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The impact of preoperative anxiety on pain and analgesia consumption in women undergoing vaginal hysterectomy with general anesthesia and spinal anesthesia
, 1, 2
Affiliations- Antalya Training and Reseach Hospital, Health Science University, Aarlık, Kazım Karabekir Cd. Muratpasa, Antalya, Türkiye, Türkiye
- Department of Obstetrics and Gynecology, Konya Training and Research Hospital, Türkiye, Türkiye
open access
Abstract
Objectives: To assess the impact of preoperative anxiety on pain and analgesic consumption in patients undergoing vaginal hysterectomy (VH) with general and spinal anesthesia. Material and methods: A total of 200 participants, including 100 undergoing vaginal hysterectomy with general anesthesia (group 1) and 100 with spinal anesthesia (group 2), were enrolled. A visual analog scale (VAS) was used for the postoperative pain intensity. Results: The 1st hour, 6th hour, 12th hour, and 18th hour VAS scores were higher in vaginal hysterectomy with general anesthesia than in vaginal hysterectomy with spinal anesthesia. Conclusions: Although participants undergoing VH with spinal anesthesia (preoperative state anxiety inventory score > 45) had lower pain intensity scores in the first 18 hours compared to those undergoing VH with general anesthesia, their postoperative analgesic requirements were similar.
Abstract
Objectives: To assess the impact of preoperative anxiety on pain and analgesic consumption in patients undergoing vaginal hysterectomy (VH) with general and spinal anesthesia. Material and methods: A total of 200 participants, including 100 undergoing vaginal hysterectomy with general anesthesia (group 1) and 100 with spinal anesthesia (group 2), were enrolled. A visual analog scale (VAS) was used for the postoperative pain intensity. Results: The 1st hour, 6th hour, 12th hour, and 18th hour VAS scores were higher in vaginal hysterectomy with general anesthesia than in vaginal hysterectomy with spinal anesthesia. Conclusions: Although participants undergoing VH with spinal anesthesia (preoperative state anxiety inventory score > 45) had lower pain intensity scores in the first 18 hours compared to those undergoing VH with general anesthesia, their postoperative analgesic requirements were similar.
Keywords
anxiety; general anesthesia; pain; spinal anesthesia; vaginal hysterectomy
About this articleTitle
The impact of preoperative anxiety on pain and analgesia consumption in women undergoing vaginal hysterectomy with general anesthesia and spinal anesthesia
Journal
Issue
Article type
Research paper
Published online
2024-04-15
Page views
72
Article views/downloads
44
DOI
Pubmed
Keywords
anxiety
general anesthesia
pain
spinal anesthesia
vaginal hysterectomy
Authors
Hasan Berkan Sayal
Hasan Ali İnal
Zeynep Ozturk Inal
References (22)- Committee Opinion No 701: Choosing the Route of Hysterectomy for Benign Disease. Obstetrics & Gynecology. 2017; 129(6): e155–e159.
- Inal ZO, Inal HA. Comparison of abdominal, vaginal, and laparoscopic hysterectomies in a tertiary care hospital in Turkey. Ir J Med Sci. 2018; 187(2): 485–491.
- Inal ZO, Inal HA, Kucukosmanoglu I, et al. Assessment of Endometrial Sampling and Histopathological Results: Analysis of 4,247 Cases. Eurasian J Med. 2017; 49(1): 44–47.
- Inal HA, Kaplan PB, Usta U, et al. Neuromuscular morphometry of the vaginal wall in women with anterior vaginal wall prolapse. Neurourol Urodyn. 2010; 29(3): 458–463.
- Kain ZN, Sevarino F, Alexander GM, et al. Preoperative anxiety and postoperative pain in women undergoing hysterectomy. A repeated-measures design. J Psychosom Res. 2000; 49(6): 417–422.
- Ozturk Inal Z, Gorkem U, Inal HA. Effects of preoperative anxiety on postcesarean delivery pain and analgesic consumption: general versus spinal anesthesia. J Matern Fetal Neonatal Med. 2020; 33(2): 191–197.
- Aouad MT, Kanazi GE, Malek K, et al. Predictors of postoperative pain and analgesic requirements following abdominal hysterectomy: an observational study. J Anesth. 2016; 30(1): 72–79.
- Perkins FM, Kehlet H. Chronic pain as an outcome of surgery. A review of predictive factors. Anesthesiology. 2000; 93(4): 1123–1133.
- Erdoğan E, Demir S, Çalışkan BB, et al. Effect of psychological care given to the women who underwent hysterectomy before and after the surgery on depressive symptoms, anxiety and the body image levels. J Obstet Gynaecol. 2020; 40(7): 981–987.
- Pinto PR, McIntyre T, Fonseca C, et al. Pre- and post-surgical factors that predict the provision of rescue analgesia following hysterectomy. Eur J Pain. 2013; 17(3): 423–433.
- Spielberger CD, Gorsuch RL, Lushene RE. State-Trait Anxiety inventory for adults. Palo Alto, CA: Mind Garden 1983.
- Barsky AJ, Wyshak G, Klerman GL. The somatosensory amplification scale and its relationship to hypochondriasis. J Psychiatr Res. 1990; 24(4): 323–334.
- Orbach-Zinger S, Ginosar Y, Elliston J, et al. Influence of preoperative anxiety on hypotension after spinal anaesthesia in women undergoing Caesarean delivery. Br J Anaesth. 2012; 109(6): 943–949.
- Kuo SY, Chen SR, Tzeng YL. Depression and anxiety trajectories among women who undergo an elective cesarean section. PLoS One. 2014; 9(1): e86653.
- Güleç H, Sayar K. Reliability and validity of the Turkish form of the Somatosensory Amplification Scale. Psychiatry Clin Neurosci. 2007; 61(1): 25–30.
- DSS Research. Researcher’s toolkit. http://www.dssresearch.com/toolkit/sscalc.
- Carvalho B, Zheng M, Aiono-Le Tagaloa L. A prospective observational study evaluating the ability of prelabor psychological tests to predict labor pain, epidural analgesic consumption, and maternal satisfaction. Anesth Analg. 2014; 119(3): 632–640.
- Johnson N, Barlow D, Lethaby A, et al. Methods of hysterectomy: systematic review and meta-analysis of randomised controlled trials. BMJ. 2005; 330(7506): 1478.
- Latremoliere A, Woolf CJ. Central sensitization: a generator of pain hypersensitivity by central neural plasticity. J Pain. 2009; 10(9): 895–926.
- Werner MU, Mjöbo HN, Nielsen PR, et al. Prediction of postoperative pain: a systematic review of predictive experimental pain studies. Anesthesiology. 2010; 112(6): 1494–1502.
- Janssen KJM, Kalkman CJ, Grobbee DE, et al. The risk of severe postoperative pain: modification and validation of a clinical prediction rule. Anesth Analg. 2008; 107(4): 1330–1339.
- Ranta PO, Ala-Kokko TI, Kukkonen JE, et al. Incisional and epidural analgesia after caesarean delivery: a prospective, placebo-controlled, randomised clinical study. Int J Obstet Anesth. 2006; 15(3): 189–194.
