Ansiedade no período pré-operatório de cirurgia cardíaca

Gonçalves, Karyne Kirley Negromonte; Silva, Jadiane Ingrid da; Gomes, Eduardo Tavares; Pinheiro, Liane Lopes de Souza; Figueirêdo, Thaisa Remigio; Bezerra, Simone Maria Muniz da Silva

doi:10.1590/0034-7167.2016690225i

Cited by 30 publications

(28 citation statements)

References 13 publications

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“…Hypertension could also have been well-controlled for years in patients on anti-hypertensive treatment. Finally, normotensive patients may have suffered from white-coat [76] and anxiety-induced hypertension due to scheduled surgery [77]. Overall, any actual underlying links of blood pressure with POCD risk may have been eliminated by such “dilution” of “hypertension” groups.…”

Section: Discussionmentioning

confidence: 99%

Hypertension and Risk of Post-Operative Cognitive Dysfunction (POCD): A Systematic Review and Meta-Analysis

Feinkohl¹,

Winterer²,

Pischon³

2017

CPEMH

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Background:Post-operative cognitive dysfunction (POCD) occurs frequently after major surgery. Hypertension is well-established as a risk factor for age-related cognitive impairment, but it is unclear whether or not it also increases the risk of POCD.Objective:To evaluate the role of hypertension in POCD risk in a systematic review and meta-analysis.Method:PubMed, Ovid SP and the Cochrane Database of Systematic Reviews were searched for longitudinal studies of adults undergoing surgery with reporting of hypertension, blood pressure and/or anti-hypertensive treatment associations with POCD as relative risks or odds ratios. Fixed-effects meta-analyses were performed using Review Manager (version 5.3).Results:Twenty-four studies on 4317 patients (mean age 63 years) were included. None of the studies had set out to assess hypertension as a risk factor for POCD. Hypertension was used as a categorical predictor throughout and only 2 studies adjusted for potential confounders. Across all 24 studies, hypertension was not significantly associated with POCD risk (RR 1.01; 95% CI 0.93, 1.09; p=0.82), though among 8 studies with >75% males, we found hypertension associations with a 27% increased risk of POCD (RR 1.27, 95% CI 1.07, 1.49; p=0.005).Conclusion:Our findings do not support the hypothesis that hypertension is a risk factor for POCD. However, since none of the studies included in our analysis were hypothesis-driven and most did not adjust for potential confounders, further systematic investigations are needed to evaluate the role of hypertension in the epidemiology of POCD.

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Section: Discussionmentioning

confidence: 99%

Hypertension and Risk of Post-Operative Cognitive Dysfunction (POCD): A Systematic Review and Meta-Analysis

Feinkohl¹,

Winterer²,

Pischon³

2017

CPEMH

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“…The definition of preoperative anxiety is "an unpleasant state of uneasiness or tension that is secondary to a patient being concerned about a disease, hospitalization, anaesthesia and surgery, or the unknown" [1]. Among patients admitted to hospital for surgery, 20-28% reported high preoperative anxiety and 60% reported minimal anxiety in two studies investigating this issue [2,3]. Patients' anxiety before surgery is a risk for postoperative recovery problems and its consequences are of paramount importance in delaying wound healing [4].…”

Section: Introductionmentioning

confidence: 99%

Can hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial

Rousseaux

Faymonville

Nyssen

et al. 2020

Trials

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Background: Different non-pharmacological techniques, including hypnosis and virtual reality (VR) are currently used as complementary tools in the treatment of anxiety, acute and chronic pain. A new technique called virtual reality hypnosis (VRH), which encompasses a combination of both tools, is regularly used although its benefits and underlying mechanisms remain unknown to date. With the goal to improve our understanding of VRH combination effects, it is necessary to conduct randomised and controlled research trials in order to understand their clinical interest and potential benefits.Methods: Patients (n = 100) undergoing cardiac surgery at the Liège University Hospital will be randomly assigned to one of four conditions (control, hypnosis, VR or VRH). Each patient will receive two sessions of one of the techniques: one the day before the surgery and one the day after. Physiological assessments will be made on the monitor and patients will rate their levels of anxiety, fatigue, pain, absorption and dissociation. Discussion: This study will help to expand knowledge on the application of virtual reality, hypnosis and VRH in the specific context of cardiac and intensive care procedures, and the influence of these non-pharmacological techniques on patient's anxiety, fatigue, pain and phenomenological experience.

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“…Anxiety can be defined as an unpleasant emotional state involving feelings of apprehension and nervousness, being known to cause abnormal hemodynamics as a consequence of sympathetic, parasympathetic and endocrine stimulation ( 1 ) . Most patients awaiting elective surgery experience anxiety, since the preoperative phase is considered the period when the patient is most vulnerable, becoming prone to emotional imbalances ( 1 - 2 ) .…”

Section: Introductionmentioning

confidence: 99%

“…This surgery is indicated for adults with Body Mass Index (BMI) ≥ 35 kg/m 2 , with one or more significant obesity-related comorbidities ( 6 ) . The lack of guidance about the surgery and an adequate therapeutic relationship with the patient by the health team can cause a state of anxiety and depression throughout the hospitalization period ( 1 ) .…”

Section: Introductionmentioning

confidence: 99%

Guided imagery relaxation therapy on preoperative anxiety: a randomized clinical trial

Felix

Ferreira

Oliveira³

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective to evaluate the effect of relaxation therapy with guided imagery on state anxiety and cortisol in the immediate preoperative period in patients submitted to bariatric surgery by videolaparoscopy.Method a randomized, triple-blind clinical trial in a large teaching hospital in the interior of Minas Gerais. Twenty-four patients who would undergo video-laparoscopic bariatric surgery were randomly allocated in two groups, namely 12 in the control group and 12 in the experimental group. State anxiety was assessed by the State-Trait Anxiety Inventory, and blood cortisol levels were measured before and after the intervention or standard care. Descriptive analyzes were used for the quantitative variables and Student’s t-test for independent samples, in the analysis of the differences between the state anxiety scores and cortisol levels.Results the experimental group presented a statistically significant reduction of the state anxiety scores (p = 0.005) as well as of cortisol levels (p <0.001) after the intervention.Conclusion guided imagery relaxation therapy is an effective nursing intervention for the reduction of state anxiety and blood cortisol levels in the preoperative period in patients undergoing video-laparoscopic bariatric surgery. Brazilian Registry of Clinical Trials: .

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Ansiedade no período pré-operatório de cirurgia cardíaca

Cited by 30 publications

References 13 publications

Hypertension and Risk of Post-Operative Cognitive Dysfunction (POCD): A Systematic Review and Meta-Analysis

Hypertension and Risk of Post-Operative Cognitive Dysfunction (POCD): A Systematic Review and Meta-Analysis

Can hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial

Guided imagery relaxation therapy on preoperative anxiety: a randomized clinical trial

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