Associations between ASA classification, self-estimated physical health, psychological wellbeing and anxiety among Swedish orthopaedic patients
Document identifier: oai:DiVA.org:ltu-77761
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10.1016/j.ijotn.2020.100769Keyword: Medical and Health Sciences,
Health Sciences,
Nursing,
Medicin och hälsovetenskap,
Hälsovetenskaper,
Omvårdnad,
Orthopaedic patients,
ASA classification,
Physical health,
Psychological wellbeing,
AnxietyPublication year: 2020Relevant Sustainable Development Goals (SDGs):
The SDG label(s) above have been assigned by OSDG.aiAbstract: 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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header:
identifier: oai:DiVA.org:ltu-77761
datestamp: 2021-04-19T13:05:33Z
setSpec: SwePub-ltu
metadata:
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version: 3.7
recordInfo:
recordContentSource: ltu
recordCreationDate: 2020-02-18
identifier:
http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-77761
10.1016/j.ijotn.2020.100769
32622556
2-s2.0-85087352356
titleInfo:
@attributes:
lang: eng
title: Associations between ASA classification self-estimated physical health psychological wellbeing and anxiety among Swedish orthopaedic patients
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.
subject:
@attributes:
lang: eng
authority: uka.se
topic:
Medical and Health Sciences
Health Sciences
Nursing
@attributes:
lang: swe
authority: uka.se
topic:
Medicin och hälsovetenskap
Hälsovetenskaper
Omvårdnad
@attributes:
lang: eng
topic: orthopaedic patients
@attributes:
lang: eng
topic: ASA classification
@attributes:
lang: eng
topic: physical health
@attributes:
lang: eng
topic: psychological wellbeing
@attributes:
lang: eng
topic: anxiety
@attributes:
lang: eng
authority: ltu
topic: Nursing
genre: Research subject
@attributes:
lang: swe
authority: ltu
topic: Omvårdnad
genre: Research subject
language:
languageTerm: eng
genre:
publication/journal-article
ref
note:
Published
1
Validerad;2020;Nivå 2;2020-11-09 (johcin)
name:
@attributes:
type: personal
authority: ltu
namePart:
Forsberg
Angelica
role:
roleTerm: aut
affiliation:
Luleå tekniska universitet
Omvårdnad och medicinsk teknik
nameIdentifier:
angfor
0000-0003-4789-7006
originInfo:
dateIssued: 2020
publisher: Elsevier
relatedItem:
@attributes:
type: host
titleInfo:
title: International Journal of Orthopaedic and Trauma Nursing
identifier:
1878-1241
1878-1292
part:
detail:
@attributes:
type: volume
number: 39
@attributes:
type: artNo
number: 100769
physicalDescription:
form: print
typeOfResource: text