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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Format: | Article |
Language: | English |
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Tehran University of Medical Sciences
2017-06-01
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Series: | Archives of Anesthesia and Critical Care |
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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. |
first_indexed | 2024-04-13T01:46:50Z |
format | Article |
id | doaj.art-c7f75d86308548fbb06f123172a1c063 |
institution | Directory Open Access Journal |
issn | 2423-5849 |
language | English |
last_indexed | 2024-04-13T01:46:50Z |
publishDate | 2017-06-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Archives of Anesthesia and Critical Care |
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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