Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/7227 |
Resumo: | INTRODUCTION: The anesthetic-surgical procedure is a complex and critical process, a moment that can generate important implications for the patients, and can generate diverse feelings such as anxiety and fear. Preoperative anxiety has affected about 60 to 80% of surgical patients. The patient's emotionally unstable surgery is scary and traumatic and is still predisposed to complications. PURPOSE: To investigate the profile of anxious patients hospitalized in preoperative elective surgery. METHOD: A cross-sectional, analytical study with subsequent cohort formation, performed at a public university hospital in the city of Goiânia-GO, Brazil. The population consisted of preoperative elective surgery patients hospitalized in surgical units, the sample was constituted of 200 patients in the preoperative period, by means of a sample calculation. Four instruments were used, one structured with sociodemographic and clinical-surgical questions; The Hamilton anxiety scale; The numerical scale of pain and the admission card of the surgical center. The study was carried out in total accordance with the Resolution 466/2012 regarding ethical issues. The analysis was expressed in absolute and relative frequencies and the Chi-square test was employed, with a significance level of 5%. The Prevalence Ratio (PR) was evaluated through gross and adjusted Poisson regression. RESULTS: The prevalence of anxiety was 53,0% (n=106) (CI 95% 46,06/59,85), mild anxiety was present in 67,0% (n=71) (CI 95%; 57,6-75,4), and 33,0% (n=35) (CI 95% 24,5/42,3) of the patients presented moderate and severe anxiety. In the multivariate analysis, sex, occupation and fear of anesthesia were significant, configuring as predictors to moderate and severe anxiety. The fear of anesthesia, of something going wrong, or of dying emerged in a predominant part of the sample, and the fear of errors showed significant relation to moderate and severe anxiety. CONCLUSIONS: The prevalence of preoperative anxiety found in the study was high. Most of the anxious patients expressed levels of mild anxiety. The most common factors that led to anxiety were the fear of death and of errors by the surgical team. Sex, occupation and fear of anesthesia configured as predictors to moderate and severe anxiety. |
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Barreto , Regiane Aparecida dos Santos Soareshttp://lattes.cnpq.br/4032250808062336Barreto , Regiane Aparecida dos Santos Soareshttp://lattes.cnpq.br/4032250808062336Coelho, Maria AliceCaetano, Karlla Antonieta Amorimhttp://lattes.cnpq.br/3009803527300873Melchior, Lorena Morena Rosa2017-04-27T11:38:59Z2017-03-20MELCHIOR, L. M. R. Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go. 2017. 92 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2017.http://repositorio.bc.ufg.br/tede/handle/tede/7227INTRODUCTION: The anesthetic-surgical procedure is a complex and critical process, a moment that can generate important implications for the patients, and can generate diverse feelings such as anxiety and fear. Preoperative anxiety has affected about 60 to 80% of surgical patients. The patient's emotionally unstable surgery is scary and traumatic and is still predisposed to complications. PURPOSE: To investigate the profile of anxious patients hospitalized in preoperative elective surgery. METHOD: A cross-sectional, analytical study with subsequent cohort formation, performed at a public university hospital in the city of Goiânia-GO, Brazil. The population consisted of preoperative elective surgery patients hospitalized in surgical units, the sample was constituted of 200 patients in the preoperative period, by means of a sample calculation. Four instruments were used, one structured with sociodemographic and clinical-surgical questions; The Hamilton anxiety scale; The numerical scale of pain and the admission card of the surgical center. The study was carried out in total accordance with the Resolution 466/2012 regarding ethical issues. The analysis was expressed in absolute and relative frequencies and the Chi-square test was employed, with a significance level of 5%. The Prevalence Ratio (PR) was evaluated through gross and adjusted Poisson regression. RESULTS: The prevalence of anxiety was 53,0% (n=106) (CI 95% 46,06/59,85), mild anxiety was present in 67,0% (n=71) (CI 95%; 57,6-75,4), and 33,0% (n=35) (CI 95% 24,5/42,3) of the patients presented moderate and severe anxiety. In the multivariate analysis, sex, occupation and fear of anesthesia were significant, configuring as predictors to moderate and severe anxiety. The fear of anesthesia, of something going wrong, or of dying emerged in a predominant part of the sample, and the fear of errors showed significant relation to moderate and severe anxiety. CONCLUSIONS: The prevalence of preoperative anxiety found in the study was high. Most of the anxious patients expressed levels of mild anxiety. The most common factors that led to anxiety were the fear of death and of errors by the surgical team. Sex, occupation and fear of anesthesia configured as predictors to moderate and severe anxiety.INTRODUÇÃO: O procedimento anestésico-cirúrgico é um processo complexo e crítico, um momento capaz de gerar implicações importantes aos pacientes, podendo gerar diversos sentimentos como o de ansiedade e o medo. A ansiedade pré-operatória tem afetado cerca de 60 a 80% dos pacientes cirúrgicos. O paciente instável emocionalmente a cirurgia é algo assustador e traumático e ainda está predisposto a complicações. OBJETIVO: Investigar o perfil dos pacientes ansiosos hospitalizados em pré-operatório de cirurgia eletiva. MÉTODO: Estudo de delineamento transversal, analítico, com posterior formação de coorte, realizado num hospital universitário público do município de Goiânia-GO, Brasil. A população foi constituída por pacientes em pré-operatório de cirurgia eletiva internados em unidades cirúrgicas, a amostra foi constituída de 200 pacientes em pré-operatório, mediante cálculo amostral. Utilizou-se quatro instrumentos, um estruturado com questões sociodemográficas e clínico-cirúrgicas; a escala de ansiedade de Hamilton; a escala numérica de dor e a ficha de admissão do centro cirúrgico. O desenvolvimento do estudo atendeu integralmente à Resolução 466/2012, quanto às questões éticas. Realizou-se análise expressa em frequências absoluta e relativa e utilizou-se o teste qui-quadrado, considerando nível de significância de 5%. A Razão de Prevalência (RP) foi avaliada por meio da Regressão de Poisson bruta e ajustada. RESULTADOS: A prevalência de ansiedade pré-operatória foi 53,0% (n=106) (IC 95% 46,06/59,85), a ansiedade leve foi de 67,0% (n=71) (IC 95%; 57,6- 75,4), e 33,0% (n=35) (IC 95% 24,5/42,3) dos pacientes apresentaram ansiedade moderada e grave. O perfil dos ansiosos foi formado por pacientes na faixa etária entre 50 a 69 anos, mulheres, baixa escolaridade, casados, moradores do interior do estado de Goiás, em casas cujo provedor era único, trabalhadores informais/desempregados, não tabagistas/etilistas, com menos de 24 horas de internação, com experiência cirúrgica prévia, sem doenças crônicas e sem dor no pré-operatório. Na análise multivariada, o sexo, a ocupação e o medo da anestesia foram significativos, configurando-se em preditores para ansiedade moderada e grave. O medo da anestesia, de algo dar errado, ou de morrer, esteve em parte predominante da amostra e o medo de erros mostrou relação significante com a ansiedade moderada e grave. CONCLUSÕES: A prevalência de ansiedade pré- operatória encontrada foi alta, comparada a estudos semelhantes. A maioria dos pacientes ansiosos demonstrou níveis de ansiedade leve. O sexo, a ocupação e o medo da anestesia configuraram-se em preditores para ansiedade moderada e grave nos pacientes cirúrgicos.Submitted by JÚLIO HEBER SILVA (julioheber@yahoo.com.br) on 2017-04-25T20:08:52Z No. of bitstreams: 2 Dissertação - Lorena Morena Rosa Melchior - 2017.pdf: 2293458 bytes, checksum: 1552ff2a26ec1415f63306425eea8876 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Rejected by Luciana Ferreira (lucgeral@gmail.com), reason: A citação está com porblema : Dissertação (Programa de Pós-graduação em Enfermagem) on 2017-04-26T12:55:17Z (GMT)Submitted by JÚLIO HEBER SILVA (julioheber@yahoo.com.br) on 2017-04-26T17:20:43Z No. of bitstreams: 2 Dissertação - Lorena Morena Rosa Melchior - 2017.pdf: 2293458 bytes, checksum: 1552ff2a26ec1415f63306425eea8876 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2017-04-27T11:38:59Z (GMT) No. of bitstreams: 2 Dissertação - Lorena Morena Rosa Melchior - 2017.pdf: 2293458 bytes, checksum: 1552ff2a26ec1415f63306425eea8876 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2017-04-27T11:38:59Z (GMT). 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dc.title.por.fl_str_mv |
Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go |
dc.title.alternative.eng.fl_str_mv |
Pre-operative anxiety in hospitalized surgical patients in Goiânia-Go |
title |
Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go |
spellingShingle |
Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go Melchior, Lorena Morena Rosa Enfermagem de centro cirúrgico Enfermagem perioperatória Enfermagem Período perioperatório Ansiedade Operating room nursing Perioperative nursing Nursing Perioperative period Anxiety CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go |
title_full |
Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go |
title_fullStr |
Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go |
title_full_unstemmed |
Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go |
title_sort |
Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go |
author |
Melchior, Lorena Morena Rosa |
author_facet |
Melchior, Lorena Morena Rosa |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Barreto , Regiane Aparecida dos Santos Soares |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/4032250808062336 |
dc.contributor.referee1.fl_str_mv |
Barreto , Regiane Aparecida dos Santos Soares |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/4032250808062336 |
dc.contributor.referee2.fl_str_mv |
Coelho, Maria Alice |
dc.contributor.referee3.fl_str_mv |
Caetano, Karlla Antonieta Amorim |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3009803527300873 |
dc.contributor.author.fl_str_mv |
Melchior, Lorena Morena Rosa |
contributor_str_mv |
Barreto , Regiane Aparecida dos Santos Soares Barreto , Regiane Aparecida dos Santos Soares Coelho, Maria Alice Caetano, Karlla Antonieta Amorim |
dc.subject.por.fl_str_mv |
Enfermagem de centro cirúrgico Enfermagem perioperatória Enfermagem Período perioperatório Ansiedade |
topic |
Enfermagem de centro cirúrgico Enfermagem perioperatória Enfermagem Período perioperatório Ansiedade Operating room nursing Perioperative nursing Nursing Perioperative period Anxiety CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Operating room nursing Perioperative nursing Nursing Perioperative period Anxiety |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ENFERMAGEM |
description |
INTRODUCTION: The anesthetic-surgical procedure is a complex and critical process, a moment that can generate important implications for the patients, and can generate diverse feelings such as anxiety and fear. Preoperative anxiety has affected about 60 to 80% of surgical patients. The patient's emotionally unstable surgery is scary and traumatic and is still predisposed to complications. PURPOSE: To investigate the profile of anxious patients hospitalized in preoperative elective surgery. METHOD: A cross-sectional, analytical study with subsequent cohort formation, performed at a public university hospital in the city of Goiânia-GO, Brazil. The population consisted of preoperative elective surgery patients hospitalized in surgical units, the sample was constituted of 200 patients in the preoperative period, by means of a sample calculation. Four instruments were used, one structured with sociodemographic and clinical-surgical questions; The Hamilton anxiety scale; The numerical scale of pain and the admission card of the surgical center. The study was carried out in total accordance with the Resolution 466/2012 regarding ethical issues. The analysis was expressed in absolute and relative frequencies and the Chi-square test was employed, with a significance level of 5%. The Prevalence Ratio (PR) was evaluated through gross and adjusted Poisson regression. RESULTS: The prevalence of anxiety was 53,0% (n=106) (CI 95% 46,06/59,85), mild anxiety was present in 67,0% (n=71) (CI 95%; 57,6-75,4), and 33,0% (n=35) (CI 95% 24,5/42,3) of the patients presented moderate and severe anxiety. In the multivariate analysis, sex, occupation and fear of anesthesia were significant, configuring as predictors to moderate and severe anxiety. The fear of anesthesia, of something going wrong, or of dying emerged in a predominant part of the sample, and the fear of errors showed significant relation to moderate and severe anxiety. CONCLUSIONS: The prevalence of preoperative anxiety found in the study was high. Most of the anxious patients expressed levels of mild anxiety. The most common factors that led to anxiety were the fear of death and of errors by the surgical team. Sex, occupation and fear of anesthesia configured as predictors to moderate and severe anxiety. |
publishDate |
2017 |
dc.date.accessioned.fl_str_mv |
2017-04-27T11:38:59Z |
dc.date.issued.fl_str_mv |
2017-03-20 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MELCHIOR, L. M. R. Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go. 2017. 92 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2017. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/7227 |
identifier_str_mv |
MELCHIOR, L. M. R. Ansiedade pré-operatória em pacientes cirúrgicos hospitalizados de Goiânia-Go. 2017. 92 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2017. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/7227 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
4506162830365041981 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
2756753233336908714 |
dc.relation.cnpq.fl_str_mv |
-7702826533010964327 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Enfermagem (FEN) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Enfermagem - FEN (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
instname_str |
Universidade Federal de Goiás (UFG) |
instacron_str |
UFG |
institution |
UFG |
reponame_str |
Repositório Institucional da UFG |
collection |
Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
http://repositorio.bc.ufg.br/tede/bitstreams/d45094ec-1ad1-40c5-91d1-802aca1d2fee/download http://repositorio.bc.ufg.br/tede/bitstreams/73c49d49-c4c9-4fcc-8218-1f129f39a589/download http://repositorio.bc.ufg.br/tede/bitstreams/9973a9e4-36d3-4bfb-95f7-c13254365e7a/download http://repositorio.bc.ufg.br/tede/bitstreams/0e557e1c-9677-4d89-8134-343ed0a2a9b4/download http://repositorio.bc.ufg.br/tede/bitstreams/8bb6b58d-0ac2-4861-8a3c-6c1fd164fd2b/download |
bitstream.checksum.fl_str_mv |
bd3efa91386c1718a7f26a329fdcb468 4afdbb8c545fd630ea7db775da747b2f d41d8cd98f00b204e9800998ecf8427e d41d8cd98f00b204e9800998ecf8427e 1552ff2a26ec1415f63306425eea8876 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1798044312238292992 |