The Influence of Medical Information on the Perioperative Course of Stress in Cardiac Surgery Patients

Bergmann, Peter G.; Huber, Stefan; Mächler, Heinrich; Liebl, Eva; Hinghofer‐Szalkay, Helmut; Rehak, Peter; Rigler, B

doi:10.1097/00000539-200111000-00005

Cited by 25 publications

(22 citation statements)

References 19 publications

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“…However, some controversy still remains, since for cardiac surgery, information delivered either personally or by pamphlets produced no benefit [9][10][11] . It is also interesting to note that any complete or minimal written information regarding anesthesia, while not significantly changing the state-anxiety levels, could increase the knowledge regarding anesthesia 12 .…”

Section: Discussionmentioning

confidence: 99%

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Surgery information reduces anxiety in the pre-operative period

et al. 2004

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PURPOSE:Patients preparing to undergo surgery should not suffer needless anxiety. This study aimed to evaluate anxiety levels on the day before surgery as related to the information known by the patient regarding the diagnosis, surgical procedure, or anesthesia.METHOD: Patients reported their knowledge of diagnosis, surgery, and anesthesia. The Spielberger State-Trait Anxiety Inventory (STAI) was used to measure patient anxiety levels.RESULTS: One hundred and forty-nine patients were selected, and 82 females and 38 males were interviewed. Twentynine patients were excluded due to illiteracy. The state-anxiety levels were alike for males and females (36.10 ± 11.94 vs. 37.61 ± 8.76) (mean ± SD). Trait-anxiety levels were higher for women (42.55 ± 10.39 vs. 38.08 ± 12.25, P = 0.041). Patient education level did not influence the state-anxiety level but was inversely related to the trait-anxiety level. Knowledge of the diagnosis was clear for 91.7% of patients, of the surgery for 75.0%, and of anesthesia for 37.5%. Unfamiliarity with the surgical procedure raised state-anxiety levels (P = 0.021). A lower state-anxiety level was found among patients who did not know the diagnosis but knew about the surgery (P = 0.038).CONCLUSIONS: Increased knowledge of patients regarding the surgery they are about to undergo may reduce their state-anxiety levels.

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Section: Discussionmentioning

confidence: 99%

“…Besides being indifferent to the patients' needs, such material does not aid anxiety control 9 . Patients from this sample with the correct information about surgery had reduced anxiety regardless the diagnosis information (Fig.…”

Section: Discussionmentioning

confidence: 99%

Surgery information reduces anxiety in the pre-operative period

et al. 2004

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“…However, Bergmann et al [5] and Schuldham et al [28] found no significant difference in scores between patients guided or not on the same disorder before the surgery.…”

Section: Discussionmentioning

confidence: 95%

“…Bergmann et al [5] found that the anxiety level decreased significantly in the postoperative period in a study that aimed to assess the effects of oral information preoperatively combined with greater personal attention given by the surgeon on the levels of stress, anxiety and welfare.…”

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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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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Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia

Powell

Scott

Manyande

et al. 2016

Cochrane Database of Systematic Reviews

171

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The Influence of Medical Information on the Perioperative Course of Stress in Cardiac Surgery Patients

Abstract: The quantity of stress during transport to the operating room and the perioperative psychoendocrinologic course of stress in combination with two different methods of preoperative medical information are described in 60 consecutive patients awaiting cardiac surgery.

Cited by 25 publications

References 19 publications

Surgery information reduces anxiety in the pre-operative period

Surgery information reduces anxiety in the pre-operative period

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

Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia

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