ABSTRACT
INTRODUCTION: The coronary artery bypass graft surgery is an option of treatment for cardiovascular diseases, and the patients who underwent such procedure can suffer from preoperative anxiety. OBJECTIVE: The aim of this study is to verify the effects of physiotherapeutic instructions at the anxiety level on patients undergone coronary artery bypass graft surgery. METHODS: Randomized clinical trial, with the sample composed by 51 individuals, 27 on the control group and 24 on the intervention; on which it was assessed the anxiety (Beck Scale for Anxiety) and pain (Visual Analog Scale) levels on the pre- and postoperative period and only the second group received instructions about the surgery procedures and ventilatory exercises. For statistical analysis the Wilcoxon, Mann-Whitney and Spearman tests were used. RESULTS: The lower anxiety levels were observed in patients that received the intervention on the period before surgery (9.6 +/- 7.2 versus 13.4 +/- 5.9, P=0.02). On the control group, the difference among the anxiety levels before and after the surgery was statistically significant (P= 0.003). The female individuals presented more anxious before the surgery compared to the male ones (P=0.058). It was also verified a relationship between length of stay at hospital and postoperative anxiety (P=0.05), where the more anxious individuals remained more time at the hospital. CONCLUSION: Patients oriented and instructed about physiotherapeutic ventilatory exercises and hospital routine, presented their levels of anxiety reduced on the preoperative compared to the control group. However, at the postoperative, both groups presented their anxiety levels reduced without significant difference between them.
Subject(s)
Anxiety/prevention & control , Breathing Exercises , Coronary Artery Bypass/psychology , Preoperative Care , Adult , Anxiety/diagnosis , Breathing Exercises/adverse effects , Female , Humans , Male , Preoperative Care/adverse effects , Preoperative Care/methods , Statistics, NonparametricABSTRACT
INTRODUÇÃO: A cirurgia de revascularização é uma opção de tratamento para as doenças cardiovasculares, sendo que os indivíduos a esta submetidos podem sofrer quadros de ansiedade pré-operatória. OBJETIVO: O objetivo deste estudo é verificar os efeitos de orientações fisioterapêuticas sobre o nível de ansiedade em pacientes submetidos à cirurgia de revascularização do miocárdio. MÉTODOS: Ensaio clínico randomizado, com amostra composta por 51 indivíduos, sendo 27 do grupo controle e 24 de intervenção, nos quais foram avaliados os níveis de ansiedade (Escala de Beck) e dor (Escala Análogo Visual), nos períodos pré e pós-operatório, sendo que somente o grupo intervenção recebeu orientações sobre os procedimentos cirúrgicos e exercícios ventilatórios. Para análise dos dados foram utilizados os testes de Wilcoxon, Mann-Whitney e Spearman. RESULTADOS: Observaram-se escores de ansiedade mais baixos nos pacientes que receberam a intervenção antes da cirurgia (9,6 ± 7,2 versus 13,4 ± 5,9, P=0,02). No grupo controle, a diferença entre os escores de ansiedade antes e após a cirurgia foi significativa (P=0,003). Os indivíduos do sexo feminino apresentaram-se mais ansiosos no pré-operatório comparados aos do sexo masculino (P=0,058). Verificou-se também relação entre o tempo de permanência no hospital e ansiedade pós-operatória (P=0,05), sendo que os indivíduos mais ansiosos permaneceram internados por maior período de tempo. CONCLUSÃO: Pacientes orientados e instruídos, quanto a exercícios ventilatórios fisioterapêuticos e rotinas hospitalares, tiveram menores níveis de ansiedade no pré-operatório, quando comparados ao grupo controle. Entretanto, no período pós-operatório, ambos os grupos tiveram seus níveis de ansiedade reduzidos, sem diferença significativa entre eles
INTRODUCTION: The coronary artery bypass graft surgery is an option of treatment for cardiovascular diseases, and the patients who underwent such procedure can suffer from preoperative anxiety. OBJECTIVE: The aim of this study is to verify the effects of physiotherapeutic instructions at the anxiety level on patients undergone coronary artery bypass graft surgery. METHODS: Randomized clinical trial, with the sample composed by 51 individuals, 27 on the control group and 24 on the intervention; on which it was assessed the anxiety (Beck Scale for Anxiety) and pain (Visual Analog Scale) levels on the pre- and postoperative period and only the second group received instructions about the surgery procedures and ventilatory exercises. For statistical analysis the Wilcoxon, Mann-Whitney and Spearman tests were used. RESULTS: The lower anxiety levels were observed in patients that received the intervention on the period before surgery (9.6 ± 7.2 versus 13.4 ± 5.9, P=0.02). On the control group, the difference among the anxiety levels before and after the surgery was statistically significant (P= 0.003). The female individuals presented more anxious before the surgery compared to the male ones (P=0.058). It was also verified a relationship between lenght of stay at hospital and postoperative anxiety (P=0.05), where the more anxious individuals remained more time at the hospital. CONCLUSION: Patients oriented and instructed about physiotherapeutic ventilatory exercises and hospital routine, presented their levels of anxiety reduced on the preoperative compared to the control group. However, at the postoperative, both groups presented their anxiety levels reduced without significant difference between them
Subject(s)
Adult , Female , Humans , Male , Anxiety/prevention & control , Breathing Exercises , Coronary Artery Bypass/psychology , Preoperative Care , Anxiety/diagnosis , Breathing Exercises/adverse effects , Preoperative Care/adverse effects , Preoperative Care/methods , Statistics, NonparametricABSTRACT
Esse estudo avalia a interação mãe-bebê pré-termo e os sinais de desenvolvimento do vínculo afetivo, no ambiente hospitalar. A amostra foi composta por nove bebês, de ambos os sexos, nascidos entre 28 e 36 semanas de idade gestacional, sem síndromes ou malformações, e suas respectivas mães. Os instrumentos utilizados foram o prontuário médico e os protocolos da história clínica do bebê e das observações dos encontros das díades. Os dados foram analisados quanto ao percentual de ocorrências e quanto à análise qualitativa dessas atividades. Os resultados revelam que as trocas nas interações da díade mãe/bebê foram adequadas em 55,5 nas categorias corporal e vocal, e em 44,4 nas categorias visual e facial. Esses resultados sugerem que é nas trocas do bebê com o cuidador, em sua postura corporal, na modulação da linguagem, no contato visual e em suas expressões faciais que reverberam condutas e respostas nele e em seus pais(AU)
The aim of this study was to assess the mother-pre term baby interactions and the signals of the affective bond development in the hospital environment. The sample comprehends nine babies, of both sexes, born between twenty-eight and thirty-six weeks of gestational age, free of complications such as syndromes or malformations and their respective mothers. The instruments used were the medical records and the protocols of the baby's clinical history and of the mother-baby's observations. The data was analyzed in terms of percentage of occurrences and regarding the quantitative analysis of these activities. The results indicated that the exchanges in the interactions between mother and baby were adequate in 55,5 of the corporal and vocal categories and 44,4 of the visual and facial categories. These results suggest that in the exchanges between the baby and the carer, in his/her posture, in the language modes, in the visual contact and in the facial expressions that the behavior and responses in the baby and his/her parents are reflected(AU)
