Patient Communication before General Anesthesia to Reduce Post-Operative Pain and Agitation after Endoscopic Sinus Surgery: A Randomized Clinical Trial

Background: Patients often name post-operative pain as the most horrifying aspect of the surgery. The purpose of this study was to evaluate the effect of communication with patients on post-operative pain and agitation in the patients recovering from endoscopic sinus surgery. Methods: This was a ran...

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Main Authors: Seyed Reza Mazloom, Fatemeh Navidi, Fatemeh Hajimohammadi, Behrooz Amirzargar, Bahram Ali Ghanbari Hashemabadi, Mohammad Reza Majidi, Reza Jalaeian, Mehrdad Behzadi, Mehrdad Jafari
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2017-06-01
Series:Archives of Anesthesia and Critical Care
Subjects:
Online Access:https://aacc.tums.ac.ir/index.php/aacc/article/view/124
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author Seyed Reza Mazloom
Fatemeh Navidi
Fatemeh Hajimohammadi
Behrooz Amirzargar
Bahram Ali Ghanbari Hashemabadi
Mohammad Reza Majidi
Reza Jalaeian
Mehrdad Behzadi
Mehrdad Jafari
author_facet Seyed Reza Mazloom
Fatemeh Navidi
Fatemeh Hajimohammadi
Behrooz Amirzargar
Bahram Ali Ghanbari Hashemabadi
Mohammad Reza Majidi
Reza Jalaeian
Mehrdad Behzadi
Mehrdad Jafari
author_sort Seyed Reza Mazloom
collection DOAJ
description Background: Patients often name post-operative pain as the most horrifying aspect of the surgery. The purpose of this study was to evaluate the effect of communication with patients on post-operative pain and agitation in the patients recovering from endoscopic sinus surgery. Methods: This was a randomized clinical trial. Sixty patients scheduled for endoscopic sinus surgery were randomly allocated to control and intervention groups (30 patients in each group). A supportive and informative session was established for 20-30 minutes in two stages for the intervention group while the control group received routine information. After surgery, pain and agitation were assessed using the non-verbal pain scale, visual analog scale and Riker's sedation-agitation score. Results: The average pain scores in the recovery room by non-verbal pain scale and visual analog scale were (3.4±1.6) and (6.2±3.0) for the control group and (1.2±1.5) and (3.0±3.3) for the intervention group, respectively (P≤0.001). The average agitation score in the recovery room for the control group and the intervention group were (4.6±0.6) and (4.1±0.3), respectively (P=0.008). Conclusion: The results demonstrate that simple communication techniques before the surgery can be effective in reducing post-operative pain and agitation in patients recovering from endoscopic sinus surgery. This clinical trial was registered from IRCT with registration number IRCT201404278589N3.
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spelling doaj.art-c7f75d86308548fbb06f123172a1c0632022-12-22T03:08:01ZengTehran University of Medical SciencesArchives of Anesthesia and Critical Care2423-58492017-06-0133Patient Communication before General Anesthesia to Reduce Post-Operative Pain and Agitation after Endoscopic Sinus Surgery: A Randomized Clinical TrialSeyed Reza Mazloom0Fatemeh Navidi1Fatemeh Hajimohammadi2Behrooz Amirzargar3Bahram Ali Ghanbari Hashemabadi4Mohammad Reza Majidi5Reza Jalaeian6Mehrdad Behzadi7Mehrdad Jafari8Department of Nursing, Mashhad University of Medical sciences, Mashhad, IranDepartment of Anesthesiology, Tehran University of Medical sciences, Tehran, IranDepartment of Anesthesiology, Tehran University of Medical sciences, Tehran, IranDepartment of Otolaryngology Head and Neck Surgery, Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Education and Psychology, Mashhad University of Medical sciences, Mashhad, IranDepartment of Otolaryngology Head and Neck Surgery, Mashhad University of Medical sciences, Mashhad, IranDepartment of Anesthesiology, Mashhad University of Medical sciences, Mashhad, IranDepartment of Anesthesiology, Tehran University of Medical sciences, Tehran, IranDepartment of Otolaryngology Head and Neck Surgery, Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, IranBackground: Patients often name post-operative pain as the most horrifying aspect of the surgery. The purpose of this study was to evaluate the effect of communication with patients on post-operative pain and agitation in the patients recovering from endoscopic sinus surgery. Methods: This was a randomized clinical trial. Sixty patients scheduled for endoscopic sinus surgery were randomly allocated to control and intervention groups (30 patients in each group). A supportive and informative session was established for 20-30 minutes in two stages for the intervention group while the control group received routine information. After surgery, pain and agitation were assessed using the non-verbal pain scale, visual analog scale and Riker's sedation-agitation score. Results: The average pain scores in the recovery room by non-verbal pain scale and visual analog scale were (3.4±1.6) and (6.2±3.0) for the control group and (1.2±1.5) and (3.0±3.3) for the intervention group, respectively (P≤0.001). The average agitation score in the recovery room for the control group and the intervention group were (4.6±0.6) and (4.1±0.3), respectively (P=0.008). Conclusion: The results demonstrate that simple communication techniques before the surgery can be effective in reducing post-operative pain and agitation in patients recovering from endoscopic sinus surgery. This clinical trial was registered from IRCT with registration number IRCT201404278589N3.https://aacc.tums.ac.ir/index.php/aacc/article/view/124communicationpainagitationgeneral anesthesiasurgery
spellingShingle Seyed Reza Mazloom
Fatemeh Navidi
Fatemeh Hajimohammadi
Behrooz Amirzargar
Bahram Ali Ghanbari Hashemabadi
Mohammad Reza Majidi
Reza Jalaeian
Mehrdad Behzadi
Mehrdad Jafari
Patient Communication before General Anesthesia to Reduce Post-Operative Pain and Agitation after Endoscopic Sinus Surgery: A Randomized Clinical Trial
Archives of Anesthesia and Critical Care
communication
pain
agitation
general anesthesia
surgery
title Patient Communication before General Anesthesia to Reduce Post-Operative Pain and Agitation after Endoscopic Sinus Surgery: A Randomized Clinical Trial
title_full Patient Communication before General Anesthesia to Reduce Post-Operative Pain and Agitation after Endoscopic Sinus Surgery: A Randomized Clinical Trial
title_fullStr Patient Communication before General Anesthesia to Reduce Post-Operative Pain and Agitation after Endoscopic Sinus Surgery: A Randomized Clinical Trial
title_full_unstemmed Patient Communication before General Anesthesia to Reduce Post-Operative Pain and Agitation after Endoscopic Sinus Surgery: A Randomized Clinical Trial
title_short Patient Communication before General Anesthesia to Reduce Post-Operative Pain and Agitation after Endoscopic Sinus Surgery: A Randomized Clinical Trial
title_sort patient communication before general anesthesia to reduce post operative pain and agitation after endoscopic sinus surgery a randomized clinical trial
topic communication
pain
agitation
general anesthesia
surgery
url https://aacc.tums.ac.ir/index.php/aacc/article/view/124
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