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      EFEITO DA ESCUTA TERAPÊUTICA NA ANSIEDADE DE PESSOAS NO PERÍODO PRÉ-OPERATÓRIO IMEDIATO Translated title: EFECTO DE LA ESCUCHA TERAPÉUTICA SOBRE LA ANSIEDAD DE LAS PERSONAS EN EL PREOPERATORIO INMEDIATO Translated title: EFFECT OF THERAPEUTIC LISTENING ON PEOPLE’S ANXIETY IN THE IMMEDIATE PREOPERATIVE PERIOD

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          Abstract

          RESUMO Objetivo: avaliar o efeito da escuta terapêutica na ansiedade de pessoas no período pré-operatório imediato. Método: pesquisa quase-experimental e de intervenção realizada com 150 pessoas em um Hospital de Minas Gerais/Brasil, de julho a outubro de 2018. Foi avaliada a ansiedade pela Escala Hospitalar de Ansiedade e Depressão e as medidas fisiológicas. Realizou-se análise estatística descritiva e inferencial e testes Qui-quadrado, Spearman e Wilcoxon. Resultados: das 31 pessoas com ansiedade, 10 tiveram redução da ansiedade e das médias das medidas fisiológicas após a intervenção. Foi verificada relação significativa entre as variáveis sexo, renda familiar mensal, complicações cirúrgicas anteriores e eventos marcantes na vida com a medida de ansiedade. Foi constatada correlação positiva fraca entre ansiedade e frequência respiratória e correlação negativa fraca entre ansiedade e faixa etária. Conclusão: ao identificar pacientes com ansiedade, intervenções como a escuta terapêutica podem ser implementadas para tornar o perioperatório mais saudável.

          Translated abstract

          RESUMEN Objetivo: evaluar el efecto de la escucha terapéutica sobre la ansiedad de las personas en el preoperatorio inmediato. Método: investigación cuasiexperimental y de intervención realizada con 150 personas en un Hospital de Minas Gerais, Brasil, de julio a octubre de 2018. La ansiedad fue evaluada por la Escala Hospitalaria de Ansiedad y Depresión y por medidas fisiológicas. Se realizaron análisis estadísticos descriptivos e inferenciales y pruebas de Chi-cuadrado, Spearman y Wilcoxon. Resultados: de las 31 personas con ansiedad, 20 presentaron reducción de la ansiedad y de las medias de las medidas fisiológicas después de la intervención. Se verificó que había una relación significativa entre la medida de ansiedad y las variables sexo, ingreso familiar mensual, complicaciones quirúrgicas previas y acontecimientos significativos vividos. Se observó una correlación positiva débil entre la ansiedad y la frecuencia respiratoria y una correlación negativa débil entre la ansiedad y la franja etaria. Conclusión: al identificar pacientes con ansiedad, se pueden implementar intervenciones como la escucha terapéutica para que el perioperatorio sea más saludable.

          Translated abstract

          ABSTRACT Objective: to evaluate the effect of therapeutic listening on people’s anxiety in the immediate preoperative period. Method: a quasi-experimental and intervention research study carried out from July to October 2018 with 150 people in a Hospital from Minas Gerais/Brazil. Anxiety was assessed using the Hospital Anxiety and Depression Scale and the physiological measures. Descriptive and inferential statistical analysis and Chi-square, Spearman and Wilcoxon tests were performed. Results: of the 31 people with anxiety, 20 had a reduction in the anxiety levels and in the physiological measures mean values after the intervention. A significant relationship was found between the gender, monthly family income, previous surgical complications and significant life events variables and the anxiety measure. A weak positive correlation was found between anxiety and respiratory rate and a weak negative correlation between anxiety and age group. Conclusion: when identifying patients with anxiety, interventions such as therapeutic listening can be implemented to make the perioperative period healthier.

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          Transtornos do humor em enfermaria de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão

          Para estimar a prevalência de transtornos do humor, foram utilizadas a entrevista estruturada, "Clinical Interview Schedule" (CIS-R), e a escala "Hospital Anxiety and Depression" (HAD) em 78 pacientes internados em uma enfermaria geral de adultos (43 homens e 35 mulheres, média de idade = 43,2 anos). Foi encontrada prevalência instantânea de 39% de transtornos do humor. Dezesseis (20,5%) pacientes preencheram critérios para ansiedade, a maioria dos casos sendo de gravidade leve. Vinte e seis (33%) casos de depressão foram detectados, 7 dos quais de gravidade moderada. Observou-se uma combinação de sintomas de preocupação, depressão, ansiedade e insônia. A HAD mostrou-se de fácil compreensão pelos pacientes. As subescalas de ansiedade e de depressão tiveram consistência interna de 0,68 e 0,77, respectivamente. A correlação dos itens com as respectivas subescalas sugere que essas possuem validades convergentes, não discriminantes. Com ponto de corte 8/9, a sensibilidade e a especificidade foram 93,7% e 72,6%, para ansiedade, e 84,6% e 90,3%, para depressão. Na prática clínica, a utilização da HAD poderia auxiliar na detecção de casos de transtornos do humor que necessitam de tratamento.
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            Factors associated with preoperative anxiety levels of Turkish surgical patients: from a single center in Ankara

            Background Preoperative anxiety and stress are undoubtedly a difficult experience in patients undergoing elective surgery. These unpleasant sensations depend on several factors. The objective of this study was to evaluate the preoperative anxiety levels in a sample of Turkish population, as well as the underlying causes using the Spielberger State-Trait Anxiety Inventory (STAI anxiety) scale. Methods The study was conducted according to the Declaration of Helsinki and was approved by the local ethical committee. All participants gave written informed consent upon having received detailed information on the study. Upon entry in the study, state and trait anxiety questionnaires were completed by 186 patients scheduled for elective surgery. The influencing factors in regard to age, sex, educational status and others were also reported. Results There was a statistically significant positive correlation between state and trait anxiety scores in this Turkish population. While the most important predictive factors that affected state-STAI scores were age, sex and duration of sleep the night before surgery; educational status and age were the best predictors for determining the variation in trait-STAI scores. Conclusion The factors affecting anxiety levels in different populations might vary among different countries. Interestingly, in this sample of Turkish population, the trait anxiety levels were found to be higher from state-anxiety levels, especially in women and less educated people. Thus, doubts about operation and anesthesia are overlooked. This could be attributed to the low to intermediate life standards of people admitted to our hospital.
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              Prevalence and predictors of symptoms of anxiety and depression, and comorbid symptoms of distress in parents of childhood cancer survivors and bereaved parents five years after end of treatment or a child’s death

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                Author and article information

                Journal
                ce
                Cogitare Enfermagem
                Cogitare enferm.
                Universidade Federal do Paraná (Curitiba, PR, Brazil )
                1414-8536
                2176-9133
                2022
                : 27
                : e78681
                Affiliations
                [01] Alfenas Minas Gerais orgnameUniversidade Federal de Alfenas Brazil
                Article
                S1414-85362022000100311 S1414-8536(22)02700000311
                10.5380/ce.v27i0.78681
                723c8cfd-4d43-4fa0-b046-80de08806ac2

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 13 September 2021
                : 28 December 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 26, Pages: 0
                Product

                SciELO Revista de Enfermagem

                Categories
                Artigos Originais

                Comunicação em Saúde,Relações Enfermeiro-Paciente,Ansiedad,Procedimiento Quirúrgico Electivo,Período Preoperatorio,Comunicación en Salud,Relaciones enfermero-paciente,Anxiety,Elective Surgical Procedure,Preoperative Period,Health Communication,Nurse-Patient Relationships,Ansiedade,Procedimento Cirúrgico Eletivo,Período Pré-Operatório

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