Nursing intervention to reduce anxiety in the perioperative period in cardiovascular surgery

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Keywords:

anxiety, preoperative care, thoracic surgery, nursing education.

Abstract

Introduction: Adequate nursing intervention can improve postoperative outcomes by reducing anxiety.

Objective: To develop a personalized nursing intervention to reduce anxiety during the preoperative period of people requiring cardiovascular surgery at the Medical and Surgical Research Center.

Methods: A longitudinal and pre-experimental study was conducted, which included 88 people who attended the Cardiovascular Surgery Service at the Center for Medical and Surgical Research from March 2019 to June 2020. The Trait-State Anxiety Inventory test was applied to measure anxiety. A personalized nursing intervention was performed. Initial and final results were compared and expressed in absolute numbers, percentages and average. The Chi square test was applied to the qualitative variables and the Student test for independent means to the quantitative variables.

Results: Men (57.9 %) with a mean age of 57.73 ± 11.9 years predominated. After the nursing intervention, anxiety was reduced by 36.6% (p = 0.000). No association was found between post-intervention anxiety and stay, although postoperative complications were significantly reduced (p = 0.008).

Conclusions: The nursing intervention decreased anxiety and was significantly associated with fewer complications.

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Author Biography

Annia Álvarez Pelegrino, Centro de Investigaciones Médico Quirúrgicas. Departamento de cardiología. La Habana. Cuba.

Resumen

Introducción: la adecuada intervención de enfermería puede mejorar los resultados postoperatorios al disminuir la ansiedad. Objetivo: desarrollar una intervención personalizada de enfermería en el preoperatorio de cirugía cardiovascular. Métodos: se realizó un estudio longitudinal y pre experimental, se incluyeron 88 personas que acudieron al Servicio de Cirugía Cardiovascular en el Centro de Investigaciones Médico Quirúrgicas desde marzo de 2019 a junio de 2020. Se aplicó el test Inventario de Ansiedad Rasgo-Estado (IDARE), para medir la ansiedad. Se realizó una intervención de enfermería personalizada. Los resultados iniciales y finales se compararon y se expresaron en números absolutos, porcentajes y media. Se aplicó la prueba de Chi cuadrado a las variables cualitativas y el test de Student para medias independientes a las variables cuantitativas (Intervalo de confianza del 95 %). Resultados: predominaron los hombres (57,9%) con edad media de 57,73 ± 11,9 años. Luego de la intervención se redujo la ansiedad en un 36,6% (p=0,000). No se encontró asociación entre la ansiedad postintervención y la estadía, aunque sí redujo de forma significativa las complicaciones postoperatorias (p=0,008). Conclusiones: la Intervención de Enfermería disminuyó la ansiedad y se asoció de forma significativa a menos complicaciones.

Published

2022-06-26

How to Cite

1.
Álvarez Pelegrino A, Miguel Vázquez Y, Aguirre Raya DA, Garzón Patterson M. Nursing intervention to reduce anxiety in the perioperative period in cardiovascular surgery. RCACV [Internet]. 2022 Jun. 26 [cited 2025 Jan. 18];23(2). Available from: https://revangiologia.sld.cu/index.php/ang/article/view/362

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