RESUMO

SUMMARY BACKGROUND: Anxiety is almost always present before medical interventions and may play a role in pain perception. We aim to evaluate factors associated with pain intensity reported by patients submitted to Office Hysteroscopy (OH). METHODS: Cross-sectional observational study, with data from April to November 2015. It included patients attended at the Assis Chateaubriand Maternity School (MEAC/UFC) with an indication of office hysteroscopy. Before the examination, the patients answered a validated questionnaire about anxiety (STAI). After the examination, women answered the Visual Analogue Scale (VAS). The data were analyzed using the Statistical Package for the Social Sciences (SPSS) 15.0, with Spearman correlation, Mann-Whitney U-test, and analyses of variance. RESULTS: 252 patients were included, with a mean age of 45.7 years, of whom 29% were postmenopausal (mean pain 5.5) and 71% were in menacme (mean pain 5.1) (p = 0.258). The anxiety trait and state showed a significant influence on the pain scale (p <0.001 and p=0.001), but age or endometrial sample did not. 27% of the patients were nulliparous. Less pain was associated with the number (p=0.01) and vaginal (p=0.005) of deliveries. The main indication for the procedure was abnormal uterine bleeding (54.4%). CONCLUSION: OH may be associated with moderate but tolerable discomfort. There was a significant correlation between higher scores on the pain scale and anxiety. There was evidence of reduced pain with parity and type of delivery, but not with reproductive age or endometrial biopsy.

RESUMO INTRODUÇÃO: A ansiedade está quase sempre presente antes de intervenções médicas e pode desempenhar um papel importante na percepção da dor. Buscou-se avaliar os fatores associados à intensidade da dor relatados pelos pacientes submetidos a histeroscopia ambulatorial (HA). MÉTODOS: Estudo observacional transversal, com dados de abril a novembro de 2015. Foram incluídas pacientes atendidas na Maternidade Escola Assis Chateaubriand (Meac/UFC) com indicação de HA. Antes do exame, as pacientes responderam a um questionário validado sobre ansiedade (IAM). Após o exame, as mulheres responderam à Escala Visual Analógica (EVA). Os dados foram analisados no Statistical Package for the Social Sciences (SPSS) 15.0, com correlação de Spearman, teste U de Mann-Whitney e Anova. RESULTADOS: Foram incluídas 252 pacientes, com idade média de 45,7 anos, das quais 29% estavam na pós-menopausa (dor média 5,5) e 71% eram menacme (dor média 5,1) (p = 0,258). O traço e o estado de ansiedade mostraram influência significativa na escala de dor (p<0,001 e p=0,001). Vinte e sete por cento das pacientes eram nulíparas. Menor dor foi associada ao número (p=0,01) e tipo vaginal (p=0,005) de partos. A principal indicação para o procedimento foi sangramento uterino anormal (54,4%); 66,1% necessitaram de amostra endometrial. CONCLUSÕES: A HA pode estar associada a um desconforto moderado, mas tolerável. Houve correlação significativa entre escores mais altos na escala de dor e ansiedade, menor paridade, mas não com idade reprodutiva ou procedimento de biópsia endometrial.

Assuntos

RESUMO

CONTEXT: Anxiety is defined as an emotion produced by a set of feelings and physical changes. Many patients are afraid of some procedures involved in dental therapy. AIM: The objective of this study was to verify the anxiety of patients regarding the visits to dental clinics of a higher education institution, as well as to observe the moment of greatest anxiety. SETTINGS AND DESIGN: It is a cross-sectional observational study including 94 patients from the dental clinics of an educational institution in a city of southern Brazil. MATERIALS AND METHODS: The Corah Dental Anxiety Scale, composed of four questions, was used to evaluate the dental anxiety levels of all patients. The sample universe included registered patients under treatment in the clinics of the studied institution, from August to November of 2016. We included only healthy patients over 18-year old who were subjected to surgical and nonsurgical procedures. STATISTICAL ANALYSIS: The data were analyzed through descriptive statistic to verify the frequency distribution of all variables. Pearson's Chi-square test, at 5% significance level and 95% confidence interval, was used to evaluate the association between the dependent variable (dental treatment anxiety) and the independent variables (demographics), aided by the SPSS software 20.0. Results: It was found that most of the participants were not anxious (69.1%) and the moment of greatest anxiety reported was before local anesthesia. In addition, statistics showed no correlation among gender, age group, and type of procedure performed. It was possible to conclude that the level of anxiety of the patients regarding the dental care performed in the clinics of the studied institution was low for both surgical and nonsurgical procedures. CONCLUSION: This survey revealed that the moment of greatest anxiety for the patients was before the anesthetic procedure, and gender, age, and type of procedure did not influence the level of anxiety felt by the patient.

Assuntos

RESUMO

Objective: To evaluate levels of anxiety in children and adolescents related to age and experience of visits to the dentist using the modified Venham Picture Test (VPTm). Material and Methods: This is a quantitative cross-sectional study with convenience sample. Children and adolescents of both sexes, subdivided into age groups of 6-9 years (A1 and A2) and 10-13 years (B1 and B2), in the waiting room of a Dental Clinic, were grouped according to the experience of visits to the dentist (have been to the dentist / have never been to the dentist). Descriptive statistics were mean, standard deviation and frequency of cases. The Kolmogorov- Smirnov (K-S) was used for normality analysis, with 95% significance level. Inferential statistics was performed using the Chi-Square and Mann-Whitney tests, with p<0.05. Results: In total, 60 children and 60 adolescents were evaluated, 65 (54.16%) males and 55 (45.83%) females. No differences were observed between genders in groups A1 and A2 (p = 0.30) and B1 and B2 (p = 0.94). The highest means of the VPTm scale were observed in groups A2 and B2 (2.87 ± 2.30 and 2.13 ± 1.29) and the lowest in groups A1 and B1 (1.13 ± 1.45 and 1.20 ± 1.29), respectively. Statistical differences were observed for the mean VPTm scores between age groups A1 and A2 (p = 0.004) and B1 and B2 (p = 0.018). Conclusion: The level of anxiety was inversely proportional to age, so younger children were more anxious; it was also observed that children and adolescents who had never been to the dentist tended to be more anxious.

Assuntos

RESUMO

Resumen Introducción: la ansiedad dental o miedo al tratamiento odontológico es una de las dificultades más frecuentes para el profesional, y esto puede tener un impacto considerable en la salud oral. El objetivo es evaluar el nivel de ansiedad de los pacientes que acudieron a las consultas en la clínica odontológica de una empresa privada de servicios odontológicos, en 2015. Materiales y métodos: estudio transversal en el que se utilizó la Escala de Ansiedad Dental de Corah Modificada (MDAS), y se interrogó sobre la ansiedad que generan los componentes de la consulta odontológica. Resultados: participaron un total de 297 adultos de los cuales 54.85 % fueron varones y la mediana de edad fue 28 años. Se obtuvo un bajo número de pacientes con ansiedad extrema (7.74 %), siendo el porcentaje más elevado para la inyección de anestésico local (85.52 %). El 17.85 % obtuvo un nivel de ansiedad elevada y el 17.85 % severa. El componente de la consulta odontológica que generó mayor nivel de ansiedad fue la extracción dental con 40.40 %. Conclusión: el paciente debe sentirse lo más relajado posible al ir a una consulta odontológica por lo que se necesitan charlas a los proveedores de salud dental acerca de las diferentes técnicas para disminuir la ansiedad dental del paciente.

Abstract Introduction: Dental anxiety or consulting fear to dentist appointment and/or dental treatment, is one of the most frequent problems to the professional which can have an impact to the oral health. The objective is to assess the level of anxiety in patients that attend to appointments in a dental clinic from a private company of dental care in the year of 2015. Materials and methods: The study design is cross-sectional, Corah's Modified Dental Anxiety Scale (MDAS) was utilized. And question were made about the components of dental services that generate dental anxiety. Results: The sample consisted of 297 adult patients, 54.85 % were males and middle age was 28. It was obtained a low number of patients with extreme anxiety (7.74 %) according to the questions; being the highest percentage for local anesthetic injection for dental treatment (85.52 %). A 17.85 % had a high level of anxiety and 17.85 % had a severe level of anxiety. The component that caused anxiety the most was tooth extraction with a 40.40 %. Conclusion: The patient must feel as relax as possible when going to a dentist appointment that is why would be needed to speak with care providers about different techniques to reduce dental anxiety on patients.

Resumo Introdução: a ansiedade dental ou medo ao tratamento odontológico, é uma das dificuldades mais frequentes para o profissional, que pode ter impacto na saúde oral. O objetivo é avaliar o nível de ansiedade dos pacientes que acudiram às consultas na clínica odontológica de uma empresa privada de serviços odontológicos, no ano 2015. Materiais e métodos: estudo transversal no qual utilizou-se a Escala de Ansiedade Dental de Corah Modificada (MDAS), e se interrogou sobre a ansiedade que geram os componentes da consulta odontológica. Resultados: participaram um total de 297 adultos dos quais 54.85 % foram homens e a idade média foi 28 anos. Obteve-se um número baixo de pacientes com ansiedade extrema (7.74 %), senda a porcentagem mais elevado para a injeção de anestésico local (85.52 %). O 17.85 % obteve um nível de ansiedade elevada e o 17.85 % severa. O componente da consulta odontológica que gerou maior nível de ansiedade foi a extração dental com 40.40 %. Conclusão: o paciente deve se sentir o mais relaxado possível ao ir a uma consulta odontológica pelo que precisam-se conversas aos provedores de saúde dental acerca das diferentes técnicas para diminuir a ansiedade dental do paciente.

Assuntos

RESUMO

INTRODUCCIÓN: La ansiedad es un mecanismo de defensa produciendo alteraciones somáticas y psíquicas, disminuyendo la capacidad de adaptación y reacción del organismo frente a un procedimiento médico. El objetivo fue determinar la relación entre la ansiedad prequirúrgica y la intensidad del dolor postquirúrgico en pacientes que fueron intervenidos quirúrgicamente. MÉTODOS: Se trata de un estudio analítico descriptivo que incluye a 200 pacientes que fueron sometidos a cirugía en noviembre-diciembre, 2016 en el Hospital Homero Castanier Crespo, que cumplieron con los criterios de inclusión, los datos se consignaron con la escala de ansiedad (STAI) que valoró la ansiedad prequirúrgica y la escala de valoración numérica para el dolor postquirúrgico a las 24 horas, se asoció las variables mediante medidas de correlación. Los datos fueron registrados y analizados en el programa PSPP versión 0.10.4-g50f7b7. RESULTADOS: La correlación entre ansiedad y dolor fue positiva (Rho de Spearman.34; p<0.05) mostrando que existe una relación entre la ansiedad y el dolor postquirúrgico en pacientes del Hospital Homero Castanier Crespo. (AU)

BACKGROUND: Anxiety is a defense mechanism that produces somatic and psychic alterations, reducing the capacity of adaptation and the reaction of the organism to a medical doctor. The aim was to determine the relationship between preoperative anxiety and the intensity of postoperative pain in patients who underwent surgery at the Homero Castanier Crespo Azogues Hospital - Ecuador, 2016. METHODS: This is a descriptive analytical study that includes 200 patients who underwent surgery in November-December, 2016 at the Homero Castanier Crespo Hospital, who met the inclusion criteria, data were recorded with the anxiety scale (STAI) Which assessed preoperative anxiety and the numerical rating scale for postoperative pain at 24 hours, the variables were associated by means of correlation measures. The data were recorded and analyzed in the program PSPP version 0.10.4-g50f7b7. RESULTS: The correlation between anxiety and pain was positive (Rho de Spearman 0.34, p: <0.05), showing that there is a relationship between anxiety and postoperative pain in patients at the Homero Castanier Crespo Hospital.(AU)

Assuntos

RESUMO

ABSTRACT CONTEXT AND OBJECTIVES: Anxiety is usually classified as a disorder of neurotic nature and is often related to contexts of stress, which may include worries, motor tension and autonomic hyperactivity. The aim of this study was to assess the influence of mothers’ anxiety on their children’s anxiety during dental care. DESIGN AND SETTING: Analytical cross-sectional study conducted at in a private dentistry school in the south of Brazil. METHODS: Convenience sampling was used. All mothers of children undergoing treatment were invited to participate in this study. Data to investigate anxiety related to dental treatment among the children were collected through applying the Venham Picture Test (VPT) scale. For the mothers, the Corah scale was applied. A self-administered sociodemographic questionnaire with questions about demographic, behavioral, oral health and dental service variables was also used. RESULTS: 40 mother-child pairs were included in the study. The results showed that 40% of the children were anxious and 60% of the mothers were slightly anxious. Local anesthesia was the procedure that caused most anxiety among the mothers, making them somewhat uncomfortable and anxious (60%). Family income higher than R$ 1,577.00 had an influence on maternal anxiety (75.6%). Maternal anxiety had an influence on child anxiety (81.3%). CONCLUSION: Most of the children showed the presence of anxiety, which ranged from fear of dental care to panic, inferring that maternal anxiety has an influence on children’s anxiety. Dental procedures did not interfere with the mothers’ anxiety, but caused positive feelings, whereas they affected the children more.

RESUMO CONTEXTO E OBJETIVO: A ansiedade é geralmente classificada como um transtorno de caráter neurótico, frequentemente relacionado a contextos de estresse variando entre preocupações, tensão motora e hiperatividade autonômica. O objetivo desta pesquisa foi avaliar a influência da ansiedade materna na ansiedade de seu filho durante o atendimento odontológico. TIPO DE ESTUDO E LOCAL: Estudo analítico transversal realizado em uma faculdade particular do sul do Brasil. MÉTODOS: Amostragem por conveniência foi utilizada. Todas as mães das crianças em tratamento foram convidadas a participar da pesquisa. A coleta dos dados para verificar a ansiedade relacionada com o tratamento odontológico nas crianças foi realizada a partir da aplicação da escala “Venham Picture Test” (VPT). Para as mães, foi utilizada a escala de Corah. Também se utilizou um questionário sociodemográfico autoaplicativo sobre variáveis demográficas, comportamentais, de saúde bucal e de serviço odontológico. RESULTADOS: Foram incluídos 40 pares de mães e crianças. Os resultados mostraram que 40% das crianças estavam ansiosas e 60% das mães estavam levemente ansiosas. A anestesia local foi o procedimento que causou mais ansiedade entre as mães, deixando-as um pouco desconfortáveis e ansiosas (60%). Renda familiar maior de R$ 1.577,00 influenciou a ansiedade materna (75.6%). A ansiedade materna influenciou a ansiedade das crianças (81.3%). CONCLUSÃO: A maioria das crianças apresentou ansiedade, o que variou do medo ao pânico ao atendimento odontológico, inferindo que a ansiedade materna tem influência na ansiedade dos seus filhos. Os procedimentos odontológicos não interferem na ansiedade das mães, atingindo mais as crianças, porém provocam sentimentos positivos.

Assuntos

RESUMO

Objetivo: avaliar a ansiedade infantil prévia ao tratamento odontológico por meio do teste Venham Picture Test Modificado (VPTM) e de seus responsáveis (escala de Corah) e compará-los entre si. O comportamento infantil apresentado em Clínica Odontológica (escala de Frankl) foi avaliado, assim como verificado o comportamento quando empregada ou não a anestesia local utilizando a escala de Frankl.Métodos: foram avaliadas 50 crianças de ambos os gêneros, pertencentes a dois grupos de diferentes faixas etárias (grupo 1:4 a 6 anos e grupo 2: 7 a 9 anos) e seus respectivos responsáveis que compareceram à Clínica de Odontopediatria da Universidade Regional de Blumenau (FURB) no primeiro e segundo semestres de 2010.Resultados: houve predominância de crianças livres de ansiedade (47,83% do grupo 1 e 55,56 % do grupo 2). A escala de Frankl mostrou que a maioria das crianças se comportaram de forma definitivamente positivas (73,91% do grupo 1 e 66,67% do grupo 2). As crianças se comportaram de maneira mais positiva quando a anestesia não foi empregada (73,91% do grupo 1 e 85,19% do grupo 2). Observou-se que 43,48% dos pais das crianças do grupo 1 e 66,67% dos pais do grupo 2 apresentavam ?baixa? ansiedade. Não houve uma relação entre a ansiedade dos pais e a ansiedade dos filhos.Conclusão: a maioria das crianças apresentaram-se livre de ansiedade nos dois diferentes grupos etários.O comportamento das crianças durante o atendimento odontológico, segundo a escala de Frankl, foi a sua maioria definitivamente positivo. Pôde-se observar que as crianças apresentaram comportamento mais positivo quando a anestesia não foi empregada. A ansiedade dos responsáveis apresentou-se ?baixa? em sua maioria. Não houve correlação entre a ansiedade dos pais e ansiedade das crianças.

Objective: To evaluate comparatively children?s anxiety before dental treatment using the Modified Venham?s Picture Test (MVPT) and of their parents/caregivers? anxiety using the Corah scale. The children?s behavior in a dental clinic (Frankl scale) was evaluated, as well as how they behaved with and without application of local anesthesia, employing the Frankl scale. Method: Fifty children of both genders belonging to two age groups (Group 1: 4 to 6 years old and Group 2: 7 to 9 years old) and their parents/caregivers were evaluated at the Pediatric Dental Clinic of the Regional University of Blumenau (FURB), Brazil, in the first and second semesters of 2010. Results: The anxiety-free children prevailed (47.83% in Group 1 and 55.56% in Group 2). The Frankl scale showed that most of the children behaved in an openly positive way (73.91% in Group 1 and 66.67% in Group 2). Children?s behavior was more positive when no local anesthesia was used (73.91% in Group 1 and 85.19% in Group 2). It was also observed that 43.4% of the parents/caregivers of children in Group 1 and 66.67% of those in Group 2 presented ?low? anxiety. No relation was found between the parents? and the children?s anxiety. Conclusion: Most children did not present dental anxiety in both age groups. Children?s behavior during the dental treatment was mostly openly positive, according to the Frankl scale. It could be noticed that the children had a more positive behavior when anesthesia was not performed. It was also observed that the majority parents/caregivers presented ?low? anxiety. No correlation was found between the parents/caregivers? and the children?s dental anxiety.

Assuntos

RESUMO

Esta pesquisa trata da ansiedade de pacientes em pré-operatório imediato. O objetivo foi identificar o perfil dos pacientes submetidos à visita pré-operatória de enfermagem. Esta é uma abordagem qualitativa, comparativa e prospectiva.Utilizou-se o Inventário de Ansiedade Traço-Estado (IDATE) de Spielberg, Gorsuch e Lushene (1970) para avaliar o escore de ansiedade. O local de coleta de dados foi o centro cirúrgico do Hospital Universitário Pedro Ernesto. Foram analisadas as respostas de 30 pacientes, dentre os quais a 15 foi realizada a visita pré-operatória de enfermagem a aos outros 15, não. Os dados foram analisados utilizando a técnica de análise estatística descritiva simples e os resultados organizados em forma de gráficos e tabelas. Os resultados mostraram que, no grupo de pacientes visitados por enfermeiros, o número de pessoas com escores baixos para ansiedade aumentou quando comparado ao grupo que não teve a visita pré-operatória de enfermagem.

This research deals with the anxiety levels in preoperative patients. It aims to identify the profile of patients undergoing a nursing preoperative visit. Its approach was qualitative, comparative and prospective. Spielberg,Gorsuch and Lushene’s State – Trait Anxiety Inventory (STAI) was applied to evaluate the anxiety score. The data collection occurred in the Surgical Center of the University Hospital Pedro Ernesto. Responses of 30 patients were examined.Only 15 had the pre-operative nursing visit. The data were analyzed using the technique of basic descriptive statistical analysis and the results were organized in the form of graphics and charts. The results showed that on the group of patients who were visited by nurses, the number of people with a low anxiety scores increased when compared to the group that didn’t had the preoperative nursing visit.

Este estudio enfoca la ansiedad de los pacientes antes de la operación. Su objeto es identificar el perfil de los pacientes ante la consulta preoperatoria enfermería. Tiene enfoque cualitativo, comparativo y prospectivo. Para evaluar el resultado de la ansiedad se empleó el Inventario de Ansiedad Trazo-Estado(IDATE), de Spielberg, Gorsuch y Lushene (1970). La recogida de datos se realizó en el Centro Quirúrgico del Hospital Universitario Pedro Ernesto. Se analizaron las respuestas de 30 pacientes de los cuales sólo15 recibieron la visita preoperatoria de las enfermeras. Los datos se analizaron utilizando la técnica de la estadística descriptiva básica y los resultados se organizaron en forma de gráficos y tablas. Los resultados mostraron que en pacientes que recibieron la visita de las enfermeras el número de personas con bajo nivel de ansiedad creció en comparación al grupo que no recibido la visita preoperatoria de enfermería.

Assuntos