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Associations between ASA classification, self-estimated physical health, psychological wellbeing and anxiety among Swedish orthopaedic patients
Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology.ORCID iD: 0000-0003-4789-7006
2020 (English)In: International Journal of Orthopaedic and Trauma Nursing, ISSN 1878-1241, E-ISSN 1878-1292, Vol. 39, article id 100769Article in journal (Refereed) Published
Abstract [en]

Background

The evaluation of one’s physical health and psychological wellbeing may be subjective. Aspects of functional capacity, including the patients’ own estimation of physical health and wellbeing, have been shown to be strong predictors of postoperative outcomes, therefore, they should be the focus of further research.

Aim.

This study aimed to explore the associations between ASA classification, self-estimated physical health, psychological wellbeing and anxiety among orthopaedic patients.

Methods

This is a longitudinal study with a quantitative approach.

Settings

A central county hospital in northern Sweden.

Results

A high ASA classification rated by anaesthetists was not associated with physical health and psychological wellbeing self-estimated as less than good. A high ASA classification was significantly associated with self-estimated anxiety prior to surgery. Three days and one month post-surgery, the situation was reversed, and the ASA I/II group, to a significantly higher extent, rated that they felt anxiety.

Conclusion

Preoperative screening systems for orthopaedic patients should not only focus on the medical and objective physical issues but also include the patients’ own estimation of their physical health and psychological wellbeing. It is essential that orthopaedic patients receive relevant information that provides a realistic outlook, as well as an honest and optimistic future view.

Place, publisher, year, edition, pages
Elsevier, 2020. Vol. 39, article id 100769
Keywords [en]
orthopaedic patients, ASA classification, physical health, psychological wellbeing, anxiety
National Category
Nursing
Research subject
Nursing
Identifiers
URN: urn:nbn:se:ltu:diva-77761DOI: 10.1016/j.ijotn.2020.100769ISI: 000613243500003PubMedID: 32622556Scopus ID: 2-s2.0-85087352356OAI: oai:DiVA.org:ltu-77761DiVA, id: diva2:1394408
Note

Validerad;2020;Nivå 2;2020-11-09 (johcin)

Available from: 2020-02-18 Created: 2020-02-18 Last updated: 2021-02-19Bibliographically approved

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Forsberg, Angelica

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CiteExportLink to record
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Citation style
  • apa
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More styles
Language
  • de-DE
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  • Other locale
More languages
Output format
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