"Avaliação do estado de ansiedade em pacientes submetidos a cirurgias eletivas sob regime ambulatorial ou sob regime de internação" / Evaluation of anxiety state in patients submitted to elective surgery in an outpatient or hospitalization regime

AUTOR(ES)

Patricia Bodnar Giuntini

DATA DE PUBLICAÇÃO

2006

RESUMO

Introduction. Anxiety is a normal feeling that prepares the organism for adverse situations. It is hard to quantify, but can be estimated through subjective scales like the visual analogue, behavioral and verbal scales or in an indirect objective way, using hemodynamic parameters or quantification of stress hormones in plasma or saliva. Outpatient surgeries entail lower costs and hospital infection rates. However, there is no sufficient data to affirm that non hospitalization provokes lower anxiety levels in patients. Objective. To quantify and compare anxiety levels between patients submitted to outpatient or inpatient surgery using scales, questionnaires and salivary cortisol measurement. Methods. We constituted two groups with 12 patients each: group RA, in which patients were subject to elective outpatient surgery and group RI, in which patients were hospitalized for elective surgery. All patients were assessed for anxiety on the evening before and on the day of surgery by applying Spielberger’s state-trait anxiety, the verbal and visual analogue scales and by quantifying salivary cortisol. We also evaluated hemodynamic behavior. Saliva samples were collected at two times: on the evening before and on the day of surgery. Saliva for cortisol measurement was collected on the seventh and eighth day after surgery to evaluate patients’ baseline rhythm. Results. When considering age and weight, demographic data were statistically identical between both groups. On the evening before surgery, no differences were found in terms of hemodynamic standards. On the day of surgery, we found higher diastolic blood pressure for group RA than for group RI. No differences were found between both groups for other hemodynamic parameters (systolic blood pressure and heart rate). The results of the Verbal Scale did not show any difference in anxiety between the groups, neither on the evening before nor on the day of surgery. When using the Visual Analogue Scale, outpatients presented higher anxiety scores than inpatients on the day of surgery. On Spielberger’s scale, trait-anxiety in both groups was similar, while outpatients revealed higher state-anxiety on the evening before surgery. No differences were found in salivary cortisol levels. Conclusion. Patients operated on in an outpatient regime present higher anxiety levels than patients hospitalized for surgery.

ASSUNTO(S)

anxiety cortisol cirurgia e pré-operatório ambulatorial outpatient internação hospitalization cortisol surgery and preoperative ansiedade

Documentos Relacionados

• Ciclo vigilia/sono de mulheres no pre e pos-operatorio de cirurgias eletivas com um dia de internação
• Ocorrência de úlcera por pressão em pacientes submetidos a cirurgias eletivas
• Hipotermia no período intra-operatório em pacientes submetidos a cirurgias eletivas
• Estado nutricional e avaliação do tempo de jejum perioperatório de pacientes submetidos à cirurgias eletivas e de emergência em um hospital de referência.
• Estudo da factibilidade da avaliação funcional ambulatorial em pacientes submetidos ao transplante de células-tronco hematopoiéticas