Trastorno ansioso depresivo reactivo en pacientes quirúrgicos y complicaciones. Cuenca. 2014

Abstract

Objective: To determine the reagent depressive anxiety disorder and complications in surgical patients at the Vicente Corral Moscoso Hospital. 2014. Method: An observational, analytical and cross-sectional study, conducted in 642 with an expected frequency 7.2, 2% accuracy; confidence level 95, giving a sample size of 642 surgical patients from the Outpatient Surgery Vicente Corral Moscoso Hospital between February and October 2014. Results: The pre-surgical prevalence of anxiety was 89.72% and Reactive depression was 65.68%. Higher frequencies of: age group people over 65 (42.67%), women (58.1%), married / as (44.24%), the rural sector (51.7%) and workers occupationally active (55.3%). Age between 18 and 34, acts as a protective factor to avoid developing pre-surgical depression OR 0.612 (p = 0.015). We also found that 66.82% of patients must wait at least one year for surgery; statistically, expect less than a month, it is a protective factor for developing anxiety (OR 0.387 and p = 0.01). Family support pre-surgery was high (88.94%), while the professional psychological was low (8.57%). Cholelithiasis diagnosis was the most reported (33.18%) served as a protective factor against developing depression (OR 0.699 and P = 0.039), the prostate pathology (10.9%) acts as a risk factor (OR 1.885 and p = 0.031) to trigger reactive depression. Among the postoperative complications in as many pain patients (93.15%), tolerance to the diet (76.32%) and walking with 89.88%