PREVALÊNCIA DE ANSIEDADE E DEPRESSÃO NO PRÉ- OPERATÓRIO DE CIRURGIAS ELETIVAS EM UM HOSPITAL UNIVERSITÁRIO EM CURITIBA

In the preoperative period the prevalence of anxiety and depression may increase. Such disorders are considered causes of difficulty in post-surgical recovery, prolonged hospital stay, enhanced need for anesthetics and analgesics, lower adherence to treatment and high cost to the health system. Objectives: Determine the prevalence of anxiety and depression in preoperative period of elective surgeries, in the Parana Red Cross Hospital (HCV-PR) and check possible associations between the presence of these disorders with gender, age, marital status, religion, education, income and type of hospital care. Methods: Descriptive cross-sectional study with 200 hospitalized patients in preoperative period of elective surgeries between July and October 2013. Data collection instruments: hospital anxiety and depression scale (HADS) and questionnaire of socioeconomic and demographic data. Results: The prevalence of anxiety (27.5%) was higher than that of depression (13.5%). Anxiety was more frequent among patients with the following characteristics: incomplete secondary education (58.2%), income less than two minimum wages (56.4%), and users of SUS (63.3%), p <0.05. Depression was more common among patients with age ≥ 50 years (81.5%), income less than two minimum wages (59.3%), SUS users (70.4%), p <0.05 Conclusion: It was observed that most patients with disorders showed low income and was attended by SUS, characteristics that make them more vulnerable. It’s important to invest in pre-operative care, promoting assistance and helping the patient to understand the process in order to reduce harmful effects.