Abstract
Objetivo: comparar os sintomas pré-operatórios de ansiedade e depressão entre pacientes submetidos à primeira cirurgia cardíaca. Métodos: estudo observacional, analítico, de corte transversal. Uma amostra consecutiva e não probabilística foi constituída por pacientes submetidos às cirurgias cardíacas eletivas, sem descompensação clínica no dia da entrevista. Para avaliação dos sintomas de ansiedade e depressão foi utilizado o Hospital Anxiety and Depression Scale. A comparação dos sintomas foi realizada com o teste de Mann-Whitney, α=5,0%. Resultados: participaram do estudo 80 pacientes submetidos à primeira cirurgia e 19 à reoperação. Pacientes da primeira cirurgia apresentaram mediana de seis e os reoperados de quatro na medida de depressão (p=0,107). Nos sintomas de ansiedade, pacientes da primeira cirurgia apresentaram a mediana de oito e os reoperados de seis (p=0,171). Conclusão: os escores de ansiedade e depressão foram maiores entre os pacientes submetidos à primeira cirurgia, mas não foi encontrada diferença estatisticamente significativa entre os grupos.
Highlights
Cardiovascular diseases figure among the leading causes of morbidity and mortality in both developing and developed countries
80 were patients submitted to the first cardiac surgery and 19 to reoperation
No difference was found in the presence of anxiety and depression symptoms between patients undergoing the first cardiac surgery and reoperation, the results identified may give rise to further studies, involving more hospitals and longer data collection intervals, in order to investigate the symptoms of anxiety and depression in greater depth, according to the surgical experience
Summary
Cardiovascular diseases figure among the leading causes of morbidity and mortality in both developing and developed countries. In 2014, in Brazil, the percentage of mortality due to diseases of the circulatory system was 27.7% in all age groups, considering the general mortality data. The number of deaths from all diseases of the circulatory system was 340,284 in Brazil and, in the State of São Paulo, 82,592 deaths were registered[1]. Cardiac surgery is still the treatment of choice for many patients with cardiovascular disease, despite the technological advancement in minimally invasive treatments. In addition to the pathophysiological aspects, there is the emotional impact for patients undergoing cardiac surgery. The high complexity of the surgical procedure and the patient’s critical condition can cause stress, anxiety and depression
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