Influence of Preoperative Support on Anxiety, Pain and Satisfaction With Postoperative Analgesia

National Institute for Tuberculosis and Lung Diseases, Poland112 enrolled

Overview

The aim of this study was to analyze a relationship between information support provided by an interdisciplinary team and the levels of anxiety, pain and satisfaction with postoperative analgesia in children and adolescents subjected to thoracic surgeries.

The study included 112 consecutive pediatric patients qualified for lateral thoracotomy or Ravitch procedure. The subjects were randomized to the control group (n=56) provided with a routine preoperative information from a nurse, and the experimental group (n=56) offered additional psychological consultation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

112

Conditions

Pain, Postoperative Surgery, Thoracic

Interventions

Routine preoperative information from a nurseBEHAVIORAL

Routine preoperative information from a nurse.

Additional information support from a psychologistBEHAVIORAL

Routine preoperative information from a nurse + additional information support from a psychologist.

Eligibility

Sex: ALLMin age: 9 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * thoracic surgery (lateral thoracotomy or Ravitch procedure), * the American Society of Anesthesiologists score 1 or 2. Exclusion Criteria: * presence of a mental disorder, * anticancer treatment, * preoperative pain, * problems with verbal communication , * lack of postoperative drainage of the chest.

Locations (1)

Institute for Tuberculosis and Lung Diseases, Pediatric Division

Rabka-Zdrój, Małopolska, Poland

Outcomes

Primary Outcomes

Change in anxiety intensity scores

Anxiety was determined with a Polish version of the self-inventory, either for children between 9 and 14 years of age, i.e. State-Trait Anxiety Inventory for Children (STAI-C; range: 20-60 pts) or for adolescents, i.e. State-Trait Anxiety Inventory (STAI; range: 20-80 pts). The instrument consisting of two separate 20-item scales measuring state and trait anxiety. In this study, the levels of anxiety were determined twice: one day prior to surgery (both trait and state anxiety) and 48 h after the procedure (only state anxiety). The results were expressed as sten scores, from 1-10 (1-4 = low level of anxiety, 5-6 = moderate level of anxiety, \>7 = high level of anxiety).

Time frame: day prior to surgery, postoperative day 2

Secondary Outcomes

Pain intensity scores at rest

The Numeric Rating Scale (NRS) was used to evaluate the intensity of pain, where 0 meant no pain, and 10 - the most severe pain.

Time frame: postoperative hours: 1, 2, 4, 11, 24, 48

Pain intensity scores during deep breathing

The Numeric Rating Scale (NRS) was used to evaluate the intensity of pain, where 0 meant no pain, and 10 - the most severe pain.

Time frame: postoperative hours: 1, 2, 4, 11, 24, 48

Pain intensity scores during coughing

The Numeric Rating Scale (NRS) was used to evaluate the intensity of pain, where 0 meant no pain, and 10 - the most severe pain.

Time frame: postoperative hours: 1, 2, 4, 11, 24, 48

Patient satisfaction

Satisfaction was evaluated on a 4-item scale: analgesia was rated as insufficient, poor, good or very good

Time frame: postoperative day 2

Data from ClinicalTrials.gov

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