Associations between ASA classification, self-estimated physical health, psychological wellbeing and anxiety among Swedish orthopaedic patients

Document identifier: oai:DiVA.org:ltu-77761
Access full text here:10.1016/j.ijotn.2020.100769
Keyword: Medical and Health Sciences, Health Sciences, Nursing, Medicin och hälsovetenskap, Hälsovetenskaper, Omvårdnad, Orthopaedic patients, ASA classification, Physical health, Psychological wellbeing, Anxiety
Publication year: 2020
Relevant Sustainable Development Goals (SDGs):
SDG 3 Good health and wellbeing
The SDG label(s) above have been assigned by OSDG.ai

Abstract:

Background

The evaluation of one’s physical health and psychological wellbeing may be subjective. Aspects of functional capacity, including the patients’ own estimation of physical health and wellbeing, have been shown to be strong predictors of postoperative outcomes, therefore, they should be the focus of further research.

Aim.

This study aimed to explore the associations between ASA classification, self-estimated physical health, psychological wellbeing and anxiety among orthopaedic patients.

Methods

This is a longitudinal study with a quantitative approach.

Settings

A central county hospital in northern Sweden.

Results

A high ASA classification rated by anaesthetists was not associated with physical health and psychological wellbeing self-estimated as less than good. A high ASA classification was significantly associated with self-estimated anxiety prior to surgery. Three days and one month post-surgery, the situation was reversed, and the ASA I/II group, to a significantly higher extent, rated that they felt anxiety.

Conclusion

Preoperative screening systems for orthopaedic patients should not only focus on the medical and objective physical issues but also include the patients’ own estimation of their physical health and psychological wellbeing. It is essential that orthopaedic patients receive relevant information that provides a realistic outlook, as well as an honest and optimistic future view.

Authors

Angelica Forsberg

Luleå tekniska universitet; Omvårdnad och medicinsk teknik
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