Nursing guidance on bed baths to reduce anxiety

Lopes, Juliana de Lima; Barbosa, Dulce Aparecida; Nogueira-Martins, Luiz Antônio; Barros, Alba Lucia Bottura Leite de

doi:10.1590/0034-7167.2015680317i

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

RESEARCH • Rev Bras Enferm 68 (3) • June 2015 • https://doi.org/10.1590/0034-7167.2015680317i copy

Nursing guidance on bed baths to reduce anxiety

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to evaluate the effectiveness of a nursing guidance protocol to reduce the anxiety of patients with acute coronary syndrome undergoing bed bath, and the correlation of vital signs with state-anxiety.

Method:

randomized clinical trial study. The sample consisted of 120 patients. The intervention group received a nursing guidance protocol about bed bath and the control group received the unit’s routine information. The STAI-State scale was used to assess anxiety, and data were collected at three times: immediately after informing the patients about the bed bath; immediately after interventions; and immediately after the bath.

Results:

the intervention group presented signifi cantly lower state-anxiety compared to the control group (p<0.001) after the intervention.

Conclusion:

the nursing orientation was effective to reduce anxiety in patients with acute coronary syndrome undergoing bed bath.

Key words:
Anxiety; Acute Coronary Syndrome; Baths; Nursing Care

Variable	Intervention group		Control group		Total
Variable	n	%	n	%	n	%	p value
Gender (male)	40	66.7	42	70.0	82	68.3	0.695^* * Chi-squared test;
Arterial hypertension	42	70.0	46	76.7	88	73.3	0.409^* * Chi-squared test;
Stress	31	51.7	38	63.3	69	57.5	0.196^* * Chi-squared test;
Depression	12	20.0	10	16.7	22	18.3	0.637^* * Chi-squared test;
Obesity	15	25.0	9	15.0	24	20.0	0.171^* * Chi-squared test;
Sedentariness	33	55.0	37	61.7	70	58.3	0.459^* * Chi-squared test;
Family history of cardiovascular disease	37	61.7	41	68.3	78	65.0	0.444^* * Chi-squared test;
Smoking
No	25	41.7	13	21.7	38	31.7	0.007^* * Chi-squared test;
Yes	15	25.0	10	16.7	25	20.8
Ex-smoker	20	33.3	37	61.7	57	47.5
Alcohol consumption
No	39	65.0	39	65.0	78	65.0	0.084^† † Likelihood ratio;
Social	17	28.3	13	21.7	30	25.0
Daily	3	5.0	1	1.7	4	3.3
Ex-alcoholic	1	1.7	7	11.7	8	6.7
Previous hospital stay	47	78.3	48	80.0	95	79.2	0.822^* * Chi-squared test;
Trait-anxiety
Low	19	31.7	17	28.3	36	30.0	0.284^† † Likelihood ratio;
Moderate	30	50.0	33	55.0	63	52.5
High	9	15.0	10	16.7	19	15.8
Very high	2	3.3	0	-	2	1.7
Beta blocker use	53	88.3	53	88.3	106	88.3	1.000^* * Chi-squared test;
Age (years)	61(10)		62(10)		61(10)		0.455^‡ ‡ Student-t Test

State-anxiety	Intervention group		Control group		p value (Mann - Whitney)
	Median	Interquartile range (first and third quartiles)	Median	Interquartile range (first and third quartiles)
First assessment	41	(33 - 50)	41	(34 - 47)	0.773
Second assessment	32	(26 - 40)	40	(32 - 49)	<0.001
Third assessment	28	(24 - 33)	35	(27 - 41)	0.006

	State-anxiety
Variable	First time		Second time		Third time
	Pearson Correlation Coefficient	p value	Pearson Correlation Coefficient	p value	Pearson Correlation Coefficient	p value
Systolic arterial pressure	-0.043	0.644	0.096	0.296	0.037	0.686
Diastolic arterial pressure	-0.068	0.459	0.010	0.912	-0.068	0.462
Respiratory rate	0.085	0.354	-0.081	0.381	-0.113	0.218
Heart rate	-0.124	0.176	-0.042	0.647	-0.040	0.664

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] CORRESPONDING AUTHOR: Juliana de Lima Lopes. E-mail: juliana.lima@unifesp.br