about surgery and anxiety about anesthesia should be assessed separately. This would allow providing a more individualized support of patients to cope with their anxiety and could require particular attention by the surgeon or the anesthetist.
Factors Affecting the Anxiety Level of Pre-Surgical Patients in Hospital
Jurnal Riset Kesehatan
A surgical procedure may induce psychological reactions in patients, including pre-surgical anxiety. Pre-surgical anxiety can influence the surgical process and patients’ health status after the surgery. Mild, moderate, and severe anxiety are some of the psychological responses to surgical procedures. Patients' anxiety before surgery is affected by internal and external factors. 30 respondents had the most anxiety levels of moderate preoperative patients, with 12 respondents (40%) and 18 respondents (60%) having surgical with mild preoperative anxiety levels. There were 25 respondents with less knowledge. There were 16 respondents (64%) with mild anxiety levels and 9 (36%) with moderate anxiety levels. 55 respondents with high family support, there were 48 respondents (87.3%) with moderate anxiety levels, there were 5 respondents (7.4%) with severe anxiety levels and 2 respondents (3.6%) with mild anxiety levels. The exact cause of anxiety is unknown, but it is thought to factor...
Pre-Operative Depression and Anxiety in Patients Undergoing Open-Heart Surgery
Indonesian Journal of Physical Medicine and Rehabilitation
Introduction: Cardiac disease and mental health are two related disorders and often co-exist together. As one of the interventions to manage patients with cardiac diseases, the heart surgical procedure also correlated with depression and anxiety which will interfere with the prognosis. This study aimed to know the incidence of depression and anxiety in patients before undergoing open-heart surgery at Dr. Hasan Sadikin General Hospital (RSHS) Bandung. Methods: This study was a case series using primary data from patients and secondary data from medical records. Subjects were adult patients who will undergo open-heart surgery at RSHS Bandung. Data collection was started from November to December 2019. Variables assessed were depression and anxiety. Demographic profiles (age, gender, occupation, education, and marital status), as well as medical profiles (underlying disease, comorbidity, and type of surgical procedure), were also obtained. Results: Seven subjects will undergo open-hear...
Psychosomatic Medicine, 2007
Objective: To explore the long-term effect of anxiety and depression on outcome after cardiac surgery. To date, the relationship between psychosocial factors and future cardiac events has been investigated mainly in population-based studies, in patients after cardiac catheterization or myocardial infarction. Methods: In total, 180 patients who underwent cardiac surgery using cardiopulmonary bypass were prospectively studied and followed up for 4 years. Anxiety (Spielberger State-Trait Anxiety Inventory, STAI-S/STAI-T), depression (Beck Depression Inventory, BDI), living alone, and education level along with clinical risk factors and perioperative characteristics were assessed. Psychological self-report questionnaires were completed preoperatively and 6, 12, 24, 36, and 48 months after discharge. Clinical end-points were mortality and cardiac events requiring hospitalization during follow-up. Results: Average preoperative STAI-T score was 44.6 Ϯ 10. Kaplan-Meier analysis showed a significant effect of preoperative STAI-T Ͼ45 points (p ϭ .008) on mortality. In multivariate models, postoperative congestive heart failure (OR: 10.8; 95% confidence interval [CI]:2.9 -40.1; p ϭ .009) and preoperative STAI-T (score OR: 1.07; 95% CI: 1.01-1.15; p ϭ .05) were independently associated with mortality. The occurrence of cardiovascular hospitalization was independently associated with postoperative intensive care unit days (OR: 1.41; 95% CI: 1.01-1.96; p ϭ .045) and post discharge 6th month STAI-T (OR: 1.06; 95% CI:1.01-1.13; p ϭ .03). Conclusions: The results of the present study suggest that the assessment of psychosocial factors, particularly the ongoing assessment of anxiety, could help in risk stratification and identification of patients at risk of mortality and cardiovascular morbidity after cardiac surgery.
Revista Latino-Americana de Enfermagem
Objective to investigate the associations of preoperative anxiety and depression symptoms with postoperative complications and with sociodemographic and clinical characteristics of patients submitted to the first coronary artery bypass graft. Method observational, analytical and longitudinal study. A consecutive non-probabilistic sample consisted of patients submitted to coronary artery bypass graft. To evaluate the symptoms, the Hospital Anxiety and Depression Scale was used. tracheal intubation for more than 48 hours, hemodynamic instability, sensorineural deficit, agitation, hyperglycemia, infection, nausea, vomiting, pain and death were classified as complications. The Mann-Whitney and Spearman Correlation tests were used, with a significance level of 0.05. Results a total of 75 patients participated. The group that presented hemodynamic instability in the postoperative period had a greater median for the anxiety symptoms (p = 0.012), as well as the women (p = 0.028). The median...