A pressão arterial e a freqüência cardíaca não são bons parâmetros para avaliação do nível de ansiedade pré-operatória

Conceição, Diogo Brüggemann da; Schonhorst, Leonardo; Conceição, Maria José; Filho, Getúlio Rodrigues de Oliveira

doi:10.1590/s0034-70942004000600003

Cited by 7 publications

(5 citation statements)

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“…In a similar study, female patients, aged below 40 years, smokers, graduated or not and with depressive symptoms were the most affected by preoperative anxiety [33]. According to Conceição et al [6], anxiety levels are not significant factors in the case of previous surgical experience, education and age, confirming the findings of this study.…”

Section: Discussionsupporting

confidence: 87%

“…Some symptoms reported by anxious patients, such as tachycardia, tachypnea, and high systemic blood pressure, may be mistaken as part of the presentation developed by coronary artery disease. Conceição et al [6] reported that the measurement of blood pressure and heart rate are not good parameters to measure the patient's anxiety level, requiring the assessment of the disorder by means of validated scales such as the Beck anxiety Inventory. According Trame et al [29], the Inventory is widely used because of its cost-effectiveness, ease of application and interpretation.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, patients who had undergone heart surgery may suffer psychological disorders such as anxiety [5,6], which is hardly noticeable in the pre-operative, and it may go unnoticed by the medical team [7], since often such disorder is related to physical illnesses [8].…”

Section: Introductionmentioning

confidence: 99%

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Efeitos de orientações fisioterapêuticas sobre a ansiedade de pacientes submetidos à cirurgia de revascularização miocárdica

Garbossa¹,

Maldaner²,

Mortari³

et al. 2009

Rev Bras Cir Cardiovasc

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Objective: The coronary artery bypass graft surgery is an option of treatment for cardiovascular diseases, and the patients who underwent such procedure can suffer from preoperative anxiety. The aim of this study is to verify the effects of physiotherapeutic instructions at the anxiety level on patients undergone coronary artery bypass graft surgery.Methods: Randomized clinical trial, with the sample composed by 51 individuals, 27 on the control group and 24 on the intervention; on which it was assessed the anxiety (Beck Scale for Anxiety) and pain (Visual Analog Scale) levels on the pre-and postoperative period and only the second group received instructions about the surgery procedures and ventilatory exercises. For statistical analysis the Wilcoxon, Mann-Whitney and Spearman tests were used.Results: The lower anxiety levels were observed in patients that received the intervention on the period before surgery (9.6 ± 7.2 versus 13.4 ± 5.9, P=0.02). On the control group, the difference among the anxiety levels before and after the surgery was statistically significant (P= 0.003). The female individuals presented more anxious before the surgery compared to the male ones (P=0.058). It was also verified a relationship between lenght of stay at hospital and postoperative anxiety (P=0.05), where the more anxious individuals remained more time at the hospital.Conclusion: Patients oriented and instructed about physiotherapeutic ventilatory exercises and hospital routine, presented their levels of anxiety reduced on the preoperative compared to the control group. However, at the postoperative, both groups presented their anxiety levels reduced without significant difference between them. Descriptors: Anxiety. Myocardial revascularization. Physical therapy (Specialty).Resumo Introdução: A cirurgia de revascularização é uma opção de tratamento para as doenças cardiovasculares, sendo que os indivíduos a esta submetidos podem sofrer quadros de ansiedade pré-operatória.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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Efeitos de orientações fisioterapêuticas sobre a ansiedade de pacientes submetidos à cirurgia de revascularização miocárdica

Garbossa¹,

Maldaner²,

Mortari³

et al. 2009

Rev Bras Cir Cardiovasc

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“…[9] Chaves et al [10] concluded that there were no significant changes between anxiety and blood pressure (BP) for both genders. Conceição et al [11] did not find statistically significant differences in BP and heart rate (HR) of anxious and nonanxious patients. It should be noted that the HR and BP are commonly used as dependent variables in behavioral studies and serve as parameters for the evaluation of anxiety level.…”

Section: Discussionmentioning

confidence: 99%

Role of virtual reality in pain perception of patients following the administration of local anesthesia

Sweta

Abhinav

Ramesh

2019

Ann Maxillofac Surg

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Background: Dental anxiety and anxiety-related avoidance of dental care creates significant problems for the patients and dental practitioners. Administration of local anesthesia is one of the procedures which results in increased anxiety level among patients. Aim: The aim of this study was to study the effectiveness of virtual reality (VR) as a distraction tool during the administration of local anesthesia in patients undergoing a dental procedure. Materials and Methods: Fifty patients were randomized into two groups, namely, control group ( n = 25) and study group ( n = 25). Preoperative, intra-operative, and postoperative pulse rate and oxygen saturation were measured using pulse oximeter for all the patients. Local anesthesia was administered without the use of VR for the control group and with the VR for the study group. Statistical Analysis: The data were evaluated using the Statistical Package for the Social Sciences 20. Student's t -test was used to compare the variables. Results: Statistically significant results were obtained for preoperative and postoperative oxygen saturation, intraoperative pulse rate, and postoperative visual analog scale pain scale. Conclusion: The findings of the current study indicate that immersive VR is an effective distraction tool to alleviate the anxiety of the patient.

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“…E ainda, os quadros depressivos podem instituir não apenas alterações no quadro de humor (tristeza, irritabilidade, falta da capacidade de sentir prazer, apatia), mas também vários outros aspectos, que vão desde alterações cognitivas, psicomotoras e vegetativas como sono, falta ou excesso de apetite (Del Porto, 1999) Nesse contexto, para Santos & Martins & Oliveira (2014) aponta que cabe a Enfermagem que se faça uma avaliação pré-operatória junto ao paciente de forma contínua durante todo o processo cirúrgico, onde esta avaliação deve ter uma abrangência que reflita as necessidades fisiológicas, psicológicas, espirituais e sociais do doente, buscando consistir e instituir sua efetividade de atuação. Segundo Conceição et al (2019), pacientes cirúrgicos sofrem graus variados de estresse psicológico no período perioperatório, onde a ansiedade, medo, incertezas se fazem presentes e estão diretamente relacionadas ao ambiente hospitalar, podendo causar variadas respostas fisiológicas e reações psicossomáticas como o aumento da Research, Society and Development, v. 9, n. 11, e56291110337, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i11.10337 8 frequência cardíaca e da pressão arterial que são fatores comumente indicativos para avaliação do nível de ansiedade.…”

Section: Percepções Frente Ao Perioperatóriounclassified

Relato de experiência: a percepção do acadêmico de enfermagem em relação à ansiedade e medo do paciente cirúrgico

Nascimento

Ataide

Oliveira

et al. 2020

RSD

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Objetivo: relatar a experiência dos acadêmicos de enfermagem em um centro cirúrgico de Manaus, referente ao desenvolvimento de ansiedade de pacientes no perioperatório. Método: O estudo trata-se de um relato de experiência, realizado em um Centro Cirúrgico e Sala de Recuperação Anestésica de um hospital de referência em cirurgia geral na zona norte da cidade Manaus, no período de agosto de 2019 a junho de 2020. Resultado: Nesse contexto, ansiedade e medo são sentimentos presentes em todos os pacientes que serão submetidos há um procedimento cirúrgico, sendo estes sentimentos inclusos no segundo nível de prioridade que envolvem as necessidades sociocultural, espiritual e segurança psicológica, corroborando assim com a teoria das necessidades humanas básicas. Conclusão: Desse modo, a enfermagem assume responsabilidades e intervenções naturais ao cuidado com esses pacientes, por serem o profissional mais próximo no dia-a-dia durante o período de internação, o que requer um amplo conhecimento que vão além de sua competência profissional, buscando tornar aquele momento de incertezas em um ambiente mais esclarecido, confiável e confortável ao paciente.

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A pressão arterial e a freqüência cardíaca não são bons parâmetros para avaliação do nível de ansiedade pré-operatória

Abstract: RESUMO

Cited by 7 publications

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Efeitos de orientações fisioterapêuticas sobre a ansiedade de pacientes submetidos à cirurgia de revascularização miocárdica

Efeitos de orientações fisioterapêuticas sobre a ansiedade de pacientes submetidos à cirurgia de revascularização miocárdica

Role of virtual reality in pain perception of patients following the administration of local anesthesia

Relato de experiência: a percepção do acadêmico de enfermagem em relação à ansiedade e medo do paciente cirúrgico

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