Anxiety, depression and stress in the preoperative surgical patient

Abstract

Enquadramento: A ansiedade, a depressão e o stresse são comuns nos doentes durante o internamento, pelo que continua a revelar-se pertinente a sua avaliação em diferentes contextos de saúde. Objetivos: Identificar os níveis de ansiedade, de depressão e de stresse no pré-operatório do doente cirúrgico e analisar a sua associação com algumas variáveis sociodemográficas e clínicas. Metodologia: Estudo descritivo e correlacional, numa amostra de 100 doentes, no dia anterior à cirurgia, utilizando um questionário de caracterização sociodemográfica e a Escala de Ansiedade, Depressão e Stresse-21. Resultados: A amostra é constituída maioritariamente por mulheres, casadas, com idade média de 48,41 anos. Apresentam baixos níveis de ansiedade, de depressão e de stresse no pré-operatório, verificando-se diferenças significativas nos três estados emocionais em função do diagnóstico clínico, da depressão em função das habilitações literárias e do tempo de internamento e do stresse em função do tipo de cirurgia. Conclusão: Os resultados encontrados remetem para a necessidade de uma maior proactividade dos enfermeiros na avaliação e intervenção relativas aos estados emocionais.

MANAGEMENT OF ANXIETY AND DEPRESSION TREATMENT OF PRE-SURGERY PATIENTS AT Dr. SOEBANDI REGIONAL PUBLIC HOSPITAL JEMBER

“…This study did not prove that the pre-surgery education does not give a positive effect, but it has been analyzed that the education given before going in for surgery does not affect anxiety and depression (Isher, 2010). A significant level of depression statistically is found in pre-surgery patients in accordance with the level of educational qualification and length of staying in the hospital (Dos Santos, et al, 2014).…”

“…According to the research of Dos Santos, et al (2014), after testing various hypotheses based on the different socio-demographic variables, the results showed that there was no significant difference statistically in the levels of anxiety, depression, and stress in a pre-surgery surgical patient according to gender, age, marital status, and profession. These results are also consistent with the results of a research done by Marcolino, et al (2017), which aimed to understand the effects of social demographic variables of gender, age, marital status and education about anxiety and depression, concluded that there was no significant difference in the level of depression and anxiety (Dos Santos, et al, 2014). Komolafe and Csernus (2015), stated that feelings of patient anxiety did not correlate with factors of marital status, religiosity and whether patients had had previous surgery.…”

“…Management of anxiety and depression treatment aims to help patients understand how the process of surgery and help patients relieve the anxiety and depression that can be experienced by patients who will undergo surgery. Dos Santos, et al (2014), stated that the presurgery period implies an emotional burden such as stress, anxiety, and major depression in patients and a significant effect on the patient, it means that, the psychological pre-surgery is very important and can be initiated by contact between the nurse/patient to do even before surgery.…”

“…Some actions can be done to lessen the emotional burden of the patients, which are: creating a training program for nurses to develop skills related to the management of stress, anxiety and depression treatment; providing pre-surgery consultation with the multi-professional team, where the emotional condition of anxiety, depression, and stress can be conceptualized through the attitudes, behaviors, and words aimed at autonomous and interdependent interventions to target the problem; and intervening interdependently so as to reduce the length of patients stay in hospital (Dos Santos, et al, 2014).…”

“…Anxiety, depression, and stress are emotional conditions that can be experienced by patients undergoing surgery (Marcolino, et al, 2007). Psychological conditions can be influenced by several factors, such as changes of family and social roles, uncertainty of prognosis, loss of freedom, the anxiety about the surgery procedure, and disability, thus adaptation to the new conditions is necessary (Dos Santos, et al, 2014).…”