Relationship between emotional states before cardiac valve surgeries with postoperative complications

Abstract

Objective: To investigate associations between preoperative anxiety and depression symptoms and postoperative complications and the sociodemographic and clinical characteristics of patients undergoing valve repair surgery. Method: Observational, exploratory and prospective study. The consecutive non-probabilistic sample consisted of patients undergoing their first valve repair surgery. Data were collected from September 2013 to September 2015, in a university hospital in the interior of São Paulo, Brazil. Symptoms were assessed using the Hospital Anxiety and Depression Scale and analyzed using Mann-Whitney and Spearman correlation; alpha was established at 5%. Results: Among the 70 participants, depressive symptoms were more frequent among women (p=0.042) and among patients experiencing postoperative agitation (p=0.039) Conclusion: In this study, depressive symptoms were associated with being a woman and postoperative agitation; the same was not true in regard to anxiety symptoms.

Cardiac anxiety in the perioperative period of patients undergoing cardiac surgical procedures: an observational study

“…In this context, patients awaiting cardiac surgery may experience high levels of anxiety symptoms, due to fears, concerns and uncertainties about the surgery. Studies have shown that anxiety symptoms have influenced patients’ recovery in the postoperative period (PO) of cardiac surgeries, in addition to potentiating the occurrence of complications, increasing hospital stay, decreasing the effectiveness of cardiac rehabilitation programs and increasing postoperative mortality ( 5 - 7 ) .…”

Reações emocionais e comportamentais em pacientes cirúrgicos no pré-operatório: uma revisão integrativa

“…A ansiedade dos sujeitos se reflete principalmente em preocupações acerca do medo da morte, local a ser operado, complicações no pós-operatório e dor sentida, anestesia, entre outros. (Rodrigues et al, 2020;Peng et al, 2020;Reynaud et al, 2021;Felix et al, 2018;Garcia et al, 2018;Mudgalkar et al, 2022;Medina-Garzó, 2019;Gu et al, 2021).…”

Ansiedade cardíaca no período perioperatório de pacientes submetidos a procedimentos cirúrgicos cardíacos: estudo observacional

“…Diante desse contexto, os pacientes que aguardam a cirurgia cardíaca podem vivenciar altos níveis de sintomas de ansiedade, devido a medos, preocupações e incertezas sobre a cirurgia. Estudos têm demonstrado que sintomas de ansiedade têm influenciado na recuperação do paciente no pós-operatório (PO) de cirurgias cardíacas, além de potencializar a ocorrência de complicações, aumentar o tempo de internação, diminuir a eficácia de programa de reabilitação cardíaca e aumentar a mortalidade pós-operatória (5)(6)(7) .…”