Ansiedade pré-operatória e inventário de ansiedade traço-estado, alfa-amilase salivar e medidas fisiológicas: Ansiedade pré-operatória e inventário de ansiedade traço-estado, alfa-amilase salivar e medidas fisiológicas

Andreia Cristina Barbosa Costa; Adriana Olímpia Barbosa Felipe; Isabelle Cristinne Costa Pinto; Silvana Maria Coelho Leite Fava; Amanda Salles Margatho; Renata Cristina de Campos Pereira Silveira

doi:10.5433/anh.2023v5.id46302

Authors

Andreia Cristina Barbosa Costa Escola de Enfermagem da Universidade Federal de Alfenas https://orcid.org/0000-0003-3484-9638
Adriana Olímpia Barbosa Felipe Escola de Enfermagem da Universidade Federal de Alfenas. http://orcid.org/0000-0002-4491-5750
Isabelle Cristinne Costa Pinto Escola de Enfermagem da Universidade Federal de Alfenas. http://orcid.org/0000-0002-2611-8643
Silvana Maria Coelho Leite Fava Escola de Enfermagem da Universidade Federal de Alfenas. https://orcid.org/0000-0003-3186-9596
Amanda Salles Margatho
Renata Cristina de Campos Pereira Silveira Departamento de Enfermagem Geral e Especializada, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo. https://orcid.org/0000-0002-2883-3640

DOI:

https://doi.org/10.5433/anh.2023v5.id46302

Keywords:

Ansiedade, Escalas, Biomarcadores, Procedimento Cirúrgico Eletivo, Período Pré-operatório

Abstract

Objectives: To evaluate the presence of anxiety in individuals in the immediate preoperative period by applying the short version of the State-Trait Anxiety Inventory and measure the biomarker salivary alpha-amylase and physiologic parameters to verify the existence of an association between them and the effects of using psychotropic medications to control anxiety. Methods: Observational, analytical, and longitudinal study with 64 patients in their immediate preoperative period who would have elective mid-size surgeries. Anxiety was assessed by applying the short version of the State-Trait Anxiety Inventory (short version) and measuring the biomarker salivary alpha- amylase and physiologic parameters (systolic and diastolic blood pressure and heart rate) at two times: after admission of the patient to the infirmary and one hour before they were taken to the operating room. Results: there was a statistically significant difference between the results obtained at the two times for the Inventory and systolic and diastolic blood pressure (p = 0.17), as well as salivary alpha-amylase and use of psychotropic medications (p = 0.002). Additionally, a correlation was found between the differences measured by means of the Inventory at the two times and age (p = 0.003). Conclusion: the patients had anxiety during the immediate preoperative period. Use of psychotropic drugs showed a direct relationship with decreased salivary alpha-amylase. The score in the short version of the State-Trait Anxiety Inventory (short version) decreased as patient age increased.

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References

1. Rocha D, Ivo O. Assistência de enfermagem no pré-operatório e sua influência no pós-operatório: uma percepção do cliente. Rev. Enferm. Contemp. 2015;4(2):170-8. https://doi.org/2317-3378rec.v4i2.631.
2. Maluf EMC, Richlin CH, Barreira MA. Prevalence of anxiety and depression in preoperative of elective surgeries at a university hospital in Curitiba. Rev. Med. UFPR. 2015; 2(2):62-6. https://doi.org/10.5380/rmu.v2i2.41386.
3. Melchior LMR, Barreto RASS, Prado MA, Caetano KAA, Bezerra ALQ, Souza TV. Predictors for moderate and serious pre-operative anxiety in hospitalized surgical patients. Enferm. glob. 2018;52:75-85. http://dx.doi.org/10.6018/eglobal.17.4.29.
4. Bedaso A, Ayalew M. Preoperative anxiety among adult patients undergoing elective surgery: a prospective survey at a general hospital in Ethiopia. Patient Saf Surg. 2019;13(18):2-8. https://doi.org/10.1186/s13037- 019-0198-0.
5. Akinsulore A, Owjuyigbe AM, Faponle AF, Fatoye FO. Assessment of preoperative and postoperative anxiety among elective major surgery patients in a tertiary hospital in Nigeria. Middle East J Anaesthesiol. 2015;23(2):235-40. https://pubmed.ncbi.nlm.nih.gov/26442401/.
6. Liu Y, Petrini MA. Effects of music therapy on pain, anxiety, and vital signs in patients after thoracic surgery. Complement Ther Med. 2015;23(5):714-8. https://doi.org/10.1016/j.ctim.2015.08.002.
7. Rocha RL, Alcântara CEP, Araújo CTP, Amorim VA, Oliveira-Ferreira F, Pinheiro MLP. Recognition and evaluation of anxiety in individuals with cerebral palsy during dental appointments. Arq Odontol. 2017;53:e02. http://docs.bvsalud.org/biblioref/2018/08/906067/10177-23226-1-sm.pdf.
8. Kaipper MB, Chachamovich E, Hidalgo MP, Torres IL, Caumo W. Evaluation of the structure of Brazilian State-Trait Anxiety Inventory using a Rash psychometric approach. J. Psychosom. Res. 2010;68(3):223-33. https://doi.org/10.1016/j.jpsychores.2009.09.013.
9. Yamaguchi M, Kanemori T, Kanemaru M, Takai N, Mizuno Y, Yoshida H. Performance evaluation of salivary amylase activity monitor. Biosens Bioelectron. 2004;20:491-7. https://doi.org/10.1016/j.bios.2004.02.012.
10. Mulrine BL, Sheehan MF, Burrell L, Matthews MD. Measuring stress and ability to recover from stress with salivary alpha-amylase levels. New Yor: United States Military Academy; 2011. https://apps.dtic.mil/sti/pdfs/ADA540975.pdf.
11. Ahmetovic-Djug J, Hasukic S, Djug H, Hasukic B, Jahic A. Impact of preoperative anxiety in patients on hemodynamic changes and a dose of anesthetic during induction of anesthesia. Med Arch. 2017;71(5): 330- 3. https://doi.org/10.5455/medarh.2017.71.330-333.
12. Uğraş GA, Yıldırım G, Yüksel S, Öztürkçü Y, Kuzdere M, Öztekin SD. The effect of different types of music on patients' preoperative anxiety: a randomized controlled trial. Complement Ther Clin Pract. 2018;31:158-63. https://doi.org/10.1016/j.ctcp.2018.02.012.
13. Hollander MHJ, Schorltingues J, Vissink A. Changes in heart rate during third molar surgery. Int J Oral Maxillofac Surg. 2016;45(12):1652-7. https://doi.org/10.1016/j.ijom.2016.08.004.
14. Potter PA, Perry AG. Fundamentos de enfermagem. 8ª ed. Rio de Janeiro (RJ): Elsevier; 2013.
15. Woldegerima YB, Fitwi GL, Yimer HT, Hailekiros AG. Prevalence and factors associated with preoperative anxiety among elective surgical patients at University of Gondar Hospital. Gondar, Northwest Ethiopia, 2017. A cross-sectional study. Int. J. Surg. Open. 2018;10:21-9. https://doi.org/10.1016/j.ijso.2017.11.001.
16. Machado JA, Silvia LF, Guedes MVC, Freitas MC, Ponte KMA, Silva AL. Autocontrole de ansiedade no pré-operatório cardíaco: resultado de uma intervenção de enfermagem. Sanare. 2015;14(2):36-42. https://sanare.emnuvens.com.br/sanare/article/view/822.
17. Abate SM, Chekol YA, Basu B. Global prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and meta-analysis. Int. J. Surg. Open. 2020;25:6-16. https://doi.org/10.1016/j.ijso.2020.05.010.
18. Bedaso A, Ayalew M. Ansiedade pré-operatória entre pacientes adultos submetidos à cirurgia eletiva: uma pesquisa prospectiva em um hospital geral na Etiópia. Paciente Saf Surg. 2019;13:18. https://doi.org/10.1186/s13037-019-0198-0.
19. Ortiz J, Wang S, Elayda MA, Tolpinc DA. Preoperative patient education: can we improve satisfaction and reduce anxiety Rev. Bras. Anestesiol. 2015;65(1):7-13. https://doi.org/10.1016/j.bjan.2013.07.009.
20. Erkilic E, Kesimci E, Soykut C, Doger C, Gumus T, Kanbak O. Factors associated with preoperative anxiety levels of Turkish surgical patients: from a single center in Ankara. Patient Prefer Adherence. 2017;11:291-6. https://doi.org/10.2147/PPA.S127342.
21. Kanehisa M, Kawashima C, Nakanishi M, Okamoto K, Oshita H, Masuda K, et al. Gender differences in automatic thoughts and cortisol and alpha-amylase responses to acute psychosocial stress in patients with obsessive-compulsive personality disorder. J Affect Disord. 2017;217:1-7. https://doi.org/10.1016/j.jad.2017.03.057.
22. Leal PC, Goes TC, Silva LCF, Teixeira-Silva F. Trait vs. state anxiety in different threatening situations. Trends Psychiatry Psychother. 2017;39(3):147-57. https://doi.org/10.1590/2237-6089-2016-0044.
23. Szarmach J, Cubała WJ, Landowski J, Chrzanowska A. No relationship between baseline salivary alpha-amylase and State-Trait Anxiety Inventory Score in drug-naïve patients with short-illness-duration first episode major depressive disorder: An exploratory study. J Clin Exp Dent. 2017;9(4):e527-e530. https://doi.org/10.4317/jced.53631.
24. Kumar S. The effect of preoperative anxiety on postoperative pain. IJHW. 2015; 6(6):622-4. http://www.iahrw.com/index.php/home/journal_detail/19#list.
25. Bucx MJ, Krijtenburg P, Kox M. Preoperative use of anxiolytic-sedative agents; are we on the right track? J Clin Anesth. 2016;33:135–40. http://dx.doi.org/10.1016/j.jclinane.2016.03.025.
26. Bandeira RA, Gomes LO, Bezerra AJC, Duarte JA. Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy. R Dor. 2017; 18(4):291-7. http://dx.doi.org/10.5935/1806-0013.20170118