Influence of Preoperative Support on Anxiety, Pain and Satisfaction With Postoperative Analgesia in Children and Adolescents After Thoracic Surgeries: a Randomized Double Blind Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pain, Postoperative
- Sponsor
- National Institute for Tuberculosis and Lung Diseases, Poland
- Enrollment
- 112
- Locations
- 1
- Primary Endpoint
- Change in anxiety intensity scores
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Eligibility Criteria
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.
Outcomes
Primary Outcomes
Change in anxiety intensity scores
Time Frame: day prior to surgery, postoperative day 2
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).
Secondary Outcomes
- Pain intensity scores during deep breathing(postoperative hours: 1, 2, 4, 11, 24, 48)
- Pain intensity scores during coughing(postoperative hours: 1, 2, 4, 11, 24, 48)
- Patient satisfaction(postoperative day 2)
- Pain intensity scores at rest(postoperative hours: 1, 2, 4, 11, 24, 48)