Spiritual well-being, anxiety and depression in the preoperative period of cardiac surgery





Preoperative Period; Anxiety; Depression; Spirituality; Perioperative Nursing.


Objective: to correlate religiosity and spiritual well-being with anxiety and depression in patients in the preoperative period of cardiac surgery. Methods: cross-sectional study conducted with 174 patients admitted to a university hospital using the Hospital Anxiety and Depression Scale, the Spiritual Well-Being Scale, and the DUKE Religiosity Index. Results: the religious well-being and religiosity dimensions did not present significant differences between anxious and non-anxious patients. Existential well-being showed lower scores than religious well-being, being significantly lower among anxious patients. Among patients with depressive symptoms, the existential well-being score was significantly lower. Religiosity and religious well-being were not different between depressed and non-depressed patients. Conclusion: religiosity and spirituality did not exempt patients from presenting anxiety and depression in the preoperative period of cardiac surgery, although they are cited as mediators of coping strategies and psychological adaptation. Contributions to practice: the present study provides evidence that religiosity does not exempt patients from being anxious while waiting for heart surgery.


Zerbetto SR, Gonçalves AMS, Santile N, Galera SAF, Acorinte AC, Giovannetti G. Religiosity and spirituality: mechanisms of positive influence on the life and treatment of alcoholics. Esc Anna Nery. 2017;21(1):e20170005. doi: http://dx.doi.org/10.5935/1414-8145.20170005

Rabelo ACS, Souza FVFS, Silva LFD. Contribution of transpersonal care to cardiac patients in the postoperative period of heart surgery. Rev Gaucha Enferm. 2018;38(4):e64743. doi: http://dx.doi.org/10.1590/1983-1447.2017.04.64743

Neupane I, Arora RC, Rudolph JL. Cardiac surgery as a stressor and the response of the vulnerable older adult. Exp Gerontol. 2017;87(Pt B):168-174. doi: http://doi.org10.1016/j.exger.2016.04.019

Gomes ET, Bezerra SMMS. Validity of the Hospital Anxiety and Depression Scale in the preoperative period of cardiac surgery. Enferm Brasil. 2018;17(3):273-8. doi: http://doi.org/10.33233/eb.v17i3

Gomes ET, Bezerra SMMS. Validation of the Spiritual Well-Being Scale for hospitalized patients in the preoperative period. J Bras Psiquiatr. 2018;67(3):179-85. doi: http://dx.doi.org/10.1590/0047-2085000000199

Silva JV, Dias BVB. Assessment of the psychometric properties of the Portuguese version of the Duke University Religiosity Index (P-DUREL). Rev Min Enferm. 2017;21:e-1012. doi: https://dx.doi.org/10.5935/1415-2762.20170022

Nicoletti EM, Hillesheim SF, Zamberlan C, Maldaner CR, Rosa N, Pitthan L. Anxiety and intensity of the painful experience in perioperative cardiac surgery. Braz J Health Rev. 2021;4(2):9162-72. doi: http://dx.doi.org/10.34119/bjhrv4n2-419

Coiro CL, Ruschel PP. Anxiety and pain in the post-operatory of heart surgery: is there a difference between gender? Psicol Hosp [Internet]. 2019 [cited July 13, 2022];17(1):2-16. Available from: https://pepsic.bvsalud.org/pdf/ph/v17n1/17n1a02.pdf

Magid K, El-Gabalawy R, Maran A, Serber ER. An examination of the association between post-traumatic growth and stress symptomatology in cardiac outpatients. J Clin Psychol Med Settings. 2019;26(3):271-81. doi: https://dx.doi.org/10.1007/s10880-018-9585-4

Takagi H, Ando T, Umemoto T, ALICE (All-Literature Investigation of Cardiovascular Evidence) Group. Perioperative depression or anxiety and postoperative mortality in cardiac surgery: a systematic review and meta-analysis. Heart Vessels. 2017;32(12):1458-68. doi: https://dx.doi.org/10.1007/s00380-017-1022-3

Pagé MG, Watt-Watson J, Chomiere M. Do depression and anxiety profiles over time predict persistent post-surgical pain? A study in cardiac surgery patients. Eur J Pain. 2017;21(6):965-76. doi: http://dx.doi.org/10.1002/ejp.998

Ai AL, Carretta H. Depression in patients with heart diseases: gender differences and association of comorbidities, optimism, and spiritual struggle. Int J Behav Med. 2021;28(3):382-92. doi: http://dx.doi.org/10.1007/s12529-020-09915-3

Farag P, Behzadi A. Investigating the relationship between religiosity and psychological distress among surgical inpatients: a pilot study. J Relig Health. 2018;57(1):291-310. doi: http://dx.doi.org/10.1007/s10943-017-0459-0

Aliche JC, Ifeagwazi CM, Chukwuorji JC, Eze JE. Roles of religious commitment, emotion regulation and social support in preoperative anxiety. J Relig Health. 2020;59(2):905-19. doi: http://dx.doi.org/10.1007/s10943-018-0693-0

Gomes ET, Oliveira RC, Bezerra SMMS. Being-patient-waiting-for-cardiac-surgery: the preoperative period under the Heideggerian perspective. Rev Bras Enferm. 2018;71(5):2535-40. doi: http://dx.doi.org/10.1590/0034-7167-2017-0506

Ai AL, Fincham FD, Carretta H. ADL and IADL following open-heart surgery: the role of a character strength factor and preoperative medical comorbidities. J Relig Health. 61(1):479-92. doi: http://dx.doi.org/10.1007/s10943-020-01146-w

Hart AC, Pargament KI, Grubbs JB, Exline JJ, Wilt JA. Predictors of self-reported growth following religious and spiritual struggles: exploring the role of wholeness. Religions. 2020;11(9):445. https://doi.org/10.3390/rel11090445



How to Cite

Gomes, E. T., & Bezerra, S. M. M. da S. (2022). Spiritual well-being, anxiety and depression in the preoperative period of cardiac surgery. Rev Rene, 23, e81343. https://doi.org/10.15253/2175-6783.20222381343



Research Article

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