open access

Vol 24, No 1 (2018)
Artykuły
Published online: 2018-04-12
Get Citation

Cultural and psychological determinants of pain assessment during lower limb angioplasty

Michał-Goran Stanišić, Teresa Rzepa, Jarosław Nakonieczny, Przemysław Kubaszewski, Maciej Putowski, Marta Popek, Athanasios Liougkos
DOI: 10.5603/AA.2018.0002
·
Acta Angiologica 2018;24(1):9-13.

open access

Vol 24, No 1 (2018)
Artykuły
Published online: 2018-04-12

Abstract

Introduction. It is a common unofficial perception of surgeons performing endovascular operations that
patients living in the different social and economic environment assess pain differently during peripheral angioplasty
procedures.
The objective was to examine the differences in assessing pain experienced during endovascular arterial interventions
on lower limbs, by Polish and German patients, and to analyse the psychological determinants of the
assumed differences, by referring to mental dispositions such as optimism and satisfaction with own life quality.

Material and methods. 101 patients were qualified for endovascular intervention on lower limbs arteries
— 51 Germans (M = 67.31; SD = 9.82) and 50 Poles (age M = 67.88; SD = 8.4). 37 women and 64
men were classified as Rutherford category 2–3.
Three scales were applied:
1. Life Orientation Test-Revised
2. Satisfaction With Life Scale
3. Pain Appraisal Scale which comprises emoticons showing subsequent degrees of sustained pain and the
corresponding Visual Analogue Scale.

Results. The patients from Poland graded their life quality lower than the German patients (M = 23.44; SD
= 5.977 and M = 25.94; SD = 5.584). The Poles presented a lower level of optimism (M = 15.04; SD =
3.703 vs M = 15.8; SD = 3.516). The Polish patients classified the level of pain during lower limb angioplasty
as higher than in German patients (M = 4.22; SD = 2.999 and M = 2.88; SD = 2.215) (p < 0.012).

Conclusions. Resistance to pain experienced during endovascular procedures probably depends on the
assessment of the patient’s current life situation, determined by satisfaction with own life quality and related
optimism. With great caution, it might also be supposed that resistance to pain depends on the life standard
typical of a given population

Abstract

Introduction. It is a common unofficial perception of surgeons performing endovascular operations that
patients living in the different social and economic environment assess pain differently during peripheral angioplasty
procedures.
The objective was to examine the differences in assessing pain experienced during endovascular arterial interventions
on lower limbs, by Polish and German patients, and to analyse the psychological determinants of the
assumed differences, by referring to mental dispositions such as optimism and satisfaction with own life quality.

Material and methods. 101 patients were qualified for endovascular intervention on lower limbs arteries
— 51 Germans (M = 67.31; SD = 9.82) and 50 Poles (age M = 67.88; SD = 8.4). 37 women and 64
men were classified as Rutherford category 2–3.
Three scales were applied:
1. Life Orientation Test-Revised
2. Satisfaction With Life Scale
3. Pain Appraisal Scale which comprises emoticons showing subsequent degrees of sustained pain and the
corresponding Visual Analogue Scale.

Results. The patients from Poland graded their life quality lower than the German patients (M = 23.44; SD
= 5.977 and M = 25.94; SD = 5.584). The Poles presented a lower level of optimism (M = 15.04; SD =
3.703 vs M = 15.8; SD = 3.516). The Polish patients classified the level of pain during lower limb angioplasty
as higher than in German patients (M = 4.22; SD = 2.999 and M = 2.88; SD = 2.215) (p < 0.012).

Conclusions. Resistance to pain experienced during endovascular procedures probably depends on the
assessment of the patient’s current life situation, determined by satisfaction with own life quality and related
optimism. With great caution, it might also be supposed that resistance to pain depends on the life standard
typical of a given population

Get Citation

Keywords

lower limb angioplasty, pain measurement, social determinants

About this article
Title

Cultural and psychological determinants of pain assessment during lower limb angioplasty

Journal

Acta Angiologica

Issue

Vol 24, No 1 (2018)

Pages

9-13

Published online

2018-04-12

DOI

10.5603/AA.2018.0002

Bibliographic record

Acta Angiologica 2018;24(1):9-13.

Keywords

lower limb angioplasty
pain measurement
social determinants

Authors

Michał-Goran Stanišić
Teresa Rzepa
Jarosław Nakonieczny
Przemysław Kubaszewski
Maciej Putowski
Marta Popek
Athanasios Liougkos

References (24)
  1. Norgren L, Hiatt WR, Dormandy JA, et al. TASC II Working Group. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Eur J Vasc Endovasc Surg. 2007; 33 Suppl 1: S1–75.
  2. Mueller PR, Biswal S, Halpern EF, et al. Interventional radiologic procedures: patient anxiety, perception of pain, understanding of procedure, and satisfaction with medication--a prospective study. Radiology. 2000; 215(3): 684–688.
  3. Katsanos K, Tepe G, Tsetis D, et al. Standards of practice for superficial femoral and popliteal artery angioplasty and stenting. Cardiovasc Intervent Radiol. 2014; 37(3): 592–603.
  4. Kee F, McDonald P, Gaffney B. Risks and benefits of coronary angioplasty: the patients perspective: a preliminary study. Qual Health Care. 1997; 6(3): 131–139.
  5. Haines WYV, Deets R, Lu N, et al. Tumescent anesthesia reduces pain associated with balloon angioplasty of hemodialysis fistulas. J Vasc Surg. 2012; 56(5): 1453–1456.
  6. Rossi M, Iezzi R. Cardiovascular and Interventional Radiological Society of Europe guidelines on endovascular treatment in aortoiliac arterial disease. Cardiovasc Intervent Radiol. 2014; 37(1): 13–25.
  7. Morris DB. The culture of pain. University of California Press, Berkeley 1991.
  8. Linton SJ, Shaw WS. Impact of psychological factors in the experience of pain. Phys Ther. 2011; 91(5): 700–711.
  9. Brihaye J, Loew F, Pia H. Pain: a medical and anthropological challenge. Springer-Verlag, New York 1987.
  10. Rollman GB. Culture and pain. In: Kazarian SS, Ewans DR. ed. Cultural clinical psychology: Theory, research, and practice. Oxford University Press, New York 1998: 267–286.
  11. Baum SK, Stewart RB. Sources of meaning through the lifespan. Psychol Rep. 1990; 67(1): 3–14.
  12. Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. J Pers Soc Psychol. 1994; 67(6): 1063–1078.
  13. Juczyński Z. Measurement tools in health promotion and health psychology. Psychological Test Lab of the Polish Psychological Association, Warsaw 2001.
  14. Pavot W, Diener Ed. The Satisfaction With Life Scale and the emerging construct of life satisfaction. The Journal of Positive Psychology. 2008; 3(2): 137–152.
  15. Gendreau M, Hufford M, Stone A. Measuring clinical pain in chronic widespread pain: selected methodological issues. Best Practice & Research Clinical Rheumatology. 2003; 17(4): 575–592.
  16. Vlaeyen J, Linton S. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000; 85(3): 317–332.
  17. Wiech K, Tracey I. The influence of negative emotions on pain. NeuroImage. 2009; 47(987): 994.
  18. Peterman AH, Cella D. Quality of life. In: Kazdin AE, Cella D. ed. Encyclopedia of psychology. Oxford University Press-American Psychological Association, Oxford 2000: 401–495.
  19. Kivimäki M, Vahtera J, Elovainio M, et al. Optimism and pessimism as predictors of change in health after death or onset of severe illness in family. Health Psychol. 2005; 24(4): 413–421.
  20. Fournier M, Ridder Dde, Bensing J. How optimism contributes to the adaptation of chronic illness. A prospective study into the enduring effects of optimism on adaptation moderated by the controllability of chronic illness. Personality and Individual Differences. 2002; 33(7): 1163–1183.
  21. Callister L. Cultural Influences on Pain Perceptions and Behaviors. Home Health Care Management & Practice. 2016; 15(3): 207–211.
  22. Stanisić M, Rzepa T. Attitude towards one's illness vs. attitude towards a surgical operation, displayed by patients diagnosed with asymptomatic abdominal aortic aneurysm and asymptomatic internal carotid artery stenosis. Int Angiol. 2012; 31(4): 376–385.
  23. Janowski K, Steuden S. Biopsychosocial aspects of health and disease. CPPP Scientific Press, Lublin 2009.
  24. Edwards RR, Doleys DM, Fillingim RB, et al. Ethnic differences in pain tolerance: clinical implications in a chronic pain population. Psychosom Med. 2001; 63(2): 316–323.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl