计划接受冠状动脉搭桥手术的患者在围手术期所经历的焦虑对疼痛感、自我效能感和身体自尊的影响。

IF 0.6 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-06-01 Epub Date: 2024-06-30 DOI:10.5114/kitp.2024.141144
Beata Krakowska, Grzegorz Grudzien, Milena Suliga, Boguslaw Kapelak, Krzysztof Bartus
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引用次数: 0

摘要

导言:尽管有大量研究探讨了术前抑郁和/或焦虑症状的强度与其术后强度和术后并发症之间的关系,但几乎没有人探讨过患者如何看待自己的能力或身体吸引力,以及包括术后疤痕在内的身体各方面所引起的情绪等问题。这些方面在评估患者的生活质量方面起着重要作用,并从短期和长期角度对手术这一事件的整体评估产生重大影响。目的:评估计划接受冠状动脉搭桥手术的患者在术前和术后的焦虑、疼痛程度、自我效能感和身体自尊之间的关系:对 50 名计划或紧急接受冠状动脉搭桥手术的患者进行了前瞻性研究。焦虑作为一种状态和特质,使用波兰语版的状态-特质焦虑量表(STAI)进行评估。采用视觉模拟量表(VAS)对疼痛进行评估。自我效能感量表(Self-Efficacy Gauge)测量自我效能感,而身体自尊量表(Body Esteem Scale)则评估身体自尊:结果和结论:心血管造影术后,状态焦虑的强度与自我效能呈显著负相关。术后疼痛强度与自我效能感之间存在统计学意义上的显著负相关。在女性患者中,术前和术后的疼痛强度与她们在相应时间点对身体状况的自尊评估呈负相关。在评估围手术期的焦虑特质时,发现焦虑与心血管造影术后的疼痛加剧呈正相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of anxiety experienced by patients scheduled for coronary artery bypass surgery on perceived pain, self-efficacy and body esteem in the perioperative period.

Introduction: Despite the large amount of researches addressed the issue of the relationship between the intensity of preoperative symptoms of depression and/ or anxiety with their postoperative intensity and any complications after surgery, there have been almost unaddressed such subjects as how the patients perceive their own capabilities or physical attractiveness, and the emotions which are evoked by various aspects of their own bodies, including postoperative scars. These aspects play a significant role in assessing the quality of patients' life and have a significant impact on the overall assessment of the surgery as an event, in both the short- and long-term perspective.

Aim: To evaluate the relationship between anxiety, pain level, self-efficacy and body esteem in the pre- and postoperative periods among patients scheduled for coronary artery bypass surgery.

Material and methods: Prospective studies were carried out in a group of 50 patients scheduled for coronary artery bypass surgery, either on a planned or urgent basis. Anxiety, both as a state and as a trait, was assessed using the Polish version of the State-Trait Anxiety Inventory (STAI). The Visual Analogue Scale (VAS) was employed to evaluate pain. The Self-Efficacy Gauge measured self-efficacy, while the Body Esteem Scale assessed body esteem.

Results and conclusions: The intensity of state anxiety significantly negatively correlated with self-efficacy following CABG surgery. There was a statistically significant negative correlation between the intensity of painand self-efficacy in the postoperative period. Among female patients, the intensity of pain, both pre- and post-operatively, negatively correlated with their assessment of body esteem concerning physical condition at the respective time points. When assessing anxiety as a trait during the perioperative period, a positive correlation with pain intensification after CABG was identified.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
44
审稿时长
6-12 weeks
期刊介绍: Polish Journal of Thoracic and Cardiovascular Surgery is a quarterly aimed at cardiologists, cardiosurgeons and thoracic surgeons. Includes the original works (experimental, research and development), illustrative and casuistical works about cardiology and cardiosurgery.
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