27.03. Anxiety and Pain Control in Patients waiting for a Pacemaker Implant.

Authors

Affiliations

1. Nursing graduate. Resuscitation and Emergencies Care. Hospital de la Santa Creu i Sant Pau. Barcelona. Spain.
2, 3, 4, 5. Nursing graduates. Cardiac Surgery. Hospital Universitari de Bellvitge. L'Hospitalet de Llobregat (Barcelona). Spain.

Original title

Control de la ansiedad y el dolor en el paciente al que se va a implantar un marcapasos.

Anxiety and Pain Control in Patients waiting for a Pacemaker Implant.

Abstract

Study aim: To diminish anxiety and incidence of transoperative complications through information and control of pain.
Study design: Quantitative, experimental and cross-sectional.
Study scope: Operating room of Cardiac Surgery at the Sanitary and University City of Bellvitge in l’Hospitalet de Llobregat, located in Barcelona, catalogued as level III.
Study group: From the total number of patients operated between the months of March and April on 2001, it was obtained a sample of 24 patients by simple random sampling (SRS).
Measurements: As instruments for obtaining data we used the following: data collection questionnaire, pain rating scale (EVA), personal interview designed to value the level of information and the state of anxiety, and evaluation survey on received information and satisfaction degree. It was included in the study the use of Bicarbotate 1 molar (1 cm3), along with local anesthetic Mepivacaine to 1% without vasoconstrictor (9 cm3) in the infiltration of local anesthesia.
Results and conclusions: From the results obtained in the study, we can state that the information, provided during transoperative period, has contributed to diminish the anxiety in patients, and thus the incidence of complications. The information about surgical procedure given in the preoperating room and the use of local anesthetics —along with bicarbonate— has been stablished as protocols in our operating room of Cardiac Surgery, since they have demonstrated that pain diminishes during infiltration.

Key words

anxiety · information · pacemaker · pain.

Bibliographical reference

Fernández Lucio MA, Figuera Alos P, Companys Luengo MJ, Pinilla Torres C, Muñoz Burguillo MD. Control de la ansiedad y el dolor en el paciente al que se va a implantar un marcapasos. Enferm Cardiol 2002; Año IX (27): 32-38.

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