Keywords
coronary artery disease
cardiac surgery
nursing
level of anxiety
postoperative pain
analgesic drugs consumption
How to Cite
Abstract
Background. Along with the increase in the incidence of cardiovascular disease (CAD), in particular coronary disease (CAD), the number of cardiac surgery procedures increases. In the postoperative period, patients take a lot of analgesic drugs as well as are exposed to high levels of anxiety associated with severe pain. Objectives. The study aimed to assess the determinants of analgesic drugs consumption in patients on the first day after cardiac surgery procedures. Material and methods. The study involved 100 patients qualified for coronary artery bypass grafting (CABG), off-pump coronary artery bypass (OPCAB) or aortic valve replacement (AVR). An assessment of the level of anxiety was done using the State-Trait Anxiety Inventory (STAI). The consumption of analgesic drugs was analysed based on medical documentation (anaesthesiology card and postoperative card) on the first postoperative day for each patient individually. Results. The level of general anxiety in the studied group of cardiac surgery patients oscillates at the medium and high level in the range of 80–90 points (STAI). The level of state–anxiety was on the average level within the range of 23–66 points (STAI-X1), while the level of anxiety–trait was rated as high within the range of 23–66 points (STAIX2). There were statistically significant correlations between anxiety–trait and the use of fentanyl (r = -1.000; p = 0.005) and between total anxiety and consumption of morphine (r = -0.999; p = 0.028), Ketonal (r = -0.997; p = 0.046) and propofol (r = -0.998; p = 0.039). In the case of the OPCAB procedure, higher doses of Perfalgan were consumed on average than during CABG (p = 0.045) once higher doses of morphine than during AVR (p = 0.02). In the case of CABG surgery, on average, higher doses of morphine and Perfalgan were consumed than during AVR (p = 0.012 and p = 0.025, respectively). There were no statistically significant differences between analgesic drugs consumption and patients’ gender (p > 0.05) and age (p > 0.05). Conclusions. A high level of general anxiety was observed in patients undergoing CABG surgery. It was found that a higher level of anxiety impact on a lower need for analgesics. It was established that the sex and age of the studied patients did not affect the number of analgesics used in the peri- and postoperative period.References
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