Influence of anxiety on the heart rate variability of patients in preoperative orthopedic surgery
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/17237 |
Resumo: | Anxiety is a negative emotional response to situations that threaten the subject. Objective: The present study aims to verify the influence of anxiety on heart rate variability, considering two specific times: hospitalization and before surgery. In this analytical and cross-sectional study, the Hospital Anxiety and Depression Scale (HADS) was used to classify anxiety levels. Methodology: The time series of RR intervals were collected by Polar® monitor. Nonlinear methods and decision tree algorithm were combined with HADS scale to analyze the influence of the preoperative period on heart rate variability. The nonlinear methods used detrended fluctuation analysis (DFA), recurrence quantification analysis (RQA), and central tendency measure (CTM). Results: Among the 42 study participants, 13 (31%) were classified as anxious at hospital admission. The applied time domain methods found an increase in the heart rate variability (HRV) values in all features analyzed (p < 0.05). CTM method showed HRV reduction for the values considering radius between 6 and 20 milliseconds (p < 0.05). Conclusion: The anxiety identified at admission is directly related to the reduction in heart rate variability demonstrated by nonlinear methods, such as the central tendency measure. |
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Influence of anxiety on the heart rate variability of patients in preoperative orthopedic surgeryInfluencia de la ansiedad en la variabilidad de la frecuencia cardíaca de los pacientes en cirugía ortopédica preoperatoria Influência da ansiedade na variabilidade da frequência cardíaca de pacientes em pré-operatório de cirurgia ortopédicaVariabilidad de la Frecuencia CardíacaPacientes en Cirurgia Ortopedica PreoperatoriaAnsiedadMetodos no linealesAlgoritmo de árbol de decisión.AnsiedadePre-operatorio de Cirurgia OrtopedicaAnálise não linearVariabilidade da frequência cardíacaAlgoritmo de árvore de decisão.Heart Rate VariabilityPreoperative Orthopedic SurgeryAnxietyNonlinear analysisDecision tree algorithm.Anxiety is a negative emotional response to situations that threaten the subject. Objective: The present study aims to verify the influence of anxiety on heart rate variability, considering two specific times: hospitalization and before surgery. In this analytical and cross-sectional study, the Hospital Anxiety and Depression Scale (HADS) was used to classify anxiety levels. Methodology: The time series of RR intervals were collected by Polar® monitor. Nonlinear methods and decision tree algorithm were combined with HADS scale to analyze the influence of the preoperative period on heart rate variability. The nonlinear methods used detrended fluctuation analysis (DFA), recurrence quantification analysis (RQA), and central tendency measure (CTM). Results: Among the 42 study participants, 13 (31%) were classified as anxious at hospital admission. The applied time domain methods found an increase in the heart rate variability (HRV) values in all features analyzed (p < 0.05). CTM method showed HRV reduction for the values considering radius between 6 and 20 milliseconds (p < 0.05). Conclusion: The anxiety identified at admission is directly related to the reduction in heart rate variability demonstrated by nonlinear methods, such as the central tendency measure.La ansiedad es una respuesta emocional negativa a situaciones que amenazan al sujeto. Objetivo: El presente estudio tiene como objetivo verificar la influencia de la ansiedad en la variabilidad de la frecuencia cardíaca, considerando dos momentos específicos: la hospitalización y antes de la cirugía. En este estudio analítico y transversal, se utilizó la Escala Hospitalaria de Ansiedad y Depresión (HADS) para clasificar los niveles de ansiedad. Método: Las series de tiempo de los intervalos RR fueron recopiladas por el monitor Polar®. Los métodos no lineales y el algoritmo de árbol de decisión se combinaron con la escala HADS para analizar la influencia del período preoperatorio en la variabilidad de la frecuencia cardíaca. Los métodos no lineales utilizaron análisis de fluctuación sin tendencia (DFA), análisis de cuantificación de recurrencia (RQA) y medida de tendencia central (CTM). Resultados: Entre los 42 participantes del estudio, 13 (31%) fueron clasificados como ansiosos en el momento del ingreso al hospital. Los métodos aplicados en el dominio del tiempo encontraron un aumento en los valores de variabilidad de la frecuencia cardíaca (VFC) en todas las características analizadas (p <0,05). El método CTM mostró reducción de la VFC para los valores considerando radios entre 6 y 20 milisegundos (p <0.05). Conclusión: La ansiedad identificada al ingreso está directamente relacionada con la reducción de la variabilidad de la frecuencia cardíaca demostrada por métodos no lineales, como la medida de tendencia central.A ansiedade é uma resposta emocional negativa a situações que ameaçam o sujeito. Objetivo: O presente estudo tem como objetivo verificar a influência da ansiedade na variabilidade da frequência cardíaca, considerando dois momentos específicos: a internação e antes da cirurgia. Neste estudo analítico e transversal, a Escala Hospitalar de Ansiedade e Depressão (HADS) foi utilizada para classificar os níveis de ansiedade. Metodologia: As séries temporais dos intervalos RR foram coletadas por monitor Polar®. Métodos não lineares e algoritmo de árvore de decisão foram combinados com a escala HADS para analisar a influência do período pré-operatório na variabilidade da frequência cardíaca. Os métodos não lineares usaram análise de flutuação sem tendência (DFA), análise de quantificação de recorrência (RQA) e medida de tendência central (CTM). Resultados: Entre os 42 participantes do estudo, 13 (31%) foram classificados como ansiosos na admissão hospitalar. Os métodos aplicados no domínio do tempo encontraram aumento nos valores da variabilidade da frequência cardíaca (VFC) em todas as características analisadas (p <0,05). O método CTM mostrou redução da VFC para os valores considerando raios entre 6 e 20 milissegundos (p <0,05). Conclusão: A ansiedade identificada na admissão está diretamente relacionada à redução da variabilidade da frequência cardíaca demonstrada por métodos não lineares, como a medida de tendência central.Research, Society and Development2021-07-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1723710.33448/rsd-v10i8.17237Research, Society and Development; Vol. 10 No. 8; e14410817237Research, Society and Development; Vol. 10 Núm. 8; e14410817237Research, Society and Development; v. 10 n. 8; e144108172372525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/17237/15327Copyright (c) 2021 Francielly V. Correa; Aline M. Diolindo Meneses; Sara P. Carvalho; Antônio P. Mendes; Laurita dos Santoshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCorrea, Francielly V.Meneses, Aline M. DiolindoCarvalho, Sara P.Mendes, Antônio P.Santos, Laurita dos 2021-08-21T18:46:59Zoai:ojs.pkp.sfu.ca:article/17237Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:37:37.370287Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Influence of anxiety on the heart rate variability of patients in preoperative orthopedic surgery Influencia de la ansiedad en la variabilidad de la frecuencia cardíaca de los pacientes en cirugía ortopédica preoperatoria Influência da ansiedade na variabilidade da frequência cardíaca de pacientes em pré-operatório de cirurgia ortopédica |
title |
Influence of anxiety on the heart rate variability of patients in preoperative orthopedic surgery |
spellingShingle |
Influence of anxiety on the heart rate variability of patients in preoperative orthopedic surgery Correa, Francielly V. Variabilidad de la Frecuencia Cardíaca Pacientes en Cirurgia Ortopedica Preoperatoria Ansiedad Metodos no lineales Algoritmo de árbol de decisión. Ansiedade Pre-operatorio de Cirurgia Ortopedica Análise não linear Variabilidade da frequência cardíaca Algoritmo de árvore de decisão. Heart Rate Variability Preoperative Orthopedic Surgery Anxiety Nonlinear analysis Decision tree algorithm. |
title_short |
Influence of anxiety on the heart rate variability of patients in preoperative orthopedic surgery |
title_full |
Influence of anxiety on the heart rate variability of patients in preoperative orthopedic surgery |
title_fullStr |
Influence of anxiety on the heart rate variability of patients in preoperative orthopedic surgery |
title_full_unstemmed |
Influence of anxiety on the heart rate variability of patients in preoperative orthopedic surgery |
title_sort |
Influence of anxiety on the heart rate variability of patients in preoperative orthopedic surgery |
author |
Correa, Francielly V. |
author_facet |
Correa, Francielly V. Meneses, Aline M. Diolindo Carvalho, Sara P. Mendes, Antônio P. Santos, Laurita dos |
author_role |
author |
author2 |
Meneses, Aline M. Diolindo Carvalho, Sara P. Mendes, Antônio P. Santos, Laurita dos |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Correa, Francielly V. Meneses, Aline M. Diolindo Carvalho, Sara P. Mendes, Antônio P. Santos, Laurita dos |
dc.subject.por.fl_str_mv |
Variabilidad de la Frecuencia Cardíaca Pacientes en Cirurgia Ortopedica Preoperatoria Ansiedad Metodos no lineales Algoritmo de árbol de decisión. Ansiedade Pre-operatorio de Cirurgia Ortopedica Análise não linear Variabilidade da frequência cardíaca Algoritmo de árvore de decisão. Heart Rate Variability Preoperative Orthopedic Surgery Anxiety Nonlinear analysis Decision tree algorithm. |
topic |
Variabilidad de la Frecuencia Cardíaca Pacientes en Cirurgia Ortopedica Preoperatoria Ansiedad Metodos no lineales Algoritmo de árbol de decisión. Ansiedade Pre-operatorio de Cirurgia Ortopedica Análise não linear Variabilidade da frequência cardíaca Algoritmo de árvore de decisão. Heart Rate Variability Preoperative Orthopedic Surgery Anxiety Nonlinear analysis Decision tree algorithm. |
description |
Anxiety is a negative emotional response to situations that threaten the subject. Objective: The present study aims to verify the influence of anxiety on heart rate variability, considering two specific times: hospitalization and before surgery. In this analytical and cross-sectional study, the Hospital Anxiety and Depression Scale (HADS) was used to classify anxiety levels. Methodology: The time series of RR intervals were collected by Polar® monitor. Nonlinear methods and decision tree algorithm were combined with HADS scale to analyze the influence of the preoperative period on heart rate variability. The nonlinear methods used detrended fluctuation analysis (DFA), recurrence quantification analysis (RQA), and central tendency measure (CTM). Results: Among the 42 study participants, 13 (31%) were classified as anxious at hospital admission. The applied time domain methods found an increase in the heart rate variability (HRV) values in all features analyzed (p < 0.05). CTM method showed HRV reduction for the values considering radius between 6 and 20 milliseconds (p < 0.05). Conclusion: The anxiety identified at admission is directly related to the reduction in heart rate variability demonstrated by nonlinear methods, such as the central tendency measure. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-09 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/17237 10.33448/rsd-v10i8.17237 |
url |
https://rsdjournal.org/index.php/rsd/article/view/17237 |
identifier_str_mv |
10.33448/rsd-v10i8.17237 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/17237/15327 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 8; e14410817237 Research, Society and Development; Vol. 10 Núm. 8; e14410817237 Research, Society and Development; v. 10 n. 8; e14410817237 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052751531737088 |