[Nursing evaluation of the effect of the type of sedation on the degree of anxiety in patients undergoing cardiac surgery].
The objective of this work is to identify the degree of preoperatory anxiety which patients who must undergo cardiac surgery present, and evaluate the influence of sedation with Propofol or Midazolam in the appearance of anxiety in the immediate and late postoperatory. The study population was formed by 22 patients, being appointed at random to receive Propofol or Midazolam in infusions. We used the scale of Max Hamilton in three consecutive stages (preoperatory, post-extubation, and pre-discharge) to measure the level of anxiety. Both groups were similar according to their distribution in sex, age, weight, conscience level and severity level at entrance. The patients who were sedated with propofol showed a level of postoperatory anxiety significatively lower than those patients who were treated with midazolam (p < 0.05). To conclude, we believe that the type of sedative used has a significant influence in the development of post-operatory anxiety.
Gimeno
G
G
Servicio de Medicina Intensiva, SCIAS-Hospital de Barcelona.
Verdaguer
M
M
Cruspinera
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000188:drug therapy*; D006348:Cardiac Surgical Procedures / Q000523:psychology*; D015400:Clinical Nursing Research; D016292:Procedural Sedation / Q000379:methods* / Q000451:nursing; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D008297:Male; D008874:Midazolam / Q000627:therapeutic use*; D008875:Middle Aged; D015742:Propofol / Q000627:therapeutic use*
D006993:Hypnotics and Sedatives; D008874:Midazolam; D015742:Propofol