Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy
ABSTRACT BACKGROUND AND OBJECTIVES: The objective of this study was to correlate the level of anxiety presented in the preoperative period with the intensity of pain reported by elderly in the immediate postoperative period of transvesical prostatectomy. METHODS: Sixty-four elderly patients submit...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira para o Estudo da Dor
2017-12-01
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| Series: | Revista Dor |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132017000400291&tlng=pt |
| _version_ | 1798016217717407744 |
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| author | Roberto Albuquerque Bandeira Lucy de Oliveira Gomes Armando José China Bezerra Josiane Aparecida Duarte |
| author_facet | Roberto Albuquerque Bandeira Lucy de Oliveira Gomes Armando José China Bezerra Josiane Aparecida Duarte |
| author_sort | Roberto Albuquerque Bandeira |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND AND OBJECTIVES: The objective of this study was to correlate the level of anxiety presented in the preoperative period with the intensity of pain reported by elderly in the immediate postoperative period of transvesical prostatectomy. METHODS: Sixty-four elderly patients submitted to transvesical prostatectomy were studied, using the following instruments: the numeric pain scale and Hamilton anxiety rating scale in the preoperative; and the short-form McGill pain questionnaire (Portuguese version adapted) in the immediate postoperative period. The elderly divided into four groups, according to the level of anxiety presented in the preoperative period: absent, mild, moderate and intense. The Spearman correlation was established between preoperative anxiety levels and postoperative pain intensity. RESULTS: There was a significant positive correlation between the level of preoperative anxiety and pain intensity in the immediate postoperative period. The pain curves (sensitive and affective) presented a significant increase at moments 6, 18 and 24h in all groups. These curves were significantly higher in the elderly with moderate and intense anxiety than in those without anxiety and mild anxiety. The pain peak was recorded at 18h after surgery in all groups. CONCLUSION: In the elderly, the level of anxiety presented in the preoperative period was positively correlated with the pain response in the immediate postoperative of transvesical prostatectomy. The use of preoperative measures that reduce anxiety can improve analgesia in the immediate postoperative period of this surgery and, therefore, reduce the amount of analgesics used in this period. There was also a need for intervention with adequate analgesia at the postoperative pain peak which occurred 18h after surgery. |
| first_indexed | 2024-04-11T15:47:10Z |
| format | Article |
| id | doaj.art-adbaf0a89e30468dbfa01077b026df2e |
| institution | Directory Open Access Journal |
| issn | 2317-6393 |
| language | English |
| last_indexed | 2024-04-11T15:47:10Z |
| publishDate | 2017-12-01 |
| publisher | Sociedade Brasileira para o Estudo da Dor |
| record_format | Article |
| series | Revista Dor |
| spelling | doaj.art-adbaf0a89e30468dbfa01077b026df2e2022-12-22T04:15:30ZengSociedade Brasileira para o Estudo da DorRevista Dor2317-63932017-12-0118429129710.5935/1806-0013.20170118Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomyRoberto Albuquerque BandeiraLucy de Oliveira GomesArmando José China BezerraJosiane Aparecida DuarteABSTRACT BACKGROUND AND OBJECTIVES: The objective of this study was to correlate the level of anxiety presented in the preoperative period with the intensity of pain reported by elderly in the immediate postoperative period of transvesical prostatectomy. METHODS: Sixty-four elderly patients submitted to transvesical prostatectomy were studied, using the following instruments: the numeric pain scale and Hamilton anxiety rating scale in the preoperative; and the short-form McGill pain questionnaire (Portuguese version adapted) in the immediate postoperative period. The elderly divided into four groups, according to the level of anxiety presented in the preoperative period: absent, mild, moderate and intense. The Spearman correlation was established between preoperative anxiety levels and postoperative pain intensity. RESULTS: There was a significant positive correlation between the level of preoperative anxiety and pain intensity in the immediate postoperative period. The pain curves (sensitive and affective) presented a significant increase at moments 6, 18 and 24h in all groups. These curves were significantly higher in the elderly with moderate and intense anxiety than in those without anxiety and mild anxiety. The pain peak was recorded at 18h after surgery in all groups. CONCLUSION: In the elderly, the level of anxiety presented in the preoperative period was positively correlated with the pain response in the immediate postoperative of transvesical prostatectomy. The use of preoperative measures that reduce anxiety can improve analgesia in the immediate postoperative period of this surgery and, therefore, reduce the amount of analgesics used in this period. There was also a need for intervention with adequate analgesia at the postoperative pain peak which occurred 18h after surgery.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132017000400291&tlng=ptElderlyPostoperative painPreoperative anxietyProstatectomyProstate hyperplasia |
| spellingShingle | Roberto Albuquerque Bandeira Lucy de Oliveira Gomes Armando José China Bezerra Josiane Aparecida Duarte Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy Revista Dor Elderly Postoperative pain Preoperative anxiety Prostatectomy Prostate hyperplasia |
| title | Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy |
| title_full | Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy |
| title_fullStr | Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy |
| title_full_unstemmed | Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy |
| title_short | Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy |
| title_sort | correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy |
| topic | Elderly Postoperative pain Preoperative anxiety Prostatectomy Prostate hyperplasia |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132017000400291&tlng=pt |
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