Titill: | Symptoms of anxiety and depression in surgical patients at the hospital, 6 weeks and 6 months postsurgery: A questionnaire study |
Höfundur: |
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Útgáfa: | 2020-09-16 |
Tungumál: | Enska |
Umfang: | 210-223 |
Háskóli/Stofnun: | Háskóli Íslands University of Iceland |
Svið: | Heilbrigðisvísindasvið (HÍ) School of Health Sciences (UI) |
Deild: | Hjúkrunarfræðideild (HÍ) Faculty of Nursing (UI) |
Birtist í: | Nursing Open;8(1) |
ISSN: | 2054-1058 |
DOI: | 10.1002/nop2.620 |
Efnisorð: | Anxiety; Depression; Nursing; Perioperative care; Surgical patients; Kvíði; Þunglyndi; Sjúklingar; Skurðhjúkrun |
URI: | https://hdl.handle.net/20.500.11815/2363 |
Tilvitnun:Sveinsdóttir, H, Zoëga, S, Ingadóttir, B, Blöndal, K. Symptoms of anxiety and depression in surgical patients at the hospital, 6 weeks and 6 months postsurgery: A questionnaire study. Nursing Open. 2020; 8: 210– 223. https://doi.org/10.1002/nop2.620
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Útdráttur:Aims: To describe prevalence of symptoms of anxiety and depression in surgical patients at three time points: at hospital postsurgery (T1), 6 weeks (T2) and 6 months (T3) postdischarge from hospital; and detect situations and experiences that predict symptoms of anxiety and depression at T2 and T3. Design: Prospective, explorative two-site follow-up study. Methods: Patients having selected surgeries from January–July 2016 were invited to participate. Final participation was 390 patients. Participation involved answering questionnaires, including the Hospital Anxiety and Depression Scale (HADS). A stepwise multiple linear regression model was employed to calculate predictors of anxiety and depression. Results: The proportion of patients presenting with moderate-to-severe anxiety or depression ranged from 5.4%–20.2% at different times. Major predictors of anxiety at both times were not feeling rested upon awakening and higher scores on HADS-Anxiety at T1 and T2 and at T2 also experiencing more distressing postoperative symptoms. For depression, the major predictors were at both times higher scores on HADS-Depression at T2 and T3 and also at T2 not feeling rested upon awakening and at T3 reporting delayed or very delayed recovery. The four models explained from 43.9%–55.6% of the variance in symptoms of anxiety and depression. Our findings show that patients presenting with psychological distress at the hospital are in a vulnerable position. Also, that benefits of good sleep during the recovery should be emphasized during hospital stay.
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Athugasemdir:Publisher's version (útgefin grein)
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Leyfi:This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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