Pre-surgery beliefs about pain and surgery as predictors of acute and chronic post-surgical pain: A prospective cohort study

INTERNATIONAL JOURNAL OF SURGERY

卷:52

Article

Wang, Yang¹  Liu, Zejun¹  Chen, Shuanghong¹  Ye, Xiaoxuan¹  Xie, Wenyi²  Hu, Chunrong³  Iezzi, Tony⁴  Jackson, Todd^1,5 

[1] Southwest Univ, Key Lab Cognit & Personal, Chongqing 400715, Peoples R China

[2] Beibei Chinese Med Hosp, Chongqing, Peoples R China

[3] Chongqing 9 Hosp, Chongqing, Peoples R China

[4] London Hlth Sci Ctr, Dept Psychol, London, ON, Canada

[5] Univ Macau, Dept Psychol, Taipa, Macao, Peoples R China

关键词: Post-surgical pain;    Risk factors;    Pain intensity;    Pain self-efficacy;    Beliefs about surgery;   

DOI  :  10.1016/j.ijsu.2018.02.032

来源: Elsevier

【 摘 要 】

Background: Chronic pain post-surgical pain (CPSP) is common and has far-reaching negative consequences for patients, yet relatively few studies have evaluated the impact of both deficit-and resource-based beliefs about pain and surgery on subjective intensities of acute and chronic post-surgical pain. To address this issue a prospective cohort study was performed. Method: 259 consecutive surgery patients from general surgery, gynecology, and thoracic departments completed a self-report battery of demographics, pain experiences, and psychological factors 24 h before surgery (T1) and provided follow-up pain intensity ratings 48 h-72 h after surgery (T2), and at a 4-month follow-up (T3). Results: In the hierarchical regression model for acute post-operative pain intensity, pre-surgery pain self-efficacy beliefs made a significant unique contribution independent of all other pre-surgery and surgery-related factors (i.e., age, presence of pre-surgical pain, type of anesthesia, surgery duration). In the prediction model for intensity of chronic post-surgical pain, beliefs about long-term effects of surgery had a unique impact after controlling other significant pre-surgery and surgery influences (gender, education, surgery time). Conclusion: Results underscored the potential utility of considering specific pre-surgery pain-and surgery-related beliefs as factors that predict patient experiences of acute and chronic post-operative pain.

【 授权许可】

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