Preoperative anxiety and postoperative pain in women undergoing hysterectomy - A repeated-measures design
Preoperative anxiety and postoperative pain in women undergoing hysterectomy - A repeated-measures design
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DOI：
10.1016/s0022-3999(00)00189-6
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发表时间：
2000-12-01
影响因子：
4.7
通讯作者：
Mayes, LC
中科院分区：
文献类型：
--
作者：
Kain, ZN;Sevarino, F;Mayes, LC
目的：确定术前焦虑等心理变量是否可以作为术后疼痛反应的预测因子。方法：研究样本包括接受择期腹式子宫切除术的妇女（n = 53）。手术前两周，对特质焦虑、应对方式和感知压力等特征进行评估。在整个围手术期，在多个时间点评估状态焦虑、疼痛和镇痛药消耗。严格控制麻醉和手术管理，规范术后疼痛管理。结果：路径分析显示术前状态焦虑对术后疼痛有直接和间接影响。术前状态焦虑是术后即刻疼痛的显著正向预测因子（β = 0.30），而术后即刻疼痛又是病房疼痛的正向预测因子（β = 0.54）。反过来，病房的疼痛可以预测家中的疼痛（β = 0.30）。结论：这项研究的结果表明，术前焦虑可能在控制术后疼痛反应的事件链中起关键作用。(C)2001 Elsevier Science Inc. All rights reserved.
Objectives: To determine whether psychological variables such as preoperative anxiety can serve as predictors fur the postoperative pain response. Methods: The study sample included women who underwent elective abdominal hysterectomy (n = 53). Two weeks prior to surgery, characteristics such as trait anxiety, coping style, and perceived stress were evaluated. Throughout the perioperative period, state anxiety, pain, as well as analgesic consumption were assessed at multiple time points. The anesthetic and surgical management were carefully controlled for and postoperative pain management was standardized. Results: Path analysis demonstrated that there are both direct and indirect effects of preoperative state anxiety on postoperative pain. Preoperative state anxiety is a significant positive predictor of the immediate postoperative pain (beta = 0.30), which, in turn, is a positive predictor of pain on the wards (beta = 0.54). Pain on the ward, in turn, is predictive for pain at home (beta = 0.30). Conclusion: The results of this study indicate that preoperative anxiety may have a critical role in the chain-of-events that controls the postoperative pain response. (C) 2001 Elsevier Science Inc. All rights reserved.