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RELATION BETWEEN STRESSORS AND HEMODYNAMIC INSTABILITY IN THE POSTOPERATIVE PERIOD AFTER CARDIAC SURGERY1 1 São Paulo Research Foundation (FAPESP - Regular Project modality, number 2013/16535-0).

ABSTRACT

Objective:

assess the relation between the perceived stressors at the Intensive Care Unit and hemodynamic instability in the postoperative period of patients submitted to the first cardiac surgery.

Method:

observational analytic prospective cohort study, developed at a university hospital in the interior of São Paulo State. A consecutive and non-probabilistic sample was constituted, consisting of patients submitted to the first coronary artery bypass graft or heart valve disease correction. The Environmental Stressor Questionnaire (range 0-200, with higher scores indicating greater stress) and tissue perfusion markers were used to assess the research variables.

Results:

150 patients participated in the study. The average score for the assessment of stressors was 75.6 for patients with hemodynamic instability (n=91) and 72.8 for patients without hemodynamic instability, without a statistically significant difference (p=0.398; Student’s t-test).

Conclusion:

in the study sample, we found no relation between perceived stressors at the Intensive Care Unit and hemodynamic instability in the postoperative period of cardiac surgery.

DESCRIPTORS:
Perioperative nursing; Physiological stress; Cardiovascular system; Thoracic surgery; Postoperative complications

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
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