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

Autores/as

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

Palabras clave:

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

Resumen

Objetivos: Evaluar la presencia de ansiedad en individuos en período preoperatorio inmediato a través del Inventario de Ansiedad Rasgo-Estado (versión reducida), de medición del biomarcador alfa-amilasa salival y de parámetros fisiológicos, verificando la existencia de asociación entre ellos y el efecto del uso de psicofármacos para controlar la ansiedad. Métodos: Investigación observacional y analítica, longitudinal, con 64 pacientes en preoperatorio inmediato de cirugías electivas de magnitud intermedia. La ansiedad se evaluó mediante el Inventario de Ansiedad Rasgo-Estado (versión reducida), la medición de alfa-amilasa salival y los parámetros fisiológicos (presión arterial sistólica y diastólica, y frecuencia cardíaca) en dos momentos: luego de la admisión del paciente en enfermería y una hora antes de su derivación a quirófano. Resultados: Se identificó diferencia estadísticamente significante entre los valores del Inventario de Ansiedad Rasgo-Estado versión reducida y la presión arterial sistólica y diastólica en ambos momentos (p=0,17); entre la alfa-amilasa salival y el uso de psicofármacos (p=0,002); y presencia de correlación entre las medidas de las diferencias del Inventario de Ansiedad Rasgo-Estado versión reducida y la edad (p=0,003). Conclusión: Los pacientes mostraron ansiedad durante el período preoperatorio inmediato. El uso de psicofármacos presentó relación directa con la reducción de alfa-amilasa salival. El Inventario de Ansiedad Rasgo-Estado versión reducida expresó menor puntaje acorde con el aumento de la edad.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

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