Qaddumi Jamal, Arda Ali Mohammad, Alkhawaldeh Abdullah, ALBashtawy Mohammed, Abdalrahim Asem, ALBashtawy Sa'd, Al Omari Omar, Bashtawi Mahmoud, Masa'deh Rami, ALBashtawy Zaid, Mohammad Khitam Ibrahem, ALBashtawy Bayan, Aljezawi Ma'en, Khatatbeh Haitham, Ta'an Wafa'a, Suliman Mohammad, Al Dameery Khloud, Bani Hani Salam
Faculty of Nursing, An-Najah National University, Nablus, Palestine.
Istishari Arab Hospital, Ramallah, Palestine.
J Perioper Pract. 2024 Aug 6:17504589241253489. doi: 10.1177/17504589241253489.
Anxiety affects the patient's perception of postoperative pain and causes a significant increase in the consumption of analgesia postoperatively.
This study assesses the relationship between preoperative anxiety, postoperative pain and postoperative pethidine consumption.
A prospective cohort design was used. Data were collected from 100 patients who were undergoing a laparoscopic cholecystectomy at St Joseph Hospital, Jerusalem. Pain-controlled analgesia with pethidine was utilised to manage pain throughout the postoperative period. The visual analogue scale scores and pethidine consumption of all patients were recorded.
Participants' mean level of pain was higher in the preoperative period (mean visual analogue scale = 1.3) compared with their mean level of pain in the postoperative period (mean visual analogue scale = 0.5). There is a statistically significant difference between the participants' level of anxiety and postoperative pain level (p < 0.001). Gender, weight, level of education and smoking were predictors of developing preoperative anxiety. Also, gender, smoking and medication were statistically significant predictors of developing postoperative pain. Furthermore, gender, medical history and medication were statistically significant predictors of pethidine consumption postoperatively.
The preoperative anxiety reduction intervention should be promoted and implemented as routine care for all surgical patients.
焦虑会影响患者对术后疼痛的感知，并导致术后镇痛药物的消耗量显著增加。
本研究评估术前焦虑、术后疼痛与术后哌替啶消耗量之间的关系。
采用前瞻性队列设计。收集了耶路撒冷圣约瑟夫医院100例接受腹腔镜胆囊切除术患者的数据。术后全程使用哌替啶进行疼痛控制镇痛。记录所有患者的视觉模拟量表评分和哌替啶消耗量。
与术后平均疼痛水平（平均视觉模拟量表=0.5）相比，参与者术前的平均疼痛水平更高（平均视觉模拟量表=1.3）。参与者的焦虑水平与术后疼痛水平之间存在统计学显著差异（p<0.001）。性别、体重、教育程度和吸烟是术前焦虑发生的预测因素。此外，性别、吸烟和用药是术后疼痛发生的统计学显著预测因素。此外，性别、病史和用药是术后哌替啶消耗量的统计学显著预测因素。
应推广并实施术前焦虑缓解干预措施，作为所有手术患者的常规护理。
