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Effect of preoperative anxiety on postoperative pain on patients undergoing elective surgery: Prospective cohort study

INTRODUCTION: Anxiety is a feeling of tension, apprehension, nervousness, fear, discomfort, and high autonomic activity with varying degrees of intensity resulting from anticipation of danger. Post-operative pain is associated with the emotional status, behavioural response, and high anxiety index o...

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Autores principales: Tadesse, Muhiddin, Ahmed, Siraj, Regassa, Teshome, Girma, Timsel, Hailu, Seyoum, Mohammed, Ayub, Mohammed, Salih
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8767241/
https://www.ncbi.nlm.nih.gov/pubmed/35070278
http://dx.doi.org/10.1016/j.amsu.2021.103190
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author Tadesse, Muhiddin
Ahmed, Siraj
Regassa, Teshome
Girma, Timsel
Hailu, Seyoum
Mohammed, Ayub
Mohammed, Salih
author_facet Tadesse, Muhiddin
Ahmed, Siraj
Regassa, Teshome
Girma, Timsel
Hailu, Seyoum
Mohammed, Ayub
Mohammed, Salih
author_sort Tadesse, Muhiddin
collection PubMed
description INTRODUCTION: Anxiety is a feeling of tension, apprehension, nervousness, fear, discomfort, and high autonomic activity with varying degrees of intensity resulting from anticipation of danger. Post-operative pain is associated with the emotional status, behavioural response, and high anxiety index of patients. This study aimed to assess the effect of preoperative anxiety on Postoperative Pain in Patients Undergoing Elective Surgery. METHODS: An institutional-based prospective cohort study was conducted on patients scheduled for elective surgeries from November 1, 2019, to October 30, 2020, in Dilla University Referral Hospital. Data was collected by pretested questionnaires and analysed by SPSS version 20. Categorical data were analysed by chi-square while Continuous data were analysed by student t-test and Mann Whitney U for parametric and nonparametric data respectively with a P-value of <0.05 was considered as statistically significant. RESULT: As our finding revealed patients with high preoperative anxiety experienced significantly increased postoperative pain at 2 h, 4 h, 6 h, and 12 h with the P-value of 0.012, 0.01, 0.001, and 0.002 respectively and total tramadol consumption in a patient with high preoperative anxiety level is 156.5 ± 23.4 while in low anxiety 147.1 ± 39. with a p-value of 0.036. CONCLUSION: High preoperative anxiety increased the immediate postoperative pain score and 24 h tramadol consumption. It would be better to decrease preoperative anxiety levels to reduce postoperative pain and 24 h analgesic consumption.
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spelling pubmed-87672412022-01-21 Effect of preoperative anxiety on postoperative pain on patients undergoing elective surgery: Prospective cohort study Tadesse, Muhiddin Ahmed, Siraj Regassa, Teshome Girma, Timsel Hailu, Seyoum Mohammed, Ayub Mohammed, Salih Ann Med Surg (Lond) Cohort Study INTRODUCTION: Anxiety is a feeling of tension, apprehension, nervousness, fear, discomfort, and high autonomic activity with varying degrees of intensity resulting from anticipation of danger. Post-operative pain is associated with the emotional status, behavioural response, and high anxiety index of patients. This study aimed to assess the effect of preoperative anxiety on Postoperative Pain in Patients Undergoing Elective Surgery. METHODS: An institutional-based prospective cohort study was conducted on patients scheduled for elective surgeries from November 1, 2019, to October 30, 2020, in Dilla University Referral Hospital. Data was collected by pretested questionnaires and analysed by SPSS version 20. Categorical data were analysed by chi-square while Continuous data were analysed by student t-test and Mann Whitney U for parametric and nonparametric data respectively with a P-value of <0.05 was considered as statistically significant. RESULT: As our finding revealed patients with high preoperative anxiety experienced significantly increased postoperative pain at 2 h, 4 h, 6 h, and 12 h with the P-value of 0.012, 0.01, 0.001, and 0.002 respectively and total tramadol consumption in a patient with high preoperative anxiety level is 156.5 ± 23.4 while in low anxiety 147.1 ± 39. with a p-value of 0.036. CONCLUSION: High preoperative anxiety increased the immediate postoperative pain score and 24 h tramadol consumption. It would be better to decrease preoperative anxiety levels to reduce postoperative pain and 24 h analgesic consumption. Elsevier 2021-12-22 /pmc/articles/PMC8767241/ /pubmed/35070278 http://dx.doi.org/10.1016/j.amsu.2021.103190 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Cohort Study
Tadesse, Muhiddin
Ahmed, Siraj
Regassa, Teshome
Girma, Timsel
Hailu, Seyoum
Mohammed, Ayub
Mohammed, Salih
Effect of preoperative anxiety on postoperative pain on patients undergoing elective surgery: Prospective cohort study
title Effect of preoperative anxiety on postoperative pain on patients undergoing elective surgery: Prospective cohort study
title_full Effect of preoperative anxiety on postoperative pain on patients undergoing elective surgery: Prospective cohort study
title_fullStr Effect of preoperative anxiety on postoperative pain on patients undergoing elective surgery: Prospective cohort study
title_full_unstemmed Effect of preoperative anxiety on postoperative pain on patients undergoing elective surgery: Prospective cohort study
title_short Effect of preoperative anxiety on postoperative pain on patients undergoing elective surgery: Prospective cohort study
title_sort effect of preoperative anxiety on postoperative pain on patients undergoing elective surgery: prospective cohort study
topic Cohort Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8767241/
https://www.ncbi.nlm.nih.gov/pubmed/35070278
http://dx.doi.org/10.1016/j.amsu.2021.103190
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