Abstract
The impact of anxiety experienced by patients undergoing surgical aortic valve replacement on perceived pain, self-efficacy, and body esteem in the perioperative period
- Clinical Department of Cardiac, Vascular Surgery and Transplantology, St John Paul II Hospital, Krakow, Poland
- Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical Collage, Krakow, Poland
- AGH University of Science and Technology, Faculty of Management, Krakow, Poland
- University Hospital, Krakow, Poland
Introduction
Surgical aortic valve replacement (SAVR) is currently one of the most commonly performed cardiac surgical procedures.
Aim
The study aimed to examine the relationship between anxiety, pain level, self-efficacy, and body esteem in the perioperative period among patients undergoing SAVR.
Material and methods
Prospective studies were carried out in a group of 66 patients. State and trait anxiety were assessed using the Polish version of State-Trait Anxiety Inventory (STAI). Pain was measured with the Visual Analogue Scale (VAS). Self-efficacy was measured with the Self-Efficacy Gauge, and body esteem was measured with the Body Esteem Scale.
Results
The intensity of state anxiety experienced before surgery is higher in women. When assessing anxiety as a state during the preoperative period, a positive correlation with pain intensification after SAVR was identified. The intensity of state anxiety experienced by patients undergoing SAVR in the early postoperative period is similar to that experienced before surgery. The intensity of state anxiety significantly negatively correlates with self-efficacy following SAVR. Among male patients, the intensity of postoperatively pain negatively correlates with their assessment of body esteem concerning body strength and physical condition at the respective time point. There is a negative correlation between the intensity of state anxiety and in the assessment of body esteem concerning body strength and physical condition in the postoperative period.
Conclusions
The intensity of perioperative state anxiety is a factor influencing patients’ quality of life and functioning in the immediate postoperative period, including the length of their hospitalization.
>Keywords
surgical aortic valve replacement, perioperative anxiety, pain, self-efficacy, body esteem, statistical testing
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