TY - JOUR
T1 - Preoperative anxiety, postoperative pain tolerance and analgesia consumption
T2 - A prospective cohort study
AU - Qaddumi, Jamal
AU - Arda, Ali Mohammad
AU - Alkhawaldeh, Abdullah
AU - ALBashtawy, Mohammed
AU - Abdalrahim, Asem
AU - ALBashtawy, Sa’d
AU - Al Omari, Omar
AU - Bashtawi, Mahmoud
AU - Masa’deh, Rami
AU - ALBashtawy, Zaid
AU - Mohammad, Khitam Ibrahem
AU - ALBashtawy, Bayan
AU - Aljezawi, Ma’en
AU - Khatatbeh, Haitham
AU - Ta’an, Wafa’a
AU - Suliman, Mohammad
AU - Al Dameery, Khloud
AU - Bani Hani, Salam
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/8/6
Y1 - 2024/8/6
N2 - BACKGROUND: Anxiety affects the patient's perception of postoperative pain and causes a significant increase in the consumption of analgesia postoperatively.OBJECTIVE: This study assesses the relationship between preoperative anxiety, postoperative pain and postoperative pethidine consumption.METHODS: A prospective cohort design was used. Data were collected from 100 patients who were undergoing a laparoscopic cholecystectomy at St Joseph Hospital, Jerusalem. Pain-controlled analgesia with pethidine was utilised to manage pain throughout the postoperative period. The visual analogue scale scores and pethidine consumption of all patients were recorded.FINDINGS: Participants' mean level of pain was higher in the preoperative period (mean visual analogue scale = 1.3) compared with their mean level of pain in the postoperative period (mean visual analogue scale = 0.5). There is a statistically significant difference between the participants' level of anxiety and postoperative pain level (p < 0.001). Gender, weight, level of education and smoking were predictors of developing preoperative anxiety. Also, gender, smoking and medication were statistically significant predictors of developing postoperative pain. Furthermore, gender, medical history and medication were statistically significant predictors of pethidine consumption postoperatively.CONCLUSIONS: The preoperative anxiety reduction intervention should be promoted and implemented as routine care for all surgical patients.
AB - BACKGROUND: Anxiety affects the patient's perception of postoperative pain and causes a significant increase in the consumption of analgesia postoperatively.OBJECTIVE: This study assesses the relationship between preoperative anxiety, postoperative pain and postoperative pethidine consumption.METHODS: A prospective cohort design was used. Data were collected from 100 patients who were undergoing a laparoscopic cholecystectomy at St Joseph Hospital, Jerusalem. Pain-controlled analgesia with pethidine was utilised to manage pain throughout the postoperative period. The visual analogue scale scores and pethidine consumption of all patients were recorded.FINDINGS: Participants' mean level of pain was higher in the preoperative period (mean visual analogue scale = 1.3) compared with their mean level of pain in the postoperative period (mean visual analogue scale = 0.5). There is a statistically significant difference between the participants' level of anxiety and postoperative pain level (p < 0.001). Gender, weight, level of education and smoking were predictors of developing preoperative anxiety. Also, gender, smoking and medication were statistically significant predictors of developing postoperative pain. Furthermore, gender, medical history and medication were statistically significant predictors of pethidine consumption postoperatively.CONCLUSIONS: The preoperative anxiety reduction intervention should be promoted and implemented as routine care for all surgical patients.
KW - Anxiety
KW - Cholecystectomy
KW - Pain
KW - Postoperative analgesia
KW - Visual analogue scale
UR - https://www.scopus.com/pages/publications/85200950342
UR - https://www.scopus.com/pages/publications/85200950342#tab=citedBy
UR - https://www.mendeley.com/catalogue/e95d473b-2ae5-362f-a37a-786543bbd15e/
U2 - 10.1177/17504589241253489
DO - 10.1177/17504589241253489
M3 - Article
C2 - 39104294
AN - SCOPUS:85200950342
SN - 1750-4589
VL - 35
SP - 17504589241253489
JO - Journal of perioperative practice
JF - Journal of perioperative practice
IS - 10
ER -