Three Enemies of Circadian Rhythm: Anxiety, Sleeplessness and Pain in Patients Following Open-Heart Surgery

Year 2019, Volume: 9 Issue: 3, 246 - 252, 30.09.2019

Eda Ayten Kankaya , Ozlem Bilik

https://doi.org/10.33808/clinexphealthsci.599805

Cited By: 2

Abstract

Objective: This study aimed to determine the
relationship between preoperative anxiety and postoperative pain and
perioperative sleep quality in open-heart surgery patients.

Methods: It was a cross-sectional study. The research sample included 126 patients
who underwent open-heart
surgery for the
first time and remained in intensive care for a maximum period of 48 hours. All patients’ procedures were
performed with cardiopulmonary bypass and sternotomy.
Data were collected using a Patient Identification Form, developed by the researcher and
used to determine patients’ characteristics; the Anxiety Specific to Surgery Questionnaire
(ASSQ), used to determine patients’ anxiety level; the Pittsburgh
Sleep Quality Index (PSQI), used to measure perioperative sleep quality,
and the Numeric
Pain Scale (NPS), used to determine postoperative pain levels.

Results: Open-heart
surgery
patients experienced moderate levels of anxiety (27.28±8.48), moderate
postoperative pain (4.30±2.29) and poor sleep quality (10.27±4.23) perioperative period. In this paper, a significant,
weak, and positive correlation between ASSQ score and postoperative NPS score
(r=0.318, p<0.05) was found; no correlation between the ASSQ score and
perioperative PSQI score was found. It was determined that 90.48% (n = 114) of
patients who underwent open heart surgery had poor sleep quality and there was
no relation between preoperative anxiety and postoperative sleep quality.

Conclusion: The authors concluded that preoperative
anxiety impacts postoperative pain but has no effect on sleep quality for open-heart
surgery patients
in Turkish people.

Keywords

Heart surgery, nursing, pain, sleep, anxiety

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