Relação entre a ansiedade no período pré-operatório e a dor no período pós-operatório

Detalhes bibliográficos
Ano de defesa: 2018
Autor(a) principal: Carlos Alberto Henao Periañez
Orientador(a): Não Informado pela instituição
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal de Minas Gerais
UFMG
Programa de Pós-Graduação: Não Informado pela instituição
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
Link de acesso: http://hdl.handle.net/1843/ANDO-AXGPWM
Resumo: Several studies indicate that psychological and physiological disorders impede optimal postoperative recovery, some have consistently reported associations between preoperative anxiety measures and postoperative pain, but there is still no general consensus because of methodological differences in those studies. Objective: This study aimed to analyze the relationship between anxiety in the preoperative period and pain in the postoperative period. Method: This is an observational, analytical, prospective study, held in two moments of evaluation: before and after the surgical procedure. As a place of study, the Surgical Center and the clinical-surgical wards of a university hospital in the state of Minas Gerais were chosen. For the selection of the patients, a non-probabilistic sample for convenience was drawn, of the consecutive cases who underwent elective surgery from February to July 2017. The project was approved by the Research Ethics Committee of the Federal University of Minas Gerais. A Data Collection Instrument was prepared and submitted for evaluation of three nursing judges and researchers. The Hospital Anxiety and Depression Scale and the Verbal Numerical Scale were used to assess the intensity of pain. Data were collected in two phases, the first during the preoperative period, performed in the reception room of the Surgical Center and the second during the postoperative period, performed in the surgical clinic. The data were analyzed through the statistical program Statistical Package for the Social Sciences for Windows version 22.0. Statistical analysis was performed using Student's t-test, chi-square test or Fisher's exact test and binary logistic regression, it was considered a significance level of 5% and a confidence interval of 95%. Results: The final sample consisted of 50 patients, 84.0% were female and the mean age was 40.96 ± 11.15 years; 56.0% rated by American Society of Anesthesiologists as II; the mean time of surgery was 169 ± 87.85 minutes. 40.0% of the patients presented anxiety in the preoperative period; 100.0% of the patients reported no pain immediately prior to surgery and in the postoperative period pain was reported by 58.0% of the patients. Patients with preoperative anxiety were more likely to present postoperative pain than patients without anxiety (p