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

Authors

  • Gemma Robleda Hospital de la Santa Creu i Sant Pau; Gestión Clínica e Investigación; Departamento de Metodología
  • Amalia Sillero-Sillero Hospital de la Santa Creu i Sant Pau; Área Quirúrgica
  • Teresa Puig Universidad Autónoma de Barcelona; Hospital de la Santa Creu i Sant Pau; Servicio de Epidemiologia Clínica; Institut d'Investigació Biomèdica Sant Pau
  • Ignasi Gich Universidad Autónoma de Barcelona; Hospital de la Santa Creu i Sant Pau; Servicio de Epidemiologia Clínica; Institut d'Investigació Biomèdica Sant Pau
  • Josep-E Baños Universitat Pompeu Fabra; Departamento de Ciencias Experimentales y de la Salud

DOI:

https://doi.org/10.1590/0104-1169.0118.2481

Abstract

OBJECTIVES: to analyze the relationship between preoperative emotional state and the prevalence and intensity of postoperative pain and to explore predictors of postoperative pain. METHOD: observational retrospective study undertaken among 127 adult patients of orthopedic and trauma surgery. Postoperative pain was assessed with the verbal numeric scale and with five variables of emotional state: anxiety, sweating, stress, fear, and crying. The Chi-squared test, Student's t test or ANOVA and a multivariate logistic regression analysis were used for the statistical analysis. RESULTS: the prevalence of immediate postoperative pain was 28%. Anxiety was the most common emotional factor (72%) and a predictive risk factor for moderate to severe postoperative pain (OR: 4.60, 95% CI 1.38 to 15.3, p<0.05, AUC: 0.72, 95% CI: 0.62 to 0.83). Age exerted a protective effect (OR 0.96, 95% CI: 0.94-0.99, p<0.01). CONCLUSION: preoperative anxiety and age are predictors of postoperative pain in patients undergoing orthopedic and trauma surgery.

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Published

2014-10-01

Issue

Vol. 22 No. 5 (2014)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery . (2014). Revista Latino-Americana De Enfermagem, 22(5), 785-791. https://doi.org/10.1590/0104-1169.0118.2481