Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery

Revista Latino-Americana de Enfermagem

Gemma Robleda¹  Amalia Sillero-sillero¹  Teresa Puig¹  Ignasi Gich¹  Josep-e Baños¹ 

关键词: Pain;    Postoperative;    Anxiety;    Surgery;    Orthopedics;    Dor Pós-Operatória;    Ansiedade;    Cirurgia;    Ortopedia;    Dolor Postoperatorio;    Ansiedad;    Cirugía;    Ortopedia;   

DOI  :  10.1590/0104-1169.0118.2481

来源: SciELO

【 摘 要 】

OBJECTIVES: to analyze the relationship between preoperative emotional state and the prevalence and intensity of postoperative pain and to explore predictors of postoperative pain.METHOD: observational retrospective study undertaken among 127 adult patients of orthopedic and trauma surgery. Postoperative pain was assessed with the verbal numeric scale and with five variables of emotional state: anxiety, sweating, stress, fear, and crying. The Chi-squared test, Student's t test or ANOVA and a multivariate logistic regression analysis were used for the statistical analysis.RESULTS: the prevalence of immediate postoperative pain was 28%. Anxiety was the most common emotional factor (72%) and a predictive risk factor for moderate to severe postoperative pain (OR: 4.60, 95% CI 1.38 to 15.3, p<0.05, AUC: 0.72, 95% CI: 0.62 to 0.83). Age exerted a protective effect (OR 0.96, 95% CI: 0.94-0.99, p<0.01).CONCLUSION: preoperative anxiety and age are predictors of postoperative pain in patients undergoing orthopedic and trauma surgery.

【 授权许可】

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