Krakowska Beata, Grudzien Grzegorz, Suliga Milena, Kapelak Boguslaw, Bartus Krzysztof
Clinical Department of Cardiac, Vascular Surgery and Transplantology, St John Paul II Hospital, Krakow, Poland.
Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, John Paul II Hospital, Krakow, Poland.
Kardiochir Torakochirurgia Pol. 2024 Jun;21(2):79-85. doi: 10.5114/kitp.2024.141144. Epub 2024 Jun 30.
Despite the large amount of researches addressed the issue of the relationship between the intensity of preoperative symptoms of depression and/ or anxiety with their postoperative intensity and any complications after surgery, there have been almost unaddressed such subjects as how the patients perceive their own capabilities or physical attractiveness, and the emotions which are evoked by various aspects of their own bodies, including postoperative scars. These aspects play a significant role in assessing the quality of patients' life and have a significant impact on the overall assessment of the surgery as an event, in both the short- and long-term perspective.
To evaluate the relationship between anxiety, pain level, self-efficacy and body esteem in the pre- and postoperative periods among patients scheduled for coronary artery bypass surgery.
Prospective studies were carried out in a group of 50 patients scheduled for coronary artery bypass surgery, either on a planned or urgent basis. Anxiety, both as a state and as a trait, was assessed using the Polish version of the State-Trait Anxiety Inventory (STAI). The Visual Analogue Scale (VAS) was employed to evaluate pain. The Self-Efficacy Gauge measured self-efficacy, while the Body Esteem Scale assessed body esteem.
The intensity of state anxiety significantly negatively correlated with self-efficacy following CABG surgery. There was a statistically significant negative correlation between the intensity of painand self-efficacy in the postoperative period. Among female patients, the intensity of pain, both pre- and post-operatively, negatively correlated with their assessment of body esteem concerning physical condition at the respective time points. When assessing anxiety as a trait during the perioperative period, a positive correlation with pain intensification after CABG was identified.
尽管大量研究探讨了术前抑郁和/或焦虑症状的强度与其术后强度以及术后任何并发症之间的关系，但几乎未涉及诸如患者如何看待自己的能力或身体吸引力，以及由自身身体的各个方面（包括术后疤痕）所引发的情绪等主题。这些方面在评估患者生活质量方面起着重要作用，并且从短期和长期角度来看，对将手术作为一个事件的整体评估都有重大影响。
评估计划进行冠状动脉搭桥手术的患者术前和术后焦虑、疼痛程度、自我效能感和身体自尊之间的关系。
对一组50例计划或紧急进行冠状动脉搭桥手术的患者进行前瞻性研究。使用波兰版的状态-特质焦虑量表（STAI）评估焦虑状态和特质焦虑。采用视觉模拟量表（VAS）评估疼痛。自我效能量表测量自我效能感，而身体自尊量表评估身体自尊。
冠状动脉搭桥手术后，状态焦虑强度与自我效能感呈显著负相关。术后疼痛强度与自我效能感之间存在统计学上的显著负相关。在女性患者中，术前和术后的疼痛强度与她们在各个时间点对身体状况的身体自尊评估呈负相关。在围手术期将焦虑作为一种特质进行评估时，发现与冠状动脉搭桥术后疼痛加剧呈正相关。
