Preoperative anxiety on postoperative pain in craniotomy patients

Berna Yılmaz; Meltem Uyar; Abdurrahim Derbent; Can Eyigör; Semra Karaman

doi:10.19161/etd.1209456

EN TR

Preoperative anxiety on postoperative pain in craniotomy patients

Abstract

Aim: This study aimed to determine preoperative anxiety and pain levels in patients who underwent craniotomy and investigate the effects on the development of postoperative acute-chronic pain. Materials and Methods: In this prospective, observational study, STAI-I (State-Trait Anxiety Inventory) and STAI-II were used to measure preoperative anxiety levels in a total of 104 patients who underwent craniotomy, and a visual analog score (VAS) was used to determine pain. Demographic data of the patients, ASA (American Society of Anesthesiologists) scores, comorbidities, preoperative and postoperative VAS scores, cause of preoperative anxiety, type, and duration of operation were recorded. Results: The mean values of STAI tests showed that 31.3% of our patients had mild preoperative anxiety, 58.7% had moderate and 10% had severe preoperative anxiety. In the STAI tests we performed before the operation, the mean values were 44 ± 11.2 for STAI-I and 44.5 ± 9.4 for STAI-II. The causes of preoperative anxiety in patients were determined as surgical operation (35.6%), anesthesia applications (17.3%), insufficient information (11.5%), and the possibility of postoperative pain (3.8%). It was observed that 60.6% of our patients had pain in the preoperative period, 51.9% of patients had acute pain in postoperative the 0th minute, 69.2% in 30th minute, 54.8% in 1st hour, 44.2% in 2nd hour, 34.6% in 24th hour, 22.1% in 48th hour, and 51% of patients had chronic pain in postoperative 6th month. We found a significant relationship between STAI-I and VAS scores at the 48th hour and, between STAI-II and VAS scores at the 2nd, 24th hour, and 6th month (p<0.05). Conclusion: It was observed that craniotomy patients mostly had moderate anxiety and moderate to severe pain before the operation, and moderate-severe acute and chronic pain developed after the operation. A significant correlation was found between preoperative anxiety and postoperative pain.

Keywords

Kraniyotomide preoperatif anksiyetenin postoperatif ağrı üzerine etkileri

Öz

Amaç: Bu çalışmada kraniyotomi uygulanan hastalardaki preoperatif anksiyete ve ağrı düzeylerinin belirlenmesi ve postoperatif akut veya kronik ağrı gelişimi üzerine olan etkilerinin araştırılması amaçlanmıştır. Gereç ve Yöntem: Prospektif, gözlemsel yapılan çalışmamızda, kraniyotomi uygulanan toplam 104 hastanın operasyon öncesi anksiyete düzeylerini ölçmek için STAI-I (State Trait Anxiety Inventory) ve STAI-II, ağrı düzeylerini belirlemek için ise VAS (Vizüel Analog Skoru) kullanıldı. Hastaların demografik verileri, ASA (American Society of Anesthesiologists) skorları, eşlik eden hastalıkları, preoperatif ağrı varlığı ve preoperatif- postoperatif VAS skorları, preoperatif anksiyete kaynağı, operasyon çeşidi ve süresi kaydedildi. Bulgular: STAI testleri ortalama değerleri hastalarımızın %31,3' ünde hafif, %58,7' sinde orta ve %10' unda şiddetli düzeyde preoperatif anksiyete olduğunu gösterdi. Operasyon öncesi uygulanan STAI testlerinde ortalama değerler, STAI-I için 44 ± 11,2 ve STAI-II için 44,5 ± 9,4 olarak bulundu. Preoperatif anksiyete nedenleri cerrahi operasyon (%35,6), anestezi uygulamaları (%17,3), eksik bilgilendirilme (%11,5) ve ameliyat sonrası ağrı olasılığı (%3,8) olarak belirlendi. Hastaların %60,6’sında preoperatif dönemde, %51,9 ’unda postoperatif 0.dakikada, %69,2 ’sinde 30. dakikada, %54,1’inde 1.saatte, %44,2 ’sinde 2. saatte, %34,6’sında 24.saatte, %22,1’inde 48.saatte akut ağrı ve %51‘inde ise postoperatif 6. ayda kronik ağrı geliştiği görüldü. STAI-I skorları ile 48. saat VAS, STAI-II skorları ile 2. saat, 24. saat ve 6. ay VAS skorları arasında istatistiksel olarak anlamlı ilişki bulundu (p<0,05). Sonuç: Kraniyotomi hastalarının ameliyat öncesi çoğunlukla orta düzeyde anksiyeteye ve orta -ciddi düzeyde ağrıya sahip oldukları, operasyon sonrası orta-ciddi düzeyde akut ve kronik ağrı geliştiği görüldü. Operasyon öncesi anksiyete ile ameliyat sonrası ağrı arasında anlamlı bir ilişki olduğu bulundu.

Anahtar Kelimeler

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Berna Yılmaz ^*
Türkiye

Meltem Uyar
Türkiye

Abdurrahim Derbent
Türkiye

Can Eyigör
Türkiye

Semra Karaman
Türkiye

Publication Date

December 12, 2022

Submission Date

February 23, 2022

Acceptance Date

May 31, 2022

Published in Issue

Year 2022 Volume: 61 Number: 4

DOI

https://doi.org/10.19161/etd.1209456

IZ

https://izlik.org/JA75ZL24HH

Cite

RIS / Bibtex

Vancouver

1.Berna Yılmaz, Meltem Uyar, Abdurrahim Derbent, Can Eyigör, Semra Karaman. Preoperative anxiety on postoperative pain in craniotomy patients. EJM. 2022 Dec. 1;61(4):593-601. doi:10.19161/etd.1209456