Impacto de la terapia ansiolítica en los pacientes quirúrgicos del servicio de cirugía general del Hospital Vicente Corral Moscoso, Cuenca 2014

Abstract

General Objective: To determine the impact of anxiolytic therapy in surgical patients of General Surgery Vicente Corral Moscoso Hospital, Cuenca 2014. Methodology: Randomized Clinical trial in 103 patients who were undergoing schedule surgery at the Vicente Corral Moscoso Hospital, the patients were diagnosed through the use of the State-Trait Anxiety Inventory- Self Evaluation Questionnaire (STAI) of anxiety, we used anxiolytic therapy: alprazolam 0,5 mg in single-dose; then again the prevalence of anxiety was assessed and the impact of the medication on pain, blood pressure, cardiac and respiratory frequencies; the utility of having information about the surgery and hospital stay; the data was tabulated in the program SPSS version 15 and presented in simple spreadsheets, chi-square for qualitative variables and t-students for quantitative variables were used for the pre and post-operative contrast. Results: A significant reduction up to a level of 18.4% of the post-surgery anxiety was obtained; besides anxiolytic treatment also changed statistically (p <0,05) the following variables: post-operative pain, heart rate (reduction) and respiratory rate (reduction); not so for the hospital stay (p >0,05); the impact on the reduction of post-surgery anxiety was higher in the younger population (5,9%), women (16,4%); singles (8,7%); higher education (10%); without previous surgery (14,5%); without surgery information (16,7%) and subject to trauma surgery (12,5%). The average score of anxiety that can be reduced with anxiolytic therapy is 2, 68 points (p=0,00)