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Enfermería Global

On-line version ISSN 1695-6141

Abstract

GOMES, Eduardo Tavares; GALVAO, Paulo Cesar da Costa; SANTOS, Karolayne Vieira dos  and  BEZERRA, Simone Maria Muniz da Silva. Risk factors for anxiety and depression in the preoperative period of cardiac surgery. Enferm. glob. [online]. 2019, vol.18, n.54, pp.426-469.  Epub Oct 14, 2019. ISSN 1695-6141.  https://dx.doi.org/10.6018/eglobal.18.2.322041.

Objective

To evaluate the risk factors of anxiety and depression in the preoperative period of cardiac surgery.

Method

This is a sectional study, conducted between January and June 2017, in a university hospital of reference in cardiology in northeastern Brazil. A total of 174 patients were evaluated using their own questionnaire and the Hospital Anxiety and Depression Scale (HADS) and Odds Ratios were calculated to assess the risk.

Results

In the assessment of anxiety, significant risk factors were: female gender, years of study, absence of companion, previous experience of cardiac surgery and cancellation of surgery during hospitalization. As for depression, risk factors were revealed: female sex and hospitalization time greater than 15 days.

Conclusion

The nurse has instruments available to recognize anxiety and depression, including nursing diagnoses and validated scales, as well as having a preponderant role in these cases. It should be an institutional challenge to streamline the service in order to avoid prolongation of hospitalization and cancellations of surgery for structural reasons.

Keywords : Anxiety; Depression; Cardiac Surgery; Perioperative period; Nursing.

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