Associations between ASA classification, self-estimated physical health, psychological wellbeing and anxiety among Swedish orthopaedic patients.
ASA classification
Anxiety
Orthopaedic patients
Physical health
Psychological wellbeing
Journal
International journal of orthopaedic and trauma nursing
ISSN: 1878-1292
Titre abrégé: Int J Orthop Trauma Nurs
Pays: England
ID NLM: 101528681
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
15
01
2020
accepted:
17
02
2020
pubmed:
6
7
2020
medline:
8
9
2021
entrez:
6
7
2020
Statut:
ppublish
Résumé
The evaluation of one's physical health and psychological wellbeing may be subjective. Aspects of functional capacity, including the patients' own estimation of physical health and wellbeing, have been shown to be strong predictors of postoperative outcomes and should be the focus of further research. This study aimed to explore the associations between ASA classification, self-estimated physical health, psychological wellbeing and anxiety among orthopaedic patients. This was a longitudinal study using a quantitative approach. A central county hospital in northern Sweden. A high ASA classification rated by anaesthetists was not associated with physical health and psychological wellbeing self-estimated as less than good. A high ASA classification was significantly associated with self-estimated anxiety prior to surgery. Three days and one month post-surgery, the situation was reversed, and the ASA I/II group, to a significantly higher extent, rated that they felt anxiety. Preoperative screening systems for orthopaedic patients should not only focus on the medical and objective physical issues but also include the patients' own estimation of their physical health and psychological wellbeing. It is essential that orthopaedic patients receive relevant information that provides a realistic outlook, as well as an honest and optimistic future view.
Sections du résumé
BACKGROUND
BACKGROUND
The evaluation of one's physical health and psychological wellbeing may be subjective. Aspects of functional capacity, including the patients' own estimation of physical health and wellbeing, have been shown to be strong predictors of postoperative outcomes and should be the focus of further research.
AIM
OBJECTIVE
This study aimed to explore the associations between ASA classification, self-estimated physical health, psychological wellbeing and anxiety among orthopaedic patients.
METHODS
METHODS
This was a longitudinal study using a quantitative approach.
SETTINGS
METHODS
A central county hospital in northern Sweden.
RESULTS
RESULTS
A high ASA classification rated by anaesthetists was not associated with physical health and psychological wellbeing self-estimated as less than good. A high ASA classification was significantly associated with self-estimated anxiety prior to surgery. Three days and one month post-surgery, the situation was reversed, and the ASA I/II group, to a significantly higher extent, rated that they felt anxiety.
CONCLUSION
CONCLUSIONS
Preoperative screening systems for orthopaedic patients should not only focus on the medical and objective physical issues but also include the patients' own estimation of their physical health and psychological wellbeing. It is essential that orthopaedic patients receive relevant information that provides a realistic outlook, as well as an honest and optimistic future view.
Identifiants
pubmed: 32622556
pii: S1878-1241(20)30002-2
doi: 10.1016/j.ijotn.2020.100769
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
100769Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.