Anxiety and clinical outcomes in coronary patients undergoing unplanned catheterization

被引:0
|
作者
Batista, Leticia de Carvalho [1 ]
Siqueira Costa Calache, Ana Lucia [1 ]
Gengo e Silva Butcher, Ritade Cassia [1 ]
机构
[1] Univ Sao Paulo, Escola Enfermagem, Sao Paulo, SP, Brazil
关键词
Anxiety; Cardiac catheterization/psychokigy; Acute coronary syndrome/psychology; Coronary disease/psychology; MYOCARDIAL-INFARCTION; DEPRESSION; DISEASE; IMPACT;
D O I
10.1590/1982-0194201800082
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objectives: To describe the state and trail anxiety level in patients with acute coronary syndrome undergoing unplanned catheterization; to assess the influence of trait anxiety on state anxiety before and alter catheterization, and check it anxiety (state and trait) is predictive of non-fatal airhythrnias, of patients' clinical severity measured by the Karp score and the Marton Comabidity Index (CC), and of length of hospital stay. Methods: An observational, correlational and longitudinal study In which were evaluatal participants with acute coronary syndrome weakly for unplanned cardiac catheterization. At the initial meeting (f), were collected sociodemopaphic and clinical data, and were applied the Slate and ti ail Anxiety Inventory (SIAI) and Beck Depression Inventory (BOO. At the final meeting (1f), was applied the SIAI-state. Participants were followed up until hospital discharge or death regarding the occurrence of non-fatal arrhythmias and length of hospital stay. Results: A total of 100 participants were harried (62.21:11.4 years; 61% male sex). The STAT h ad score was 42.2110.4 and it influenced the STAI-state sore al Ti and TI (p<0.005). The STAI-state decreased significantly between Ti and TI (40.2 +/- 10.4 vs 37.2 +/- 11.2, respectively, p0.002). there was no association of SIA1-trait or SIAI-state with severity indexes, length of hospital stay or arrhythmia occurrence. However, the depression score inaeased the chance of occurrence of an hythmias by 9.5% (OR=1.009, 95% CI=0.913-1.115). Conclusion: The level of acutely reduced significantly after catheteriaion, and was not a predictor of short term clinical outcomes.
引用
收藏
页码:593 / 599
页数:7
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