Preoperative Anxiety and Postoperative Pain in Patients With Laparoscopic Hysterectomy

Zhang, Lin; Lü, Hao; Hou, Xiao-lai; Wu, Yaling; Jing, Lushi; Sun, Runyuan

doi:10.3389/fpsyg.2021.727250

Cited by 21 publications

(27 citation statements)

References 37 publications

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“…It suggests that preoperative psychological status is as significant as the physiological status and surgical effect in assessing the occurrence of postoperative pain. 16 As revealed in our study, preoperative anxiety and depression are risk factors for acute pain after laparoscopic radical resection of colorectal cancer in elderly patients. Furthermore, prior research has demonstrated that patients with high levels of preoperative anxiety tend to have more intense postoperative pain despite receiving adequate intraoperative pain relief.…”

Section: Discussionmentioning

confidence: 58%

Risk Factors of Acute Pain in Elderly Patients After Laparoscopic Radical Resection of Colorectal Cancer

Zhu,

Qu,

et al. 2023

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Objective: To investigate the risk factors of acute pain after laparoscopic radical resection of colorectal cancer (CRC) in elderly patients. Methods: Totally, 143 elderly patients (≥ 60 y old) who received laparoscopic radical resection of CRC in the People’s Hospital of Xinjiang Uygur Autonomous Region from March 2021 to August 2022 were retrospectively analyzed. The patients were divided into 2 groups according to visual analog scale (VAS) scores 24 h after surgery: mild pain group (VAS score ≤ 3, n=108) and moderate to severe pain group (VAS score >3, n=35). The data of the patients, including sex, age, height, body mass, intraoperative blood loss, intraoperative urine volume, intraoperative opioid dosage, operation duration, preoperative Hospital Anxiety and Depression Scale (HADS) scores, preoperative Mini-Mental State Examination scores, VAS scores, postoperative nausea and vomiting scores were recorded. Multivariate logistic regression analysis was used to screen the risk factors of postoperative acute pain in elderly patients undergoing laparoscopic radical resection of CRC. Results: The preoperative HADS score of the moderate to severe pain group was significantly increased compared with that of the mild pain group (10.8±2.4 vs. 6.2±1.9), as well as the operation duration (226.4±18.3 vs. 186.1±12.7), the intraoperative dosage of remifentanil (3.7±0.2 vs. 3.2±0.4), the preoperative VAS score [4(2, 7) vs. 2 (0, 4)] and postoperative VAS score [5 (4, 6) vs. 3 (2, 3)] (P<0.05). Multivariate logistic regression analysis showed that high preoperative HADS score, long operation duration, and high preoperative VAS score (P<0.05) were independent risk factors for acute pain after laparoscopic radical resection of CRC in elderly patients. Conclusion: Preoperative anxiety and depression, preoperative pain, and long operation duration are risk factors for acute pain in elderly patients after laparoscopic radical resection of CRC.

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Section: Discussionmentioning

confidence: 58%

Risk Factors of Acute Pain in Elderly Patients After Laparoscopic Radical Resection of Colorectal Cancer

Zhu,

Qu,

et al. 2023

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…Some studies showed that gynecological elective surgical patients with a high anxiety trait need an increased dose of propofol for the induction and maintenance of anesthesia, while anxious patients undergoing cholecystectomy have a higher risk of intraoperative hemodynamic events (15,16). Moreover, as previously reported, the correlation between preoperative anxiety and the reduction of pain threshold leads to an increased requirement for analgesic drugs (14, [18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 83%

Preoperative anxiety during COVID-19 pandemic: A single-center observational study and comparison with a historical cohort

et al. 2022

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BackgroundPreoperative anxiety is a common sensation experienced by patients undergoing surgical interventions. It can influence intraoperative and postoperative management through the activation of the neuroendocrine system, leading to tachycardia, hypertension, pulmonary complications, higher consumption of anesthetic drugs, and increased postoperative pain. Our aim was to investigate the level of preoperative anxiety during the COVID-19 pandemic; we also compared it to the preoperative anxiety of a historical cohort before the outbreak.MethodsThis is a single-center observational study. We enrolled 314 patients during the pandemic from May 2021 to November 2021, and our historical cohort consisted of 122 patients enrolled from July 2015 to May 2016 in the university hospital “Federico II” of Naples. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) and the State-Trait Anxiety Inventory (STAI) were used to evaluate preoperative anxiety. In particular, APAIS measures preoperative anxiety and the need for information, and STAI assesses state and trait anxiety through STAI-Y1 and STAI-Y2, respectively. We analyzed APAIS and STAI scores in our population stratified on the basis of age, gender, marital status, previous surgical experiences, and type of surgery, and we compared them to our historical cohort. Statistical analysis was performed through a t-test and ANOVA for parametric data, and the Mann–Whitney and Kruskal–Wallis tests for non-parametric data. Linear regression was used to investigate the correlation between demographic data and the scores of STAI and APAIS in both groups.ResultsOur results showed that state and preoperative anxiety remained stable, whereas trait anxiety increased in all the subgroups analyzed.DiscussionEven if state anxiety is considered a variable characteristic of the emotional sphere and trait anxiety a stable element, our findings suggested that COVID-19 deeply influenced trait anxiety, thus altering the patients’ psychological foundations.

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“…It is well-documented that increased anxiety prior to endoscopic procedures is associated with increased physiologic stress, worse outcomes (pain, mood deterioration, and mortality), and decreased patient satisfaction. 23 24 Improving the overall patient satisfaction promotes patient-physician relationships, as well as patient recovery and compliance. Sedative premedication, first used to reduce anxiety prior to endoscopic procedures, has recently been shown to result in no remarkable improvement in the overall satisfaction of patients.…”

Section: Discussionmentioning

confidence: 99%

Relieving Anxiety Through Virtual Reality Prior to Endoscopic Procedures

et al. 2023

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Purpose Endoscopic procedures can cause anxiety, which can lead to more uncomfortable, difficult, and incomplete procedures, in addition to greater use of sedative medication. Here, we investigate whether exposing patients to virtual reality (VR) prior to endoscopic procedures can reduce their anxiety levels. Materials and Methods Forty patients at Gangnam Severance Hospital were enrolled and divided into the VR group and the control group. Patients in the VR group were exposed to VR prior to their procedure to alleviate anxiety. The primary data outcomes were State-Trait Anxiety Inventory (STAI), pain score, satisfaction with sedation, and satisfaction with the procedure. Results The mean STAI-state and STAI-trait did not differ significantly between the control group and the VR group. While defining a high anxiety STAI score as ≥45 in an STAI-state, the proportion of patients with high anxiety at baseline was 35% and increased to 50% prior to the procedure in the control group. However, in the VR group, the proportion of patients with high anxiety at baseline was 60% and decreased to 50% prior to the procedure. The proportion changes of patients with high anxiety in the STAI-state exhibited a significant difference between the control and VR groups ( p =0.007). Furthermore, patients’ satisfaction with sedation was significantly greater in the VR group compared to the control group ( p =0.017). Conclusion VR exposure may relieve patients’ anxiety levels prior to endoscopic procedures, but further well-designed placebo-controlled studies are needed. VR, an inexpensive, easily available, and non-invasive method, also improved the satisfaction with sedation of endoscopic procedures.

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Preoperative Anxiety and Postoperative Pain in Patients With Laparoscopic Hysterectomy

Cited by 21 publications

References 37 publications

Risk Factors of Acute Pain in Elderly Patients After Laparoscopic Radical Resection of Colorectal Cancer

Risk Factors of Acute Pain in Elderly Patients After Laparoscopic Radical Resection of Colorectal Cancer

Preoperative anxiety during COVID-19 pandemic: A single-center observational study and comparison with a historical cohort

Relieving Anxiety Through Virtual Reality Prior to Endoscopic Procedures

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