Журнал периоперационной и интенсивной интенсивной терапии сестринского дела
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A Descriptive Exploratory Study to Assess the Anxiety, Fatigue and Sleep Quality of Patients Undergoing Valvular Heart Surgery at Tertiary Care Hospital

Archana JT, Ankita S, Gopichandran L, Devagourou V, Milind PH, Gauri SK

Introduction: With hike in cardiovascular disorders, there is a rapid upsurge in the number of cardiac surgeries being performed each year. Cardiac surgeries constitute major surgeries which bring huge transition in terms of physically and psychologically in patient’s life. Patients often experience psychological distress in terms of anxiety, fatigue and sleep quality.

Objectives: To determine the anxiety, fatigue and sleep quality among pre-operative valvular heart disease patients. To find association, correlation of anxiety, fatigue and sleep quality with demographic and clinical variables.

Methodology: Descriptive cross-sectional design was used. Sixty subjects fulfilling the inclusion criteria were enrolled consecutively. Questionnaires used were as sociodemographic profile, clinical profile, Hamilton anxiety rating scale, Fatigue assessment scale and Pittsburgh sleep quality index.

Results: Majority of the subjects were having moderate anxiety (81.66%), mild fatigue (81.66%), and poor sleep quality (55%) preoperatively. Results showed a significant positive correlation between fatigue and anxiety(r value-0.398). The quality of sleep and fatigue are also significantly correlated (r value-0.598). Results shows that preoperative fatigue, anxiety and quality of sleep and female gender are associated (p<0.05).The association with fatigue and occupation also ruled out (p=0.03).

Conclusion: Findings suggests need of relaxation therapy in patients undergoing the valvular heart surgery as this study unveils the psychological disturbance in terms of anxiety, fatigue and sleep quality faced by them.