Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery

Robleda, Gemma; Sillero-Sillero, Amalia; Puig, Teresa; Gich, Ignasi; Baños, Josep-Eladi

doi:10.1590/0104-1169.0118.2481

Cited by 89 publications

(73 citation statements)

References 25 publications

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“…Worldwide, an estimated 266–360 million surgical procedures are undertaken annually according to the WHO. Surgical patients often suffer from preoperative anxiety and postoperative pain; recent data suggest that 75 per cent of patients facing surgery are anxious, despite anxiety‐decreasing measures. Preoperative anxiety can increase the level of postoperative pain and, despite interventions to reduce postoperative pain, approximately 40–65 per cent of patients experience moderate to severe pain after surgery.…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis evaluating music interventions for anxiety and pain in surgery

Kühlmann

Rooij

Kroese

et al. 2018

British Journal of Surgery

210

191

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BackgroundThis study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients.MethodsEleven electronic databases were searched for full‐text publications of RCTs investigating the effect of music interventions on anxiety and pain during invasive surgery published between 1 January 1980 and 20 October 2016. Results and data were double‐screened and extracted independently. Random‐effects meta‐analysis was used to calculate effect sizes as standardized mean differences (MDs). Heterogeneity was investigated in subgroup analyses and metaregression analyses. The review was registered in the PROSPERO database as CRD42016024921.ResultsNinety‐two RCTs (7385 patients) were included in the systematic review, of which 81 were included in the meta‐analysis. Music interventions significantly decreased anxiety (MD –0·69, 95 per cent c.i. –0·88 to –0·50; P < 0·001) and pain (MD –0·50, –0·66 to –0·34; P < 0·001) compared with controls, equivalent to a decrease of 21 mm for anxiety and 10 mm for pain on a 100‐mm visual analogue scale. Changes in outcome corrected for baseline were even larger: MD –1·41 (–1·89 to –0·94; P < 0·001) for anxiety and –0·54 (–0·93 to –0·15; P = 0·006) for pain. Music interventions provided during general anaesthesia significantly decreased pain compared with that in controls (MD –0·41, –0·64 to –0·18; P < 0·001). Metaregression analysis found no significant association between the effect of music interventions and age, sex, choice and timing of music, and type of anaesthesia. Risk of bias in the studies was moderate to high.ConclusionMusic interventions significantly reduce anxiety and pain in adult surgical patients.

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Section: Introductionmentioning

confidence: 99%

Meta-analysis evaluating music interventions for anxiety and pain in surgery

Kühlmann

Rooij

Kroese

et al. 2018

British Journal of Surgery

210

191

View full text Add to dashboard Cite

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“…21 These results differ from the assessments of anxiety and depression performed in recent studies with patients undergoing bariatric surgery and 15 otolaryngologic surgery 16 and with orthopedic and traumatized patients. 17 It is possibly that due to differences in the demographic and clinical profile of the studied patients, in addition to the differences in the validity of the measurement instruments used to assess anxiety and depression, no evidence of validity of the instruments was found in surgical patients in these studies. [15][16][17] In the preoperative evaluation, all patients reported absence of pain, which permitted the evaluation of the temporal sequence in the onset of pain after the surgical procedure.…”

Section: /13mentioning

confidence: 79%

“…17 It is possibly that due to differences in the demographic and clinical profile of the studied patients, in addition to the differences in the validity of the measurement instruments used to assess anxiety and depression, no evidence of validity of the instruments was found in surgical patients in these studies. [15][16][17] In the preoperative evaluation, all patients reported absence of pain, which permitted the evaluation of the temporal sequence in the onset of pain after the surgical procedure. There is strong evidence that preoperative pain has a linear and direct relationship with postoperative pain.…”

Section: /13mentioning

confidence: 79%

“…This percentage is higher than those in contemporary studies with similar design, where females range from 30.0% to 72.0%, but it should be noted that these studies were developed in patients of specific surgical specialties, and the distribution by gender depends on the epidemiological profile of each disease. [15][16][17]…”

Section: Discussionmentioning

confidence: 99%

“…In general, these data are consistent with the results found in recent studies regarding the perception of pain in the immediate postoperative period. 17,[19][20][21]25 However, the heterogeneity of the studies in relation to the evaluation time and the variability in the type of tools used to assess anxiety and depression makes it difficult to compare data with existing literature.…”

Section: /13mentioning

confidence: 99%

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Relationship of Anxiety and Preoperative Depression With Post-Operative Pain

Periañez

Diaz

Bonisson

et al. 2020

Texto contexto - enferm.

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Objectiv:e to analyze the relationship of anxiety and depression in the preoperative period with the presence of pain in the postoperative period. Method: cohort study conducted at a university hospital in the state of Minas Gerais (Brazil), between february and July 2017, with 65 patients. A collection instrument was elaborated for the demographic and clinical characteristics. The Hospital Anxiety and Depression Scale was used to assess anxiety and depression; pain intensity was measured using the Verbal Numerical Scale. Data were submitted to descriptive and inferential statistical analysis. Results: according to demographic and clinical characteristics, most patients were female, with a median age of 44 years and surgical specialty of the digestive tract. In the preoperative period, 31 (47.7%) had anxiety, and nine (13.8%), depression. None of the patients reported pain immediately prior to surgery. The incidence of moderate to severe postoperative pain was 32 (49.2%) patients. There was a statistically significant difference in the distribution of patients with postoperative pain in relation to the presence or absence of preoperative anxiety (p value <0.001). There is no statistically significant difference in the distribution of patients with postoperative pain in relation to the presence or absence of preoperative depression (0.733). In multivariate analysis, preoperative anxiety was a predictive factor for postoperative pain. Depression was not a predictive factor of postoperative pain. Conclusion: It was demonstrated that, regardless of the demographic and clinical characteristics of the studied sample, the presence of anxiety in patients in the preoperative period is a predictive factor of postoperative pain.

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Analgesic effect of music during wound care among patients with diaphyseal tibial fractures: Randomized controlled trial

Ferraz

Santana–Santos

Pinto

et al. 2020

European Journal of Pain

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Background Evidence is scarce regarding the analgesic effect of music for the relief of acute pain during the care of surgical tibial fracture wounds. Objective To evaluate the analgesic effect of music on acute procedural pain during the care of surgical tibial fracture wounds. Method This was a randomized, controlled, blinded clinical trial with 70 patients in the immediate postoperative period for diaphyseal tibial fracture surgery. Participants were randomly allocated to two groups: a control group (CG), in which patients received only the institution's standard analgesia, and an intervention group (IG) composed of patients receiving a 30‐min session of music of their own choice, as a complementary method to the institution's standard analgesia. Pain was evaluated during the first postoperative dressing change, using the Numerical Rating Scale (NRS). Results The sample was homogeneously composed of men (91.4%), young adults (61.4%), without previous diseases (88.6%) and whose traumas were related to a motorcycle crash (84.3%). The main musical genres chosen by participants were the most popular in their region (61.4%). Those who listened to music presented lower pain scores when compared with those in the CG (IG:2.4 ± 2.4 versus CG:5.8 ± 2.7; p < 0.001; η2 = 0.171; p < 0.001). Conclusion Listening to music is effective for relieving acute procedural pain during the first post‐operative tibial fracture dressing change. Music should be incorporated into the multimodal analgesia protocols for management of orthopedic postoperative wound care‐related pain. Significance Patients with diaphyseal tibial fractures that listened to music before and during the wound dressing change showed less pain when compared to those who received the standardized pharmacologic analgesia alone.

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Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery

Cited by 89 publications

References 25 publications

Meta-analysis evaluating music interventions for anxiety and pain in surgery

Meta-analysis evaluating music interventions for anxiety and pain in surgery

Relationship of Anxiety and Preoperative Depression With Post-Operative Pain

Analgesic effect of music during wound care among patients with diaphyseal tibial fractures: Randomized controlled trial

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