Association of preoperative anxiety and depression symptoms with postoperative complications of cardiac surgeries

Authors

  • Hélen Francine Rodrigues Confederação Nacional das Cooperativas Médicas, Hospital Unimed
  • Rejane Kiyoma Furuya Instituto Federal do Paraná, Campus Londrina
  • Rosana Aparecida Spadoti Dantas Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto
  • Alfredo José Rodrigues Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto
  • Carina Aparecida Marosti Dessotte Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto https://orcid.org/0000-0002-5521-8416

DOI:

https://doi.org/10.1590/1518-8345.2784.3107

Keywords:

Postoperative Care, Anxiety, Depression, Perioperative Nursing, Thoracic Surgery, Postoperative Complications

Abstract

Objective: to investigate the associations of preoperative anxiety and depression symptoms with postoperative complications and with sociodemographic and clinical characteristics of patients submitted to the first coronary artery bypass graft. Method: observational, analytical and longitudinal study. A consecutive non-probabilistic sample consisted of patients submitted to coronary artery bypass graft. To evaluate the symptoms, the Hospital Anxiety and Depression Scale was used. tracheal intubation for more than 48 hours, hemodynamic instability, sensorineural deficit, agitation, hyperglycemia, infection, nausea, vomiting, pain and death were classified as complications. The Mann-Whitney and Spearman Correlation tests were used, with a significance level of 0.05. Results: a total of 75 patients participated. The group that presented hemodynamic instability in the postoperative period had a greater median for the anxiety symptoms (p = 0.012), as well as the women (p = 0.028). The median of the depression symptoms was higher in the group presenting nausea (p = 0.002), agitation (p <0.001), tracheal intubation for more than 48 hours (p = 0.018) and sensorineural deficit (p = 0.016). Conclusion: there was association of the symptoms of preoperative anxiety with hemodynamic instability in the postoperative period and with the female gender, as well as association of depression symptoms with the following complications: nausea, agitation, time of intubation in the postoperative period and sensorineural deficit.

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Published

2019-03-29

Issue

Vol. 26 (2018)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Association of preoperative anxiety and depression symptoms with postoperative complications of cardiac surgeries. (2019). Revista Latino-Americana De Enfermagem, 26, e3107. https://doi.org/10.1590/1518-8345.2784.3107