The effects of intraday operation time on pain and anxiety of patients undergoing septoplasty

Revista Brasileira de Otorrinolaringologia

article

Serkan Kayabasi¹  Serkan Cayir²  Omer Hizli³ 

[1] Aksaray University, Faculty of Medicine, Department of ENT;Aksaray University, Aksaray Education and Research Hospital, Department of ENT;Giresun University, Prof Dr. A. Ilhan Ozdemir Education and Research Hospital, Department of ENT

关键词: Septoplasty;    Anxiety;    Postoperative pain;    Operation time;   

DOI  :  10.1016/j.bjorl.2019.09.006

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

Introduction: Anxiety and pain levels of septoplasty patients may vary according to intraday operation time. Objective: To investigate the effects of septoplasty operation and intraday operation time on anxiety and postoperative pain. Methods: Ninety-eight voluntary patients filled out the hospital anxiety and depression scale to measure the anxiety level three weeks before, one hour before and one week after surgery. Forty-nine patients were operated at 8:00 am (morning group); other 49 were operated at 03:00 pm (afternoon group). We used a visual analogue scale to measure postoperative pain. Preoperative and postoperative scores were compared, as were the scores of the groups. Results: Median hospital anxiety and depression scale scores one hour before the operation [6 (2---10)] were significantly higher compared to the median scores three weeks before the operation [3 (1---6)] (p < 0.001), and one week after the operation [2 (1---6)] were significantly lower compared to the median scores three weeks before the operation [3 (1---6)] (p < 0.001). Hospital anxiety and depression scale scores one hour before the operation were significantly greater in the afternoon group [8 (7---10)], compared to the morning group [4 (2---6)] (p < 0.001). Postoperative first, sixth, twelfth and twenty-fourth-hour pain visual analogue scale scores were significantly higher in the afternoon group compared to the morning group (p < 0.001). Conclusion: Septoplasty might have an increasing effect on short-term anxiety and postoperative pain. Performing this operation at a late hour in the day might further increase anxiety and pain. However, the latter has no long-term effect on anxiety. © 2019 Associac¸ao˜ Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. ´ Published by Elsevier Editora Ltda. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).

【 授权许可】

CC BY