Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing · 2025
Factors influencing negative emotional stages in patients with chronic limb-threatening ischemia prior to surgery.
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Sinporn Nutthawadee, Wongkongkam Kessiri, Danaidutsadeekul Suporn, Chinsakchai Khamin
Аннотация
INTRODUCTION: Negative emotional stages are defined as stress, anxiety, and depression. These psychological symptoms can occur among patients with peripheral arterial disease before surgery especially those who present with chronic limb-threatening ischemia (CLTI).
OBJECTIVE: This study aims to examine predictive factors of negative emotional stages - age, smoking, walking ability, signs and symptoms - of patients with CLTI before surgery.
METHODS: This is a descriptive study of 90 patients with CLTI before surgery who met the inclusion and exclusion criteria recruited from two tertiary hospitals, in Bangkok, Thailand. The walking impairment questionnaire, Rutherford's categories, and Depression Anxiety Stress Scales (DASS - 21) were used for collecting data.
RESULTS: Of 90 preoperative CLTI patients, 57.8 % were male, with an average age of 71.90 years (SD = 11.32). The participants had depression and anxiety equal to 24.4 % and stress for 7.8 %. The majority of the participants had depression, anxiety, and stress scores in mild levels, 13.3 % (x¯ = 3.30, SD = 2.69), 17.8 % (x¯= 2.36, SD = 2.14), and 4.4 % (x¯= 3.47, SD = 3.12), respectively. 32.2 % of the participants had a negative emotional stage in one symptom. The multiple linear regression analysis by the backward method found that age can predict depression symptoms with statistically significant (β = -0.282, p < .05). Walking ability can predict anxiety symptoms with statistically significant (β = -0.278, p < .05). Age and walking ability can predict stress symptoms with statistically significant (β = -0.207, p < .05, β = -0.302, p < .05).
CONCLUSIONS: This study shows that age and walking ability influence negative emotional states in patients with CLTI before surgery.
OBJECTIVE: This study aims to examine predictive factors of negative emotional stages - age, smoking, walking ability, signs and symptoms - of patients with CLTI before surgery.
METHODS: This is a descriptive study of 90 patients with CLTI before surgery who met the inclusion and exclusion criteria recruited from two tertiary hospitals, in Bangkok, Thailand. The walking impairment questionnaire, Rutherford's categories, and Depression Anxiety Stress Scales (DASS - 21) were used for collecting data.
RESULTS: Of 90 preoperative CLTI patients, 57.8 % were male, with an average age of 71.90 years (SD = 11.32). The participants had depression and anxiety equal to 24.4 % and stress for 7.8 %. The majority of the participants had depression, anxiety, and stress scores in mild levels, 13.3 % (x¯ = 3.30, SD = 2.69), 17.8 % (x¯= 2.36, SD = 2.14), and 4.4 % (x¯= 3.47, SD = 3.12), respectively. 32.2 % of the participants had a negative emotional stage in one symptom. The multiple linear regression analysis by the backward method found that age can predict depression symptoms with statistically significant (β = -0.282, p < .05). Walking ability can predict anxiety symptoms with statistically significant (β = -0.278, p < .05). Age and walking ability can predict stress symptoms with statistically significant (β = -0.207, p < .05, β = -0.302, p < .05).
CONCLUSIONS: This study shows that age and walking ability influence negative emotional states in patients with CLTI before surgery.