Evaluation of anxiety in preoperative patients: State-Trait Anxiety Inventory Instrument (STAI)

Authors

DOI:

https://doi.org/10.21527/2176-7114.2025.50.15093

Keywords:

Nursing, Anxiety, Surgicenters

Abstract

Objective: To assess levels of state and trait anxiety in preoperative patients admitted to the Surgical Unit of a hospital located in the extreme south of Brazil. Method: This quantitative, exploratory-descriptive study was conducted with 50 preoperative inpatients. Data were collected using the State-Trait Anxiety Inventory (STAI), translated and adapted for use in Brazil. Data were analyzed using the Statistical Package for the Social Sciences (SPSS), version 22.0.2. Descriptive statistics were applied, and a t-test was performed to compare state and trait anxiety according to sex. Results: Trait anxiety scores were higher than state anxiety scores. Most participants exhibited trait anxiety rather than state anxiety, indicating that these preoperative patients already showed an anxious profile—that is, they possessed personality traits more prone to the development of anxiety. Conclusion: These findings are relevant to clinical nursing practice, considering that when professionals identify patients with anxiety symptoms, they must plan interventions that contribute to a calmer perioperative period and support postoperative recovery.

References

1 Ekinci, Mürsel et al. A relação entre os níveis de ansiedade no período pré‐operatório e os incidentes vasovagais durante a administração de raquianestesia. Brazilian Journal of Anesthesiology, [S. l.]: Elsevier BV. July 2017;67(4):388-394 DOI: http://dx.doi.org/10.1016/j.bjan.2016.07.009

2 Costa, Andreia Cristina Barbosa et al. Efeito da escuta terapêutica na ansiedade de pessoas no período pré-operatório imediato. Cogitare Enfermagem, [S. l.]. Feb. 2022;27:1-11. FapUNIFESP (SciELO). DOI: http://dx.doi.org/10.5380/ce.v27i0.78681

3 Felix, Márcia Marques dos Santos et al. Guided imagery relaxation therapy on preoperative anxiety: a randomized clinical trial. Revista Latino-Americana de Enfermagem, [S. l.]. 29 Nov. 2018;26:1-10. FapUNIFESP (SciELO). DOI: http://dx.doi.org/10.1590/1518-8345.2850.3101

4 Protocolo de avaliação pré-operatória de pacientes para cirurgia eletiva. Governo do Estado do Espírito Santo – Sesa; 2021.

5 Mendes, Diana et al. Consulta de enfermagem pré-operatória: implementação e avaliação. Revista de Enfermagem Referência, [S. l.]: Health Sciences Research Unit: Nursing. 29 Dec. 2021;8:1-8. DOI: http://dx.doi.org/10.12707/rv20216

6 Barel, Pâmella Simões et al. Anxiety and knowledge of patients before being subjected to orthognathic surgery. Revista Brasileira de Enfermagem, [S. l.]: FapUNIFESP (SciELO). 2018;71(5):2081-2086. DOI: http://dx.doi.org/10.1590/0034-7167-2017-0520

7 Batista, Letícia de Carvalho et al. Ansiedade e desfechos clínicos em pacientes coronariopatas submetidos ao cateterismo não programado. Acta Paulista de Enfermagem, [S. l.]: FapUNIFESP (SciELO). Dec. 2018;31(6):593-599. DOI: http://dx.doi.org/10.1590/1982-0194201800082

8 de Sousa, Diogo Araújo et al. Revisão sistemática de instrumentos para avaliação de ansiedade na população brasileira. Aval. Psicol. Dec. 2013;12(3):397-410. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1677-04712013000300015&lng=

9 Spielberger, Charles Donald et al. Manual for the state-trait anxiety inventory. Palo Alto: Consulting Psychologist Press; 1970.

10 Biaggio, Angela M. Brasil. Desenvolvimento da Forma Experimental em Português do Inventário de Ansiedade Traço-Estado (IDATE), de Spielberger. Arq. Bras. Psic. Apl. July/Sept. 1977;29(3):31-44.

11 Creswell, John W. Projeto de pesquisa: métodos qualitativo, quantitativo e misto. 3. ed. Porto Alegre: Artmed; 2010. p. 1-296.

12 Kaipper, MB. Avaliação do inventário de ansiedade traço-estado (IDATE) através da análise de Rasch. [Dissertação de Mestrado]. Porto Alegre: Universidade Federal do Rio Grande do Sul – UFRGS; 2008. p. 1-138.

13 Gaya, Adroaldo. Ciências do movimento humano: introdução à metodologia da pesquisa. Porto Alegre: Artmed; 2008. p. 1-304.

14 Felix, Márcia Marques dos Santos et al. Guided imagery relaxation therapy on preoperative anxiety: a randomized clinical trial. Revista Latino-Americana de Enfermagem, [S. l.]: FapUNIFESP (SciELO). 29 Nov. 2018;26:1-10. DOI: http://dx.doi.org/10.1590/1518-8345.2850.3101

15 Savage, D D et al. Epidemiologic features of isolated syncope: the framingham study. Stroke, [S. l.]: Ovid Technologies (Wolters Kluwer Health). July 1985;16(4):626-629. DOI: http://dx.doi.org/10.1161/01.str.16.4.626

16 Domar, AD et al. Preoperative anxiety: is it a predictable entity? Anesth Analg. 1989;69(6):763-767.

17 Moerman, Nelly et al. The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Anesthesia & Analgesia, [S. l.]: Ovid Technologies (Wolters Kluwer Health). Mar. 1996;82(3):445-451. DOI: http://dx.doi.org/10.1097/00000539-199603000-00002

18 Ramsay, M. A. E. et al. A survey of pre–operative fear. Anaesthesia, [S. l.]: Wiley. Oct. 1972;27(4):396-402. DOI: http://dx.doi.org/10.1111/j.1365-2044.1972.tb08244.x

19 Garcia, Ana Cláudia Mesquita et al. The effect of therapeutic listening on anxiety and fear among surgical patients: randomized controlled trial. Revista Latino-Americana de Enfermagem, [S. l.]: FapUNIFESP (SciELO). 9 Aug. 2018;26:1-10. DOI: http://dx.doi.org/10.1590/1518-8345.2438.3027

20 Fernandes, Márcia Astrês et al. Prevalence of anxiety disorders as a cause of workers’ absence. Revista Brasileira de Enfermagem, [S. l.]: FapUNIFESP (SciELO). 2018;71(5):2213-2220. DOI: http://dx.doi.org/10.1590/0034-7167-2017-0953

21 Oliveira, Guilherme Cordeiro da Graça de et al. Ansiedade entre estudantes do ensino médio, gênero e escolaridade. Revista Educação em Questão, [S. l.]: Universidade Federal do Rio Grande do Norte – UFRN. 27 Dec. 2021;59(62)1-22, DOI: http://dx.doi.org/10.21680/1981-1802.2021v59n62id26453

22 Diniz, Julia da Silva Papi et al. Intervenção de enfermagem baseada na teoria de Neuman mediada por jogo educativo. Acta Paulista de Enfermagem, [S. l.]: FapUNIFESP (SciELO). Dec. 2019;32(6):600-607. DOI: http://dx.doi.org/10.1590/1982-0194201900084

23 Pelegino, Annia Álvarez et al. Intervención de enfermería para disminuir la ansiedad en el perioperatorio en cirugía cardiovascular. Rev Cubana Angiol Cir Vasc. July 2022;23(2). Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1682-00372022000200005&lng=es

24 Garzón, Mauricio Medina et al. Effectiveness of a nursing intervention to diminish preoperative anxiety in patients programmed for knee replacement surgery: preventive controlled and randomized clinical trial. Investigación y Educación en Enfermería, [S. l.]: Universidad de Antioquia. 19 June 2019;37(2):1-12. DOI: http://dx.doi.org/10.17533/udea.iee.v37n2e07

25 Talavera-Peña, Ana Karen et al. Intervención psicoeducativa para modificar ansi-edad, depresión y calidad de vida en candidatos a revascularización corona-ria. Psicología y Salud, [S. l.]: Universidad Veracruzana. 13 Dec. 2019;30(1):59-71. DOI: http://dx.doi.org/10.25009/pys.v30i1.2618

26 Rodrigues, Hélen Francine et al. Relationship between emotional states before cardiac valve surgeries with postoperative complications. Revista Gaúcha de Enfermagem, [S. l.]: FapUNIFESP (SciELO). 2020;41:1-11. DOI: http://dx.doi.org/10.1590/1983-1447.2020.20190025

Published

2025-04-28

How to Cite

de Avila, L. P., Sena-Castanheira, J., Rocha, L. P., Barlem, J. G. T., Paloski, G. do R., de Souza, R. A., & Teixeira, J. L. (2025). Evaluation of anxiety in preoperative patients: State-Trait Anxiety Inventory Instrument (STAI). Revista Contexto & Saúde, 25(50), e15093. https://doi.org/10.21527/2176-7114.2025.50.15093

Issue

Section

ORIGINAL ARTICLE