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Selected Factors Influencing the Intensity of Postoperative Pain in Patients after Orthopedic and Gynecological Surgeries

Currently, pain is considered the fifth vital sign, and its effective relief is a priority in many surgical departments. The aim of this study was to determine the influence of selected factors on the intensity of postoperative pain after orthopedic and gynecological procedures. The study was conduc...

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Autores principales: Banaś, Klaudia, Więch, Paweł, Trojnar, Patrycja, Guty, Edyta, Skórka, Mateusz, Soroń, Małgorzata, Nowak, Anna, Bazaliński, Dariusz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9696493/
https://www.ncbi.nlm.nih.gov/pubmed/36363505
http://dx.doi.org/10.3390/medicina58111548
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author Banaś, Klaudia
Więch, Paweł
Trojnar, Patrycja
Guty, Edyta
Skórka, Mateusz
Soroń, Małgorzata
Nowak, Anna
Bazaliński, Dariusz
author_facet Banaś, Klaudia
Więch, Paweł
Trojnar, Patrycja
Guty, Edyta
Skórka, Mateusz
Soroń, Małgorzata
Nowak, Anna
Bazaliński, Dariusz
author_sort Banaś, Klaudia
collection PubMed
description Currently, pain is considered the fifth vital sign, and its effective relief is a priority in many surgical departments. The aim of this study was to determine the influence of selected factors on the intensity of postoperative pain after orthopedic and gynecological procedures. The study was conducted in a group of 200 patients undergoing orthopedic and gynecological procedures at the County Hospital in Nisko between August 2017 and January 2018. The method of estimation and document analysis was applied in the course of the study. A standardized tool was used—Polish adaptation of the Melzack Pain Questionnaire (MPQ), an individual documentation of patients and a scientific and research questionnaire developed by the authors. The tests were conducted for three consecutive days from the day of the operation. The strongest pain immediately after surgery was experienced by the patients after general endotracheal anesthesia, and the mildest after full intravenous short-term anesthesia (p < 0.05). Procedures lasting more than 60 min were associated with greater pain intensity on all tested days. The sex of the patient did not significantly affect the level of the perceived intensity of postoperative pain (p > 0.05). The highest intensity of pain occurred on day 0 after surgery, with a declining trend in the following days (p < 0.001). The highest intensity of postoperative pain was caused by gynecological procedures as well as laparotomy and arthroplasty (p < 0.001). The variability of the results indicates the need for an individual approach to each patient, both in pain assessment and treatment. Therefore, continuous improvement of the quality of health services provided in accordance with the guidelines for pain relief is necessary.
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spelling pubmed-96964932022-11-26 Selected Factors Influencing the Intensity of Postoperative Pain in Patients after Orthopedic and Gynecological Surgeries Banaś, Klaudia Więch, Paweł Trojnar, Patrycja Guty, Edyta Skórka, Mateusz Soroń, Małgorzata Nowak, Anna Bazaliński, Dariusz Medicina (Kaunas) Article Currently, pain is considered the fifth vital sign, and its effective relief is a priority in many surgical departments. The aim of this study was to determine the influence of selected factors on the intensity of postoperative pain after orthopedic and gynecological procedures. The study was conducted in a group of 200 patients undergoing orthopedic and gynecological procedures at the County Hospital in Nisko between August 2017 and January 2018. The method of estimation and document analysis was applied in the course of the study. A standardized tool was used—Polish adaptation of the Melzack Pain Questionnaire (MPQ), an individual documentation of patients and a scientific and research questionnaire developed by the authors. The tests were conducted for three consecutive days from the day of the operation. The strongest pain immediately after surgery was experienced by the patients after general endotracheal anesthesia, and the mildest after full intravenous short-term anesthesia (p < 0.05). Procedures lasting more than 60 min were associated with greater pain intensity on all tested days. The sex of the patient did not significantly affect the level of the perceived intensity of postoperative pain (p > 0.05). The highest intensity of pain occurred on day 0 after surgery, with a declining trend in the following days (p < 0.001). The highest intensity of postoperative pain was caused by gynecological procedures as well as laparotomy and arthroplasty (p < 0.001). The variability of the results indicates the need for an individual approach to each patient, both in pain assessment and treatment. Therefore, continuous improvement of the quality of health services provided in accordance with the guidelines for pain relief is necessary. MDPI 2022-10-28 /pmc/articles/PMC9696493/ /pubmed/36363505 http://dx.doi.org/10.3390/medicina58111548 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Banaś, Klaudia
Więch, Paweł
Trojnar, Patrycja
Guty, Edyta
Skórka, Mateusz
Soroń, Małgorzata
Nowak, Anna
Bazaliński, Dariusz
Selected Factors Influencing the Intensity of Postoperative Pain in Patients after Orthopedic and Gynecological Surgeries
title Selected Factors Influencing the Intensity of Postoperative Pain in Patients after Orthopedic and Gynecological Surgeries
title_full Selected Factors Influencing the Intensity of Postoperative Pain in Patients after Orthopedic and Gynecological Surgeries
title_fullStr Selected Factors Influencing the Intensity of Postoperative Pain in Patients after Orthopedic and Gynecological Surgeries
title_full_unstemmed Selected Factors Influencing the Intensity of Postoperative Pain in Patients after Orthopedic and Gynecological Surgeries
title_short Selected Factors Influencing the Intensity of Postoperative Pain in Patients after Orthopedic and Gynecological Surgeries
title_sort selected factors influencing the intensity of postoperative pain in patients after orthopedic and gynecological surgeries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9696493/
https://www.ncbi.nlm.nih.gov/pubmed/36363505
http://dx.doi.org/10.3390/medicina58111548
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