Guided imagery relaxation therapy on preoperative anxiety

a randomized clinical trial

Authors

  • Márcia Marques dos Santos Felix Universidade Federal do Triângulo Mineiro, Departamento Didático Científico de Enfermagem na Assistência Hospitalar
  • Maria Beatriz Guimarães Ferreira Universidade Federal do Triângulo Mineiro, Departamento Didático Científico de Enfermagem na Assistência Hospitalar
  • Lucas Felix de Oliveira Prefeitura Municipal de Uberaba, Secretaria de Saúde
  • Elizabeth Barichello Universidade Federal do Triângulo Mineiro, Departamento Didático Científico de Enfermagem na Assistência Hospitalar
  • Patricia da Silva Pires Universidade Federal da Bahia, Instituto Multidisciplinar em Saúde
  • Maria Helena Barbosa Universidade Federal do Triângulo Mineiro, Departamento Didático Científico de Enfermagem na Assistência Hospitalar https://orcid.org/0000-0003-2749-2802

DOI:

https://doi.org/10.1590/1518-8345.2850.3101

Keywords:

Imagery (Psychotherapy), Relaxation, Anxiety, Hydrocortisone, Clinical Trial, Bariatric Surgery

Abstract

Objective: to evaluate the effect of relaxation therapy with guided imagery on state anxiety and cortisol in the immediate preoperative period in patients submitted to bariatric surgery by videolaparoscopy. Method: a randomized, triple-blind clinical trial in a large teaching hospital in the interior of Minas Gerais. Twenty-four patients who would undergo video-laparoscopic bariatric surgery were randomly allocated in two groups, namely 12 in the control group and 12 in the experimental group. State anxiety was assessed by the State-Trait Anxiety Inventory, and blood cortisol levels were measured before and after the intervention or standard care. Descriptive analyzes were used for the quantitative variables and Student’s t-test for independent samples, in the analysis of the differences between the state anxiety scores and cortisol levels. Results: the experimental group presented a statistically significant reduction of the state anxiety scores (p = 0.005) as well as of cortisol levels (p <0.001) after the intervention. Conclusion: guided imagery relaxation therapy is an effective nursing intervention for the reduction of state anxiety and blood cortisol levels in the preoperative period in patients undergoing video-laparoscopic bariatric surgery. Brazilian Registry of Clinical Trials: RBR-5qywrf.

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Published

2019-03-29

Issue

Section

Original Articles

How to Cite

Guided imagery relaxation therapy on preoperative anxiety: a randomized clinical trial. (2019). Revista Latino-Americana De Enfermagem, 26, e3101. https://doi.org/10.1590/1518-8345.2850.3101