Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy

Bandeira, Roberto Albuquerque; Gomes, Lucy; Bezerra, Armando José China; Duarte, Josiane Aparecida

doi:10.5935/1806-0013.20170118

Cited by 8 publications

(7 citation statements)

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“…Interestingly, it has been demonstrated that pre-operative anxiety is positively correlated with intra- and post-operative pain level in a variety of surgical populations ( Robleda et al, 2014 ; Bandeira et al, 2017 ). Therefore, it is possible to speculate that music intervention may result in beneficial effect on pain level in patients undergoing cataract surgery.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Preoperative Music Intervention on Pain and Anxiety in Patients Undergoing Cataract Surgery

et al. 2021

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The aim of the present study was to investigate the impact of preoperative music exposure on intra- and post-operative pain during cataract surgery. This study was conducted alongside a prospective single-masked randomized controlled trial (ClinicalTrials.gov NCT02892825). Patients undergoing first eye cataract surgery were included and randomly assigned to either the intervention or control group. Patients in the intervention group had a 20-min music session through earphones before surgery, while patients in the control group wore earphones without music. Anxiety level evaluated using the visual analog scale and heart rate were collected before and after music intervention. Pain level was assessed using the Numerical Pain Rating Scale, during the surgical procedure, prior to discharge and 7 days postoperatively. A total of 243 patients were included: 119 in the intervention group and 124 in the control group. No significant differences in baseline characteristics, including age, sex and rate of treated hypertension were found between the 2 groups (all p-values > 0.05). In addition, no significantly differences were found in heart rate and anxiety level before music intervention between the 2 groups (all p-values > 0.05). Conversely, anxiety level was significantly lower in the music group after the intervention (respectively, 1.3 ± 1.1 vs 3.2 ± 2.2; p < 0.05). Patients in the music group reported a lower mean pain level during surgical procedure and before discharge compared with control group (respectively, 1.2 ± 0.5 vs 2.1 ± 1.1, p = 0.03 and 0.23 ± 0.4 vs 0.81 ± 0.7, p = 0.04). No difference was found in pain level 7 days postoperatively (0.1 ± 0.3 vs 0.2 ± 0.4, p = 0.1). A significant correlation was found between anxiety level and intraoperative pain level (R = 0.64, p = 0.02). In conclusion, music intervention was effective in reducing anxiety level and self-reported pain both during surgery and in the early postoperative period.Clinical Trial Registration:https://clinicaltrials.gov/ct2/home, identifier NCT02892825.

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Section: Introductionmentioning

confidence: 99%

Efficacy of Preoperative Music Intervention on Pain and Anxiety in Patients Undergoing Cataract Surgery

et al. 2021

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“…Similarly, in two consecutive studies, Robitz et al have shown that child anxiety is a potential contributor to postoperative pain (2,28). In several studies, anxiety has been reported as a variable affecting acute (15,29,30) and chronic (28,31) postoperative pain intensity. Therefore, it can be said that preoperative anxiety as a psychological factor can lead to a cascade of physiological events such as increased postoperative pain.…”

Section: Discussionmentioning

confidence: 89%

Investigating The Effect of Psychological Variables On Postoperative Pain In Children

Gholami

Mojen

Rassouli

et al. 2021

Preprint

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Background and Purpose: Despite the progress of pain management in children, the prevalence of postoperative pain remains a caring challenge. Given the multidimensional nature of pain and the effect of various factors on pain, the need to identify risk factors in preventing postoperative pain is felt. The purpose of this study was therefore to investigate the effect of psychological variables on postoperative pain in childrenMethods: This study was conducted following a descriptive-correlational study design. The samples of the study were 171 children aged 6-13 years who were conveniently selected from the selected children's hospital in Tehran according to the inclusion criteria. Data were collected using the “demographic questionnaire”, “Child Pain Anxiety Symptoms Scale (CPASS)”, the Spielberger’s State-Trait Anxiety Inventory (STAI), and “Coping Strategies Questionnaire (CSQ)” and analyzed using SPSS21 software.Results: Most of the 171 children participated were boys (65.5%) with a mean age of 9.58 years. The most common type of surgery was abdominal (53.2%), with an average surgery duration of 134.29 minutes. The results of regression analysis showed that postoperative pain was positively affected by child and parent anxiety and negatively affected by coping strategies. The postoperative pain increased 0.31 and 0.30 per unit increase in child and parent anxiety, respectively, and decreased 0.14 per unit increase in coping strategies.Conclusion: Based on the confirmation of the relationship between child and parent psychological variables on postoperative pain, identifying children at risk and presenting psychological interventions can be an effective step for managing postoperative pain and improving child and family comfort.

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“…Penelitian lain di indonesia pada tahun 2015 dinyatakan bahwa terapi murotal Al-Quran dapat menstimulasi gelombang delta yang menyebabkan pendengar dapat menjadi tenang sampai tertidur. 12,17,19,20 Efek lantunan ayat Al-Quran termasuk relaksasi dan respons pengalihan perhatian akan menurunkan aktivitas neuroendokrin. Faktor lain yang berperan dalam relaksasi tersebut adalah keyakinan bahwa Al-Quran merupakan kitab suci yang mengandung firman Allah dan merupakan pedoman bagi manusia.…”

Section: Hasilunclassified

“…Mendengarkan lantunan Al-Quran membawa subjek lebih dekat dengan Tuhannya serta menuntun subjek untuk mengingat dan menyerahkan segala permasalahan yang dimiliki kepada Tuhannya sehingga hal ini menambah kondisi relaksasi disebut juga relaksasi religius. 18,20 Berdasar hasil penelitian disimpulkan bahwa lantunan ayat Al-Quran mengurangi kebutuhan opioid tambahan pascaoperasi seksio sesarea Daftar Pustaka…”

Section: Hasilunclassified

Pengaruh Lantunan Ayat Al-Quran terhadap Kebutuhan Opioid Tambahan Pascaseksio Sesarea

Winasty¹,

Indriasari²,

Kestriani³

2019

jap

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Lantunan ayat Al-Quran dapat menstimulasi β endorfin yang dihasilkan hipofisis anterior otak. Penelitian ini bertujuan mengetahui pengaruh lantunan ayat Al-Quran terhadap intensitas nyeri dan kebutuhan opioid tambahan pascaseksio sesarea dengan regional spinal. Metode penelitian adalah eksperimental secara acak terkontrol buta tunggal pada 32 ibu hamil berusia >18 tahun dan beragama islam di RSUP Dr. Hasan Sadikin Bandung pada bulan April–Mei 2019. Data jumlah penggunaan opioid tambahan pascaoperasi selama 24 jam yang diberikan dengan patient controlled analgesia (PCA) dianalisis dengan Uji Mann-Whitney. Hasil perhitungan statistik diperoleh penggunaan opioid tambahan pada kelompok lantunan Al-Quran lebih sedikit dibanding dengan kelompok kontrol (21,87 mcg vs 107,87 mcg) dengan perbedaan yang sangat bermakna (p<0,0001). Simpulan penelitian ini menunjukkan bahwa lantunan ayat Al-Quran sebagai terapi tambahan penatalaksanaan nyeri pascaseksio sesarea menurunkan penggunaan opioid tambahan.Effect of Quran Recital on Additional Opioid Requirement in Post-Cesarean SectionThe recitation of Al-Quran could stimulate β endorfins which is produced by anterior pituitary. This study aimed to identify the effect of listening to Al-Quran recitation on pain intensity and additional opioid requirement in patients after spinal cesarean section surgery. This was a randomized single blind controlled experiment on 32 pregnant moslem women over 18 years old treated in Dr. Hasan Sadikin General Hospital Bandung in April 2019-May 2019. The amount of additional 24-hours post-operative opioid requirement using Patient Controlled Analgesia (PCA) was analyzed by the Mann-Whitney Test. Results showed that the use of additional fentanyl in the Al-Quran recitation group was significantly less than in the controlled group(21.87 mcg vs 107.87 mcg) (p<0.0001). Therefore, Al-Quran recitation as an additional therapy in the management of pain is able to reduce the dose of additional fentamyl needed in postcaesarean section patients.

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Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy

Cited by 8 publications

References 0 publications

Efficacy of Preoperative Music Intervention on Pain and Anxiety in Patients Undergoing Cataract Surgery

Efficacy of Preoperative Music Intervention on Pain and Anxiety in Patients Undergoing Cataract Surgery

Investigating The Effect of Psychological Variables On Postoperative Pain In Children

Pengaruh Lantunan Ayat Al-Quran terhadap Kebutuhan Opioid Tambahan Pascaseksio Sesarea

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