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Aquichan
Print version ISSN 1657-5997
Abstract
ESPLENDORI, Gabriela Feitosa; SIQUEIRA-COSTA, Ana Lúcia and NERY DE SOUZA-TALARICO, Juliana. Relationship between Perceived Stress with Coping and with Stressors of Patients in Preoperative Myocardial Revascularization. Aquichan [online]. 2018, vol.18, n.1, pp.43-55. ISSN 1657-5997. https://doi.org/10.5294/aqui.2018.18.1.5.
Coronary disease stands out among the cardiovascular diseases victimizing patients around the world. Stress occurs in the preoperative period of myocardial revascularization surgery (MRS).
Objective:
The purpose of the study is to determine the relationship between perceived stress with coping and with stressors of patients in preoperative MRS.
Materials and method:
A quantitative and transversal approach was used. The sample consisted of 105 patients with coronary artery disease who had been admitted to a cardiology hospital. The Perceived Stress Scale - Coping Strategies Inventory was used, along with two open questions. The answers were quantified and categorized. A multivariate linear regression model was used for the data analysis.
Results:
Higher perceived stress was associated with greater escape and elusiveness (β = 0.416, p <0.001), more coping (β = 0.353, p = 0.001), less self-control (β = -0.226, p = 0.024), female gender (β = -0.173, p = 0.048) and "clinical symptoms" (β = 0.235, p = 0.015). "Search to occupy the mind" (β = -0.196, p = 0.047) and "facing surgery as an improvement / cure instrument" (β = -0.255, p = 0.009) were associated with less perceived stress.
Conclusions:
Perceived stress varies according to certain stressors and coping. These relationships must be taken into account when planning nursing care in order to reduce preoperative stress in coronary patients.
Keywords : Psychological adaptation; thoracic surgery; psychological stress; preoperative period; myocardial revascularization.