دورية أكاديمية
أعرض في EDS

Preoperative psychological factors influence analgesic consumption and self-reported pain intensity following breast cancer surgery.

التفاصيل البيبلوغرافية
العنوان: Preoperative psychological factors influence analgesic consumption and self-reported pain intensity following breast cancer surgery.
المؤلفون: Masaud K; Department of Anaesthesia, Cork University Hospital, Cork, Ireland. khaledaraibi@yahoo.ie.; Department of Anaesthesia and Intensive Care Medicine, University College of Cork, Cork, Ireland. khaledaraibi@yahoo.ie., Galvin AD; Department of Anaesthesia, School of Applied Psychology, University College Cork Ireland, University College Cork, Cork, Ireland., De Loughry G; Department of Anaesthesia, Cork University Hospital, Cork, Ireland., Meachair AO; Department of Anaesthesia, Cork University Hospital, Cork, Ireland., Galea S; Department of Anaesthesia, Cork University Hospital, Cork, Ireland., Shorten G; Department of Anaesthesia, Cork University Hospital, Cork, Ireland.; Department of Anaesthesia and Intensive Care Medicine, University College of Cork, Cork, Ireland.
المصدر: BMC anesthesiology [BMC Anesthesiol] 2024 Jul 16; Vol. 24 (1), pp. 239. Date of Electronic Publication: 2024 Jul 16.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968535 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2253 (Electronic) Linking ISSN: 14712253 NLM ISO Abbreviation: BMC Anesthesiol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2001-
مواضيع طبية MeSH: Pain, Postoperative*/psychology , Pain, Postoperative*/drug therapy , Breast Neoplasms*/surgery , Breast Neoplasms*/psychology , Self Report* , Anxiety*/psychology , Pain Measurement*/methods, Humans ; Female ; Middle Aged ; Prospective Studies ; Aged ; Analgesics, Opioid/therapeutic use ; Analgesics, Opioid/administration & dosage ; Preoperative Period ; Adult ; Surveys and Questionnaires ; Analgesics/therapeutic use ; Analgesics/administration & dosage
مستخلص: Background: Psychological factors such as anxiety and mood appear to influence acute postoperative pain; however, there is conflicting evidence on the relationship between preoperative psychological parameters and the severity of postoperative pain. In the context of the stressful setting of initial surgery for breast cancer, we conducted a prospective observational study of patients who were scheduled to undergo initial breast cancer surgery.
Methods: The objectives were to examine the potential associations between predefined preoperative psychological parameters and (i) Self-reported pain scores at discharge from the postoperative acute care unit, (ii) Cumulative perioperative opioid consumption at four hours postoperatively and (iii) Self-reported pain as measured during the first seven days after surgery. Patients completed the following questionnaires during the three hours prior to surgery: the Spielberger State Trait Anxiety Inventory (STAI State and Trait), the Pain Catastrophizing Scale (PCS), the Cohen Stress Questionnaire (CSQ), the Hospital Anxiety and Depression Scale (HADS A and D), and the short-form McGill Pain Questionnaire. Postoperative pain experience was assessed using patient self-reports of pain (SF Magill Pain questionnaire on discharge from the postanaesthesia care unit and a pain diary for seven days postoperatively) and records of analgesic consumption.
Results: Pre- to postoperative self-reported pain was significantly different with respect to the STAI State, Cohen score and PCS for both low and high values (p < 0.001), but only patients categorized as having low STAI Trait, HADS A, and HADS D values achieved significant differences (p < 0.001). A significant positive correlation was demonstrated between preoperative state anxiety (STAI) and the most severe pain reported during the first seven days postoperatively (r = 0.271, p = 0.013). Patients who were categorized preoperatively as having a "high value" for each of the psychological parameters studied (HADS A and D, STAI State and Trait and PCS) tended to have greater perioperative opioid consumption (up to four hours postoperatively); this trend was statistically significant for HADS D and HADS A only. Using a linear regression model, state anxiety was found to be a significant predictor of postoperative pain based on self-reports during the first seven postoperative days (standardized β = 0.271, t = 2.286, p = 0.025).
Conclusion: Preoperative state anxiety, in particular, is associated with the severity of postoperative pain experienced by women undergoing initial breast cancer surgery. Formal preoperative assessment of anxiety may be warranted in this setting with a view to optimize perioperative analgesia and wellbeing.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Anxiety; Breast cancer; Postoperative pain; Preoperative psychological parameters
المشرفين على المادة: 0 (Analgesics, Opioid)
0 (Analgesics)
تواريخ الأحداث: Date Created: 20240716 Date Completed: 20240717 Latest Revision: 20240725
رمز التحديث: 20240726
مُعرف محوري في PubMed: PMC11250972
DOI: 10.1186/s12871-024-02622-6
PMID: 39014332
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2253
DOI:10.1186/s12871-024-02622-6