Stephanie J Breckenridge1, Linda Chlan2, Kay Savik3. 1. Mercy Hospital, 2 West, 4050 Coon Rapids Blvd, Coon Rapids, MN 55433, USA. Electronic address: burgesj@gmail.com. 2. Symptom Management Research, College of Nursing, Ohio State University, 398 Newton Hall, 1585 Neil Avenue, Columbus, OH 43210, USA. 3. School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA.
Abstract
OBJECTIVE: To determine if self-reported anxiety levels decreased after tracheostomy placement in a sample of mechanically ventilated intensive care unit patients. BACKGROUND: There is limited research regarding the impact of a tracheostomy on patients' anxiety. Elevated anxiety delays healing and contributes to long-term mental health complications. METHODS: This was a secondary analysis of data from a large clinical trial conducted in urban Minnesota. Fifty-one of 116 patients received atracheostomy. Anxiety scores were obtained daily using the Visual Analog Scale-Anxiety. Mixed model analysis was used to compare anxiety ratings pre- and post-tracheostomy. RESULTS: There was no significant decrease in anxiety following tracheostomy after controlling for time and gender (all p > .16). Age was the only variable to impact anxiety levels: anxiety scores increased as age increased (p = .02). CONCLUSIONS: Prospective studies are needed to more accurately assess the impact of tracheostomy placement on patient anxiety and salient outcomes.
RCT Entities:
OBJECTIVE: To determine if self-reported anxiety levels decreased after tracheostomy placement in a sample of mechanically ventilated intensive care unit patients. BACKGROUND: There is limited research regarding the impact of a tracheostomy on patients' anxiety. Elevated anxiety delays healing and contributes to long-term mental health complications. METHODS: This was a secondary analysis of data from a large clinical trial conducted in urban Minnesota. Fifty-one of 116 patients received a tracheostomy. Anxiety scores were obtained daily using the Visual Analog Scale-Anxiety. Mixed model analysis was used to compare anxiety ratings pre- and post-tracheostomy. RESULTS: There was no significant decrease in anxiety following tracheostomy after controlling for time and gender (all p > .16). Age was the only variable to impact anxiety levels: anxiety scores increased as age increased (p = .02). CONCLUSIONS: Prospective studies are needed to more accurately assess the impact of tracheostomy placement on patientanxiety and salient outcomes.
Authors: Louise Rose; Anna-Liisa Sutt; Andre Carlos Amaral; Dean A Fergusson; Orla M Smith; Craig M Dale Journal: Cochrane Database Syst Rev Date: 2021-10-12
Authors: Candelaria de Haro; Ana Ochagavia; Josefina López-Aguilar; Sol Fernandez-Gonzalo; Guillem Navarra-Ventura; Rudys Magrans; Jaume Montanyà; Lluís Blanch Journal: Intensive Care Med Exp Date: 2019-07-25
Authors: Leigh M Cagino; Jacquelyn B Kercheval; Michael T Kenes; Jakob I McSparron; Ross Blank; Steven B Chinn; Dru D Claar; Theodore J Iwashyna; Jose De Cardenas Journal: Ann Am Thorac Soc Date: 2021-05
Authors: Brendan A McGrath; Sarah Wallace; Mark Wilson; Leanne Nicholson; Tim Felton; Christine Bowyer; Andrew M Bentley Journal: J Intensive Care Soc Date: 2018-03-28