Preoperative anxiety and postoperative pain in women undergoing hysterectomy:: A repeated-measures design (original) (raw)
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Pain, 2012
Any queries or remarks that have arisen during the processing of your manuscript are listed below and highlighted by flags in the proof. Click on the 'Q' link to go to the location in the proof. Location in article Query / Remark: click on the Q link to go Please insert your reply or correction at the corresponding line in the proof Q1 Please confirm that given names and surnames have been identified correctly. Q2 City name correct in affiliations 'd' and 'f'? Q3 All contact information correct for corresponding author? Q4 Please approve the summary as edited. Q5 Is the sentence ''reporting to pain chronification'' correct? Q6 Please spell out NRS. Q7 This section comprises references that occur in the reference list but not in the body of the text. Please position each reference in the text or, alternatively, delete it. Any reference not dealt with will be retained in this section. Q8 Please list date of access for Ref. [39-41].
Acta Obstetricia et Gynecologica Scandinavica, 2011
Objective. To determine whether postoperative symptoms differ between women who undergo abdominal benign hysterectomy in a fast‐track model under general anesthesia or spinal anesthesia with intrathecal morphine. Design. Secondary analysis from a randomized, open, multicenter study. Setting. Five hospitals in south‐east Sweden. Population. One‐hundred and eighty women scheduled for benign hysterectomy were randomized; 162 completed the study; 82 were allocated to spinal and 80 to general anesthesia. Methods. The Swedish Postoperative Symptoms Questionnaire, completed daily for 1 week and thereafter once a week until 5 weeks postoperatively. Main Outcome Measures. Occurrence, intensity and duration of postoperative symptoms. Results. Women who had hysterectomy under spinal anesthesia with intrathecal morphine experienced significantly less discomfort postoperatively compared with those who had the operation under general anesthesia. Spinal anesthesia reduced the need for opioids post...
Gynecological Surgery, 2013
The primary objective of this study is to compare pain perception during and after surgery between abdominal hysterectomy (AH), laparoscopic hysterectomy (LH), and vaginal hysterectomy (VH). The secondary objective of this study is to investigate whether pain indicators during surgery predict pain perception and demand for analgesics postoperatively. Prospective observational analysis of intraoperative nociceptive state (by means of pulse transit time; PTT), heart rate, and stress hormone levels (adrenalin and noradrenalin) were correlated with postoperative pain scores and stress hormone levels and demand for postoperative analgesics such as morphine. Intraoperative PTT levels and perioperative and postoperative stress hormone levels did not differ significantly between AH, LH, and VH. During the first hours postoperatively, LH patients showed insignificant lower pain scores, compared to AH and VH. One day postoperatively, LH patients reported significantly lower pain scores. High intraoperative stress hormone levels predicted a significant higher demand for morphine postoperatively, accompanied with significant higher pain scores. No differences were found with respect to intraoperative pain indicators well as pain perception during the first hours after surgery between AH, LH, and VH. If VH is not applicable, LH proves to be advantageous over AH with respect to a faster decline in pain scores.
Impact of anxiety levels on the perception of pain in patients undergoing office hysteroscopy
Archives of Gynecology and Obstetrics, 2020
Objective This study aimed at assessing the impact of anxiety on pain perception during hysteroscopy and to highlight the possible contribution of factors related to pain perception. Materials and methods 104 women with indication for office hysteroscopy fullfilled anonymous self-report questionnaires during the waiting time, before the procedure. The first self-report questionnaire included general patient information and an overall assessment of the degree of satisfaction with the information received before the procedure. The level of pre-procedural anxiety was measured through the State-Trait Anxiety Inventory STAI-Y1 (state anxiety). The perceived stress was assessed using the Perceived Stress Scale (PSS). The intensity of pain during the procedure and 20 min later was assessed with VAS score. Results The average waiting time was of 192.33 ± 91 min. 59 patients (56.7%) performed the examination without analgesia while 45 women (43.3%) required analgesia. 28 women (27%) experien...
Journal of the Chinese Medical Association : JCMA, 2015
Hysterosalpingography (HSG) is an invasive, uncomfortable, and painful procedure. Patients often experience considerable anxiety and stress before the procedure. In this study, we aimed to evaluate the effect of preprocedure anxiety on postprocedure pain scores and clinical outcomes in women undergoing HSG. This study was designed as a prospective randomized study. Women undergoing HSG were asked to complete the Beck Anxiety Inventory before the procedure. Patients were classified into two groups according to the anxiety score (Group 1: anxiety score ≤ 25; n = 84 and Group 2: anxiety score > 25, n = 25). All of the patients were asked to state the severity of their pain during the procedure using a visual analogue scale immediately after the procedure. Then, postprocedure pain scores and clinical features were evaluated. Data analyzed were: age, gravidity, parity, durations of marriage and infertility, body mass index, procedure time, amount of contrast media used, operator gende...
Correlates of anxiety in patients posted for hysterectomy
IP Innovative Publication Pvt. Ltd, 2017
Patients undergoing hysterectomy are susceptible to develop anxiety and other psychiatric morbidities. This study was conducted to assess the presence of anxiety symptoms and their correlations with various socio-demographic variables in patients posted for hysterectomy surgery. This is a cross-sectional, single interview study conducted on 30 consecutive patients posted for hysterectomy surgery. Each patient was individually interviewed using a semi-structured proforma. To assess various domains of anxiety, Hamilton Anxiety Rating Scale (HAM–A) was administered. The mean age of the participants was 46.16 years (S.D. 5.91), all of them were married, majority of them being housewives, with good educational background and from urban area. Majority of participants had gynaecological diagnosis of Abnormal Uterine Bleeding. The mental status examination in some (37%) of them revealed anxious mood, and preoccupation with worries. Pain symptoms were present in 67% of the participants. None of the participants had diagnosable anxiety disorder. The mean HAM-A score was 16.5 (SD=5.04) with mild anxiety in 30% and moderate anxiety in 37%. Correlation with age, education, residence, duration of symptoms and gynaecological diagnosis were not significant. Significantly higher anxiety (on HAM A) was found in those with pain symptoms. Women posted for hysterectomy surgery have anxiety which correlates with pain symptoms. They should be evaluated for anxiety symptoms which can help in early diagnosis and treatment and help reduce further morbidity in them.
The journal of pain: official journal of the American Pain Society
Persistent postsurgical pain (PPSP) is a major clinical problem with significant individual, social, and healthcare costs. The aim of this study was to examine the role of demographic, clinical, and psychological risk factors in the development of PPSP after hysterectomy due to benign disorders. In a prospective study, a consecutive sample of 186 women was assessed 24 hours before surgery (T1), 48 hours after surgery (T2), and 4 months after surgery (T3). Regression analyses were performed to identify predictors of PPSP. Four months after hysterectomy, 93 (50%) participants reported experiencing pain (numerical rating scale >0). Age, pain due to other causes, and type of hysterectomy emerged as significant predictive factors. Baseline presurgical psychological predictors identified were anxiety, emotional illness representation of the condition leading to surgery, and pain catastrophizing. Among the identified psychological predictors, emotional illness representation emerged as ...
International Journal of Tropical Disease & Health, 2022
Background: Infertility is the inability of a couple to conceive after one year of regular, unprotected sexual intercourse. Hysterosalpingography plays a very crucial role the evaluation of the women with infertility. Objective: To determine the relationship between pre-procedure anxiety and procedure-associated pain among infertile women undergoing hysterosalpingography. Materials and Methods: This prospective survey was conducted at the Obstetrics and Gynaecology, and Radiology Departments of the two tertiary health institutions in Bayelsa State, Nigeria, from January to August, 2021. Hysterosalpingography was done for 380 infertile women, after obtaining written informed consent. Beck's Anxiety Inventory (BAI) and Numerical Rating Scale (NRS) were used to grade levels of anxiety and pain, respectively. Data were entered into a pre-designed proforma, and analysed using Statistical Product and Service Solutions (SPSS) version 25.0. Results were presented in frequencies and percentages for categorical variables; mean and standard deviation for continuous variables. Results: The pre-procedure anxiety scores showed significant, positive, and strong relationship with post-procedure pain scores, reflected in a correlation coefficient of 0.50 (p-0.001). For every unit change in anxiety score, there was an estimated 25.4% change in the pain perception documented by the participants. For participants who had an anxiety score of 0, there was an average pain score of 3.45. Conclusion: This study established a positive correlation between pre-hysterosalpingography anxiety scores and post-hysterosalpingography pain scores.
Clinical and Experimental Obstetrics & Gynecology, 2022
Background: Hysteroscopy is currently the gold-standard procedure in the evaluation of the uterine cavity and treatment of intrauterine lesions as it is minimally invasive and has high diagnostic efficiency. According to previous observations, many patients are afraid of minimally invasive procedures performed under general anesthesia. They are also afraid of procedures that, according to them, may be associated with pain. To address this issue, in this study, the levels of stress and anxiety, and biochemical parameters indicating the hormonal response in terms of the stress response in hysteroscopic procedures under local anesthesia were compared with those of traditional surgical procedures and uterine cavity curettage procedures under general, short-term anesthesia. Methods: This study included 184 participants: 153 women undergoing diagnostic or operative mini-hysteroscopy procedures with the use of a hysteroscope of a reduced diameter under local, paracervical anesthesia without the participation of an anesthesiologist, and 31 women undergoing hysteroscopy or uterine cavity curettage under general, intravenous, short-term anesthesia with the participation of an anesthesiologist. To determine cortisol and prolactin levels using electrochemiluminescence, blood was collected from the patients on the day of admission to the hospital, i.e., the day of surgery, in the morning, while fasting. An original survey questionnaire, the Amsterdam Preoperative Anxiety and Information Scale (APAIS) and the Visual Analogue Scale (VAS) were used as research tools. The questionnaires were completed by the patients themselves 60 min before the surgery. Results: APAIS: no significant differences in anxiety and information demand scores were observed between the study groups. Anxiety before surgery was significantly higher than that before anesthesia in both groups. Similarly, information demand for surgery was significantly higher than that for anesthesia in both groups. VAS: no significant differences in anxiety and stress scores were observed between the groups. No significant differences in prolactin and cortisol levels were observed between the groups. Conclusions: It can be concluded that it is necessary to apply the interventions that reduce the anxiety of the patients and inform patients about the planned course of the procedure, since higher levels of anxiety before the procedure result in a significant increase in procedure duration, which in turn can increase the pain experienced by the patients.