Research Article
BibTex RIS Cite

Relationship Between Patients’ Anxiety Levels Before Open Heart Surgery With Postoperative Symptoms

Year 2022, Volume: 5 Issue: 3, 251 - 261, 31.12.2022

Özge Yaman Dilek Aygin

https://doi.org/10.54803/sauhsd.1103950

Abstract

Objective: It was aimed to assess the relationship between patients’ anxiety levels before open heart surgery with postoperative pain, dyspnea, and nausea-vomiting in this study.
Method(s): The study was performed between September 2017 and April 2018 with 77 patients who underwent open heart surgery after obtaining ethical approval. Before the surgery, the “Anxiety Specific to Surgery Questionnaire” and patient information forms were completed, while after the surgery, the “Visual Analogue Scale for Pain”, the “Modified Borg Scale” and the “Rhodes Index of Nausea, Vomiting, and Retching” were implemented within three days after the patients were discharged from the intensive care unit to follow-up services.
Results: The average age of the patients was 58.63±11.85; 72.7% of the patients were male and 46.8% were overweight. The patients were determined to experience medium-level anxiety before open heart surgery. The total anxiety and nausea-vomiting-retching distress scores obtained by the females were higher than those obtained by the males. A positive statistical correlation was detected in mid-levels between pain and dyspnea and in low levels between pain and nausea-vomiting.
Conclusion: The patients were determined to experience medium-level anxiety before open heart surgery, and it was found that there was no relationship between anxiety and pain, dyspnea, or nausea-vomiting.

Keywords

Anxiety cardiac surgery dyspnea nausea pain

References

  • Sidar A, Dedeli Ö, İşkesen Aİ. Açık kalp cerrahisi öncesi ve sonrası hastaların kaygı ve ağrı distresi: Ağrı düzeyi ile ilişkisinin incelenmesi. Yoğun Bakım Derg. 2013;4:1-8. doi:10.5152/dcbybd.2013.02
  • Dal Ü, Bulut H, Güler Demir S. Cerrahi girişim sonrası hastaların evde yaşadıkları sorunlar. Bakirkoy Tip Derg / Med J Bakirkoy. 2012;8(1):34-40. doi:10.5350/BTDMJB201208106
  • Gürsoy A, Candaş B, Güner Ş, Yılmaz S. Preoperative stress: An operating room nurse intervention assessment. J Perianesthesia Nurs. 2016;31(6):495-503. doi:10.1016/j.jopan.2015.08.011
  • Pereira L, Figueiredo-Braga M, Carvalho IP. Preoperative anxiety in ambulatory surgery: The impact of an empathic patient-centered approach on psychological and clinical outcomes. Patient Educ Couns. 2016;99(5):733-738. doi:10.1016/j.pec.2015.11.016
  • Woldegerima YB, Fitwi GL, Yimer HT, Hailekiros AG. Prevalence and factors associated with preoperative anxiety among elective surgical patients at the University of Gondar Hospital. Gondar, Northwest Ethiopia, 2017. A cross-sectional study. Int J Surg Open. 2018;10:21-29. doi:10.1016/j.ijso.2017.11.001
  • Güngör D. Psikolojide Ölçeme Araçlarının Geliştirilmesi ve Uyarlanması Kılavuzu. Türk Psikol Yazıları. 2016;19(38):104‐112.
  • Karagöz Y. SPSS ve AMOS 23 Uygulamalı İstatistiksel Analizler. Birinci Baskı. Ankara, Türkiye: Nobel Akademik Yayıncılık; 2016.
  • Okanlı A, Özer N, Çevik Akyıl R, Koçkar Ç. Cerrahi kliniklerinde yatan hastaların anksiyete ve depresyon düzeylerinin belirlenmesi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2006;9(4):38-44.
  • Karanci AN, Dirik G. Predictors of pre-and postoperative anxiety in emergency surgery patients. J Psychosom Res. 2003;55(4):363-369. doi:10.1016/s0022-3999(02)00631-1
  • Yeşilyurt M, Faydalı S. Ağrı değerlendi̇rmesi̇nde tek boyutlu ölçekleri̇n kullanımı. Journal of Anatolia Nursing and Health Sciences. 2020;23(3):444-451. doi:10.17049/ataunihem.508877
  • Borg G. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377-381.
  • Genç F. Meme kanserli hastalarda akupresür uygulamasının kemoterapiye bağlı bulantı kusma ve anksiyete üzerine etkisi. Yayınlanmamış Doktora Tezi, Atatürk Üniversitesi Sağlık Bilimleri Enstitüsü, Erzurum, 2010.
  • Rhodes VA, McDaniel RW. The index of nausea, vomiting and retching: A new format of the index of nausea and vomiting. Oncol Nurs Forum. 1999;26(5):889-894.
  • Fathi M, Alavi SM, Joudi M, Joudi M, Mahdikhani H, Ferasatkish R, et al. Preoperative anxiety in candidates for heart surgery. Iran J Psychiatry Behav Sci. 2014;8(2):90-96.
  • Hoyer J, Eifert GH, Einsle F, Zimmermann K, Krauss S, Knaut M, et al. Heart-focused anxiety before and after cardiac surgery. J Psychosom Res. 2008;64(3):291-297. doi:10.1016/j.jpsychores.2007.09.009
  • Rosiek A, Kornatowski T, Rosiek-Kryszewska A, Leksowski Ł, Leksowski K. Evaluation of stress intensity and anxiety level in preoperative period of cardiac patients. Biomed Res Int. 2016;2016:1248396. doi:10.1155/2016/1248396.
  • Feuchtinger J, Burbaum C, Heilmann C, Imbery C, Siepe M, Stotz U, et al. Anxiety and fear in patients with short waiting times before coronary artery bypass surgery - a qualitative study. J Clin Nurs. 2013;23:1900-1907. doi:10.1111/jocn.12467
  • Gallagher R, McKinley S. Stressors and anxiety in patients undergoing coronary artery bypass surgery. Am J Crit Care. 2007;16(3):248-257.
  • Ramesh C, Nayak BS, Pai VB, George A, George LS, Devi ES. Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery -A cross- sectional study. Int J Africa Nurs Sci. 2017;7:31-36. doi:10.1016/j.ijans.2017.06.003
  • Eti Aslan F, Demir Korkmaz F, Karabacak Ü. Pain in cardiac surgery and the nursing approach. Turkish J Thorac Cardiovasc Surg. 2012;20(1):172-176. doi:10.5606/tgkdc.dergisi.2012.036
  • Milgrom BL, Brooks JA, Qi R, Bunnell K, Wuestefeld S, Beckman D. Pain levels experienced with activities after cardiac surgery. Am J Crit Care. 2004;13(2):116-125.
  • Micah S, Barolia R, Parpio Y, Kumar S, Sharif H. Factors associated with postoperative pain among patients after cardiac surgery in the tertiary care teaching hospital of Karachi, Pakistan. Pain Res Treat. 2019;2019:9657109. doi:10.1155/2019/9657109
  • Lahtinen P, Kokki H, Hynynen M. Pain after cardiac surgery: A prospective cohort study of 1-year incidence and intensity. Anesthesiology. 2006;105(4):794-800. doi:10.1097/00000542-200610000-00026
  • Ferland CE, Saran N, Valois T, Bote S, Chorney JM, Stone LS, et al. Preoperative distress factors predicting postoperative pain in adolescents undergoing surgery: A preliminary study. J Pediatr Health Care. 2017;31(1):5-15. doi:10.1016/j.pedhc.2015.12.008
  • Ertürk EB, Ünlü H. Effects of pre-operative individualized education on anxiety and pain severity in patients following open-heart surgery. Int J Health Sci. (Qassim) 2018;12(4):26-34.
  • Leander M, Lampa E, Rask-Andersen A, Franklin K, Gislason T, Oudin A, et al. Impact of anxiety and depression on respiratory symptoms. Respir Med. 2014;108:1594-1600. doi:10.1016/j.rmed.2014.09.007
  • Neuman Å, Franklin KA, Norrman E, Janson C. Dyspnea in relation to symptoms of anxiety and depression : A prospective population study. Respir Med. 2006;100:1843-1849. doi:10.1016/j.rmed.2006.01.016
  • Faydalı S. Cerrahi hastalarında analjeziklerin kaliteli kullanımı. Hacettepe Üniversitesi Sağlık Bilim Fakültesi Hemşirelik Derg. 2010;83-91.
  • Zhang Z, Tang W, Shi C, Huang J. Pain management in cardiac surgery. J Anesth Perioper Med. 2018;5(6):346-354. doi:10.24015/japm.2018.0112
  • Dos Santos Baumgarten MC, Garcia GK, Frantzeski MH, Giacomazzi MC, Lagni VB, Dias AS, et al. Pain and pulmonary function in patients submitted to heart surgery via sternotomy. Rev Bras Cir Cardiovasc. 2009;24(4):497-505. doi:10.1590/s0102-76382009000500011
  • Sasseron AB, de Figueiredo LC, Trova K, Cardoso AL, Lima NMFV, Olmos SC, et al. Does the pain disturb the respiratory function after heart surgeries? Rev Bras Cir Cardiovasc. 2009;24(4):490-496. doi:10.1590/s0102-76382009000500010
  • Urell C, Westerdahl E, Hedenstr H, Janson C, Emtner M. Lung function before and two days after open-heart surgery. Crit Care Res Pract. 2012;2012: 291628. doi:10.1155/2012/291628
  • Hooper VD. SAMBA Consensus guidelines for the management of postoperative nausea and vomiting: An executive summary for perianesthesia nurses. J PeriAnesthesia Nurs. 2015;30(5):377-382. doi:10.1016/j.jopan.2015.08.009
  • Sawatzky JV, Rivet M, Ariano RE, Hiebert B, Arora RC. Post-operative nausea and vomiting in the cardiac surgery population: Who is at risk ? Heart Lung. 2014;43:550-554. doi:10.1016/j.hrtlng.2014.07.002
  • Elsaid RM, Namrouti AS, Samara AM, Sadaqa W, Zyoud SH. Assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: An observational study from Palestine. BMC Surg. 2021;21(177):1-9. doi:10.1186/s12893-021-01172-9

Açık Kalp Ameliyatı Öncesi Hastaların Kaygı Düzeylerinin Postoperatif Semptomlar ile İlişkisi

Year 2022, Volume: 5 Issue: 3, 251 - 261, 31.12.2022

Özge Yaman Dilek Aygin

https://doi.org/10.54803/sauhsd.1103950

Abstract

Amaç: Bu çalışmada açık kalp ameliyatı öncesi hastaların kaygı düzeylerinin ameliyat sonrası ağrı, dispne ve bulantı-kusma ile ilişkisinin değerlendirilmesi amaçlandı.
Yöntem: Araştırma, etik kurul onayı alındıktan sonra Eylül 2017-Nisan 2018 tarihleri arasında, açık kalp ameliyatı geçiren 77 hastayla gerçekleştirildi. Ameliyat öncesi “Ameliyata Özgü Kaygı Ölçeği” ve hasta bilgi formu; ameliyat sonrası yoğun bakımdan servise nakledildikten sonraki 3 gün içerisinde ağrı için “Görsel Analog Skala”, “Modifiye Borg Skalası” ve “Rhodes Bulantı-Kusma ve Öğürme İndeksi” uygulandı.
Bulgular: Katılımcıların yaş ortalamasının 58,63±11,85, %72,7’sinin erkek, %46,8’inin fazla kilolu olduğu tespit edildi. Açık kalp ameliyatı öncesi hastaların orta düzeyde kaygı yaşadığı belirlendi. Kadınların toplam kaygı ve bulantı-kusma-öğürme sıkıntı puan medyanları erkeklere göre daha yüksek bulundu. Ağrı ile dispne arasında orta seviyede, ağrı ile bulantı-kusma arasında ise düşük seviyede pozitif yönde istatistiksel olarak anlamlı bir ilişki bulundu.
Sonuç: Açık kalp ameliyatı öncesi hastaların orta düzeyde kaygı yaşadığı, kaygı ile ağrı, dispne, bulantı-kusma arasında ilişki bulunmadığı belirlendi.

Keywords

ağrı anksiyete bulantı dispne kardiyak cerrahi

References

  • Sidar A, Dedeli Ö, İşkesen Aİ. Açık kalp cerrahisi öncesi ve sonrası hastaların kaygı ve ağrı distresi: Ağrı düzeyi ile ilişkisinin incelenmesi. Yoğun Bakım Derg. 2013;4:1-8. doi:10.5152/dcbybd.2013.02
  • Dal Ü, Bulut H, Güler Demir S. Cerrahi girişim sonrası hastaların evde yaşadıkları sorunlar. Bakirkoy Tip Derg / Med J Bakirkoy. 2012;8(1):34-40. doi:10.5350/BTDMJB201208106
  • Gürsoy A, Candaş B, Güner Ş, Yılmaz S. Preoperative stress: An operating room nurse intervention assessment. J Perianesthesia Nurs. 2016;31(6):495-503. doi:10.1016/j.jopan.2015.08.011
  • Pereira L, Figueiredo-Braga M, Carvalho IP. Preoperative anxiety in ambulatory surgery: The impact of an empathic patient-centered approach on psychological and clinical outcomes. Patient Educ Couns. 2016;99(5):733-738. doi:10.1016/j.pec.2015.11.016
  • Woldegerima YB, Fitwi GL, Yimer HT, Hailekiros AG. Prevalence and factors associated with preoperative anxiety among elective surgical patients at the University of Gondar Hospital. Gondar, Northwest Ethiopia, 2017. A cross-sectional study. Int J Surg Open. 2018;10:21-29. doi:10.1016/j.ijso.2017.11.001
  • Güngör D. Psikolojide Ölçeme Araçlarının Geliştirilmesi ve Uyarlanması Kılavuzu. Türk Psikol Yazıları. 2016;19(38):104‐112.
  • Karagöz Y. SPSS ve AMOS 23 Uygulamalı İstatistiksel Analizler. Birinci Baskı. Ankara, Türkiye: Nobel Akademik Yayıncılık; 2016.
  • Okanlı A, Özer N, Çevik Akyıl R, Koçkar Ç. Cerrahi kliniklerinde yatan hastaların anksiyete ve depresyon düzeylerinin belirlenmesi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2006;9(4):38-44.
  • Karanci AN, Dirik G. Predictors of pre-and postoperative anxiety in emergency surgery patients. J Psychosom Res. 2003;55(4):363-369. doi:10.1016/s0022-3999(02)00631-1
  • Yeşilyurt M, Faydalı S. Ağrı değerlendi̇rmesi̇nde tek boyutlu ölçekleri̇n kullanımı. Journal of Anatolia Nursing and Health Sciences. 2020;23(3):444-451. doi:10.17049/ataunihem.508877
  • Borg G. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377-381.
  • Genç F. Meme kanserli hastalarda akupresür uygulamasının kemoterapiye bağlı bulantı kusma ve anksiyete üzerine etkisi. Yayınlanmamış Doktora Tezi, Atatürk Üniversitesi Sağlık Bilimleri Enstitüsü, Erzurum, 2010.
  • Rhodes VA, McDaniel RW. The index of nausea, vomiting and retching: A new format of the index of nausea and vomiting. Oncol Nurs Forum. 1999;26(5):889-894.
  • Fathi M, Alavi SM, Joudi M, Joudi M, Mahdikhani H, Ferasatkish R, et al. Preoperative anxiety in candidates for heart surgery. Iran J Psychiatry Behav Sci. 2014;8(2):90-96.
  • Hoyer J, Eifert GH, Einsle F, Zimmermann K, Krauss S, Knaut M, et al. Heart-focused anxiety before and after cardiac surgery. J Psychosom Res. 2008;64(3):291-297. doi:10.1016/j.jpsychores.2007.09.009
  • Rosiek A, Kornatowski T, Rosiek-Kryszewska A, Leksowski Ł, Leksowski K. Evaluation of stress intensity and anxiety level in preoperative period of cardiac patients. Biomed Res Int. 2016;2016:1248396. doi:10.1155/2016/1248396.
  • Feuchtinger J, Burbaum C, Heilmann C, Imbery C, Siepe M, Stotz U, et al. Anxiety and fear in patients with short waiting times before coronary artery bypass surgery - a qualitative study. J Clin Nurs. 2013;23:1900-1907. doi:10.1111/jocn.12467
  • Gallagher R, McKinley S. Stressors and anxiety in patients undergoing coronary artery bypass surgery. Am J Crit Care. 2007;16(3):248-257.
  • Ramesh C, Nayak BS, Pai VB, George A, George LS, Devi ES. Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery -A cross- sectional study. Int J Africa Nurs Sci. 2017;7:31-36. doi:10.1016/j.ijans.2017.06.003
  • Eti Aslan F, Demir Korkmaz F, Karabacak Ü. Pain in cardiac surgery and the nursing approach. Turkish J Thorac Cardiovasc Surg. 2012;20(1):172-176. doi:10.5606/tgkdc.dergisi.2012.036
  • Milgrom BL, Brooks JA, Qi R, Bunnell K, Wuestefeld S, Beckman D. Pain levels experienced with activities after cardiac surgery. Am J Crit Care. 2004;13(2):116-125.
  • Micah S, Barolia R, Parpio Y, Kumar S, Sharif H. Factors associated with postoperative pain among patients after cardiac surgery in the tertiary care teaching hospital of Karachi, Pakistan. Pain Res Treat. 2019;2019:9657109. doi:10.1155/2019/9657109
  • Lahtinen P, Kokki H, Hynynen M. Pain after cardiac surgery: A prospective cohort study of 1-year incidence and intensity. Anesthesiology. 2006;105(4):794-800. doi:10.1097/00000542-200610000-00026
  • Ferland CE, Saran N, Valois T, Bote S, Chorney JM, Stone LS, et al. Preoperative distress factors predicting postoperative pain in adolescents undergoing surgery: A preliminary study. J Pediatr Health Care. 2017;31(1):5-15. doi:10.1016/j.pedhc.2015.12.008
  • Ertürk EB, Ünlü H. Effects of pre-operative individualized education on anxiety and pain severity in patients following open-heart surgery. Int J Health Sci. (Qassim) 2018;12(4):26-34.
  • Leander M, Lampa E, Rask-Andersen A, Franklin K, Gislason T, Oudin A, et al. Impact of anxiety and depression on respiratory symptoms. Respir Med. 2014;108:1594-1600. doi:10.1016/j.rmed.2014.09.007
  • Neuman Å, Franklin KA, Norrman E, Janson C. Dyspnea in relation to symptoms of anxiety and depression : A prospective population study. Respir Med. 2006;100:1843-1849. doi:10.1016/j.rmed.2006.01.016
  • Faydalı S. Cerrahi hastalarında analjeziklerin kaliteli kullanımı. Hacettepe Üniversitesi Sağlık Bilim Fakültesi Hemşirelik Derg. 2010;83-91.
  • Zhang Z, Tang W, Shi C, Huang J. Pain management in cardiac surgery. J Anesth Perioper Med. 2018;5(6):346-354. doi:10.24015/japm.2018.0112
  • Dos Santos Baumgarten MC, Garcia GK, Frantzeski MH, Giacomazzi MC, Lagni VB, Dias AS, et al. Pain and pulmonary function in patients submitted to heart surgery via sternotomy. Rev Bras Cir Cardiovasc. 2009;24(4):497-505. doi:10.1590/s0102-76382009000500011
  • Sasseron AB, de Figueiredo LC, Trova K, Cardoso AL, Lima NMFV, Olmos SC, et al. Does the pain disturb the respiratory function after heart surgeries? Rev Bras Cir Cardiovasc. 2009;24(4):490-496. doi:10.1590/s0102-76382009000500010
  • Urell C, Westerdahl E, Hedenstr H, Janson C, Emtner M. Lung function before and two days after open-heart surgery. Crit Care Res Pract. 2012;2012: 291628. doi:10.1155/2012/291628
  • Hooper VD. SAMBA Consensus guidelines for the management of postoperative nausea and vomiting: An executive summary for perianesthesia nurses. J PeriAnesthesia Nurs. 2015;30(5):377-382. doi:10.1016/j.jopan.2015.08.009
  • Sawatzky JV, Rivet M, Ariano RE, Hiebert B, Arora RC. Post-operative nausea and vomiting in the cardiac surgery population: Who is at risk ? Heart Lung. 2014;43:550-554. doi:10.1016/j.hrtlng.2014.07.002
  • Elsaid RM, Namrouti AS, Samara AM, Sadaqa W, Zyoud SH. Assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: An observational study from Palestine. BMC Surg. 2021;21(177):1-9. doi:10.1186/s12893-021-01172-9
There are 35 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Özge Yaman 0000-0001-6154-7278

Dilek Aygin 0000-0003-4620-3412

Publication Date December 31, 2022
Submission Date April 15, 2022
Published in Issue Year 2022 Volume: 5 Issue: 3

Cite

APA Yaman, Ö., & Aygin, D. (2022). Relationship Between Patients’ Anxiety Levels Before Open Heart Surgery With Postoperative Symptoms. Sakarya Üniversitesi Holistik Sağlık Dergisi, 5(3), 251-261. https://doi.org/10.54803/sauhsd.1103950
 Download Cover Image


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.