Email this article Psychophysiological aspects of pain perception in early postoperative period
- Authors: Stepanova Y.V.1, Mazurok V.A1,2, Shchelkova O.Y.3
-
Affiliations:
- SBEI “Mechnikov North-Western State Medical University” of MNH of RF
- FSBI “Federal North-West Medical Research Center” of MNH of RF
- FSBEI “Saint Petersburg State University”
- Issue: Vol 9, No 2 (2015)
- Pages: 9-13
- Section: Articles
- URL: https://journals.rcsi.science/1993-6508/article/view/36238
- DOI: https://doi.org/10.17816/ра.v9i2.36238
- ID: 36238
Cite item
Full Text
Abstract
Eighty six patients were divided in three groups depending on type of used surgery. During the preoperative period the patients were checked twice for pain sensitivity: after a finger prick and a venipuncture. Also, they were checked four times during the postoperative period, right after the awakening, 1, 3 hours after the awakening and 24 hours after the operation. Visual-analog scale was used to assess the pain. Psychic characteristics were studied using the “Integrative test of anxiety”, “Survey of neurotic disorders” and a questionnaire “Types of attitudes to diseases” Each patient was evaluated by 70 indexes in total, including 54 psychic ones. It was identified that the relationship between the pain intensity in postoperative wound and psychic characteristics of patients was far more expressed in latter time periods after the operation (3 hours and, especially, in 24 hours after the operation). Emotional and affective characteristics of a person and psychic conditions examined in preoperative period have the strongest relation with pain intensity.
Full Text
##article.viewOnOriginalSite##About the authors
Yana V. Stepanova
SBEI “Mechnikov North-Western State Medical University” of MNH of RF
Email: stepa-yana@yandex.ru
191015, Saint-Petersburg
V. A Mazurok
SBEI “Mechnikov North-Western State Medical University” of MNH of RF; FSBI “Federal North-West Medical Research Center” of MNH of RF191015, Saint-Petersburg
O. Yu Shchelkova
FSBEI “Saint Petersburg State University”199034, Saint-Petersburg
References
- Janssen K.J., Moons K.G., Kalkman C.J., Grobbee D.E., Vergouwe Y. Updating methods improved the performance of a clinical prediction model in new patients. J. Clin. Epidemiol. 2008; 61: 76-86.
- Munafo M.R., Stevenson J. Anxiety and surgical recovery. Reinterpreting the literature. J. Psychosom. Res. 2001; 51: 589-596.
- Ozalp G., Sarioglu R., Tuncel G., Aslan K., Kadiogullari N., Ozalp G. Preoperative emotional states in patients with breast cancer and postoperative pain. Acta Anaesthesiol. Scand. 2003; 47: 26-29.
- Borly L., Andersen I.B., Christensen E., Sehested A. et al. Preoperative prediction model of outcome after cholecystectomy for symptomatic. Scand. J. Gastroenterol. 1999; 34: 1144-1152.
- Cohen L., Fouladi R.T., Katz J. Preoperative coping strategies and distress predict postoperative pain and morphine consumption in women undergoing abdominal gynecologic surgery. J. Psychosom Res. 2006; 58: 201-209.
- Granot M., Ferber S.G. The roles of pain catastrophizing and anxiety in the prediction of postoperative pain intensity: a prospective study. Clin. J. Pain. 2005; 21: 439-445.
- Rotboll-Nielsen P., Rudin A., Werner M.U. Prediction of postoperative pain. Curr Anaesth. Crit. Care. 2007; 18: 157-165.
- Rosenberger P.H., Jokl P., Ickovics J. Psychosocial factors and surgical outcomes: an evidence-based literature review. J. Am. Acad. Orthop. Surg. 2006; 14: 397-405.
- Svensson I., Sjostrom B., Haljamae H. Influence of expectations and actual pain experiences on satisfaction with postoperative pain management. Eur. J. Pain. 2001; 5 (2): 125-133.
- Московец О.Н., Демина Н.А., Рабинович С.А. Влияние эмоционального состояния на болевую чувствительность зубов у пациентов на амбулаторном стоматологическом приеме. Боль. 2003; 1(1): 44-46.
- Малышев Ю.П. Показатели газообмена в распознавании неэффективной премедикации в брюшнополостной хирургии. Вестник интенсивной терапии. 1998; 4: 12-14.
- Schaffer J., Mehrmann M., Heymann-Schramm S., Werry H., Piepenbrock S. Perioperative anxiety and postoperative pain suppression in intraocular operations using general anesthesia and local anesthesia. Anaesthesist. 1988 Jan.; 37(1): 19-23.
- Marcoci D., Brain B., Ciurea M., Parvaneseu H., Vrabete M. Psychological status, real pain and antioxidant capacity of plasma, could make the prediction about the post-trauma wound healing. Rom. J. Morphol. Embryol. 2011; 52(1): 459-463.
- Lautenbacher S., Huber C., Baum C., Rossaint R., Hochrein S., Heesen M. Attentional avoidance of negative experiences as predictor of postoperative pain ratings and consumption of analgesics comparison with other psychological predictors. Pain Med. 2011 Apr.; 12(4): 645-653.
- Granziera E., Guglieri I., DelBianco P., Capovilla E. et al. A multidisciplinary approach to improve preoperative understanding and reduce anxiety. Eur. J. Anaesthesiol. 2013 Dec.; 30(12): 734-742.
- Вассерман Л.И., Щелкова О.Ю. Медицинская психодиагностика: теория, практика, обучение. СПб.М.: Издательский центр «Академия», 2004. 736 с.
- Вассерман Л.И., Иовлев В.В., Карпова Э.Б., Вукс А.Я. Методика для психологической диагностики типов отношения к болезни: методические рекомендации. Под общ. ред. А.Е. Личко. Л., 1987. 26 с.
- Степанова Я.В., Мазурок В.А., Щелкова О.Ю. Эффективность упреждающей аналгезии и психологический статус пациента. Эфферентная терапия. 2011; 17(4): 75-80.
