Preoperative anxiety, postoperative pain tolerance and analgesia consumption: A prospective cohort study.

IF 1.2 Q3 SURGERY

Journal of perioperative practice Pub Date : 2024-08-06 DOI:10.1177/17504589241253489

Jamal Qaddumi, Ali Mohammad Arda, Abdullah Alkhawaldeh, Mohammed ALBashtawy, Asem Abdalrahim, Sa'd ALBashtawy, Omar Al Omari, Mahmoud Bashtawi, Rami Masa'deh, Zaid ALBashtawy, Khitam Ibrahem Mohammad, Bayan ALBashtawy, Ma'en Aljezawi, Haitham Khatatbeh, Wafa'a Ta'an, Mohammad Suliman, Khloud Al Dameery, Salam Bani Hani

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引用次数: 0

Abstract

Background: Anxiety affects the patient's perception of postoperative pain and causes a significant increase in the consumption of analgesia postoperatively.

Objective: This study assesses the relationship between preoperative anxiety, postoperative pain and postoperative pethidine consumption.

Methods: A prospective cohort design was used. Data were collected from 100 patients who were undergoing a laparoscopic cholecystectomy at St Joseph Hospital, Jerusalem. Pain-controlled analgesia with pethidine was utilised to manage pain throughout the postoperative period. The visual analogue scale scores and pethidine consumption of all patients were recorded.

Findings: Participants' mean level of pain was higher in the preoperative period (mean visual analogue scale = 1.3) compared with their mean level of pain in the postoperative period (mean visual analogue scale = 0.5). There is a statistically significant difference between the participants' level of anxiety and postoperative pain level (p < 0.001). Gender, weight, level of education and smoking were predictors of developing preoperative anxiety. Also, gender, smoking and medication were statistically significant predictors of developing postoperative pain. Furthermore, gender, medical history and medication were statistically significant predictors of pethidine consumption postoperatively.

Conclusions: The preoperative anxiety reduction intervention should be promoted and implemented as routine care for all surgical patients.

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术前焦虑、术后疼痛耐受性和镇痛药消耗量：一项前瞻性队列研究。

背景：焦虑会影响患者对术后疼痛的感知，并导致术后镇痛剂用量的显著增加：本研究评估了术前焦虑、术后疼痛和术后哌替啶用量之间的关系：方法：采用前瞻性队列设计。数据收集自耶路撒冷圣约瑟夫医院接受腹腔镜胆囊切除术的 100 名患者。术后全程使用哌替啶镇痛来控制疼痛。所有患者的视觉模拟量表评分和哌替啶用量均被记录在案：结果：与术后的平均疼痛程度（平均视觉模拟量表 = 0.5）相比，术前的平均疼痛程度更高（平均视觉模拟量表 = 1.3）。参试者的焦虑程度和术后疼痛程度在统计学上有显著差异（P < 0.001）。性别、体重、教育程度和吸烟是导致术前焦虑的预测因素。同时，性别、吸烟和服药在统计学上也是导致术后疼痛的重要因素。此外，性别、病史和用药对术后哌替啶用量的预测也有统计学意义：结论：减少术前焦虑的干预措施应作为所有手术患者的常规护理加以推广和实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of perioperative practice Nursing-Medical and Surgical Nursing

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.