Stručni rad
https://doi.org/10.20471/LO.2022.50.02-03.15
Predictors of acute postoperative pain in patients with breast cancer
Mirjana Mioč
; Division of Anaesthesiology, Reanimatology and Intensive Care Medicine, University Hospital for Tumors, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Catholic University of Croatia, Zagreb, Croatia
Gordana Brozović
; Division of Anaesthesiology, Reanimatology and Intensive Care Medicine, University Hospital for Tumors, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ljilja Štefančić
; Department of Anaesthesiology, Intensive Care and Pain, Special Hospital Radiochirurgia Zagreb, Sveta Nedelja, Croatia
Ivan Šklebar
; Catholic University of Croatia, Zagreb, Croatia; Clinic for Anaesthesiology, Reanimatology and Intensive Care, Sveti Duh University Hospital Zagreb, Croatia
Mladen Stanec
; Division of Surgical Oncology, University Hospital for Tumors, Sestre milosrdnice University Center, Zagreb, Croatia; Catholic University of Croatia, Zagreb, Croatia
Sažetak
To date, modern medicine does not have reliable tools for objectifying and measuring pain. In order to avoid the development of chronic pain, we must effectively treat intraoperative and postoperative acute pain. In this prospective study, we wanted to estimate whether and to what extent algometer and PSQ (Pain Sensitivity Questionnaire) and CSQ (Coping Strategies Questionnaire) predict the intensity and strength of postoperative pain. Accordingly, we wanted to adjust the analgesia protocol. The study was conducted from February to April 2019, at the University Hospital for Tumors in Zagreb, and included 100 patients who were admitted to the hospital for breast cancer surgery. Preoperatively all patients completed PSQ and CSQ questionnaires and pain sensitivity was measured with the algometer. The same analgesic protocol was applied to all patients. The pain was measured postoperatively by NRS (numeric rating scale) 2, 6, 12, 18, 24, 48 and 72 hours after the operation.
According to the obtained results, the patients were grouped into the group of slightly sensitive, medium sensitive, or very sensitive. Correlation between PSQ and NRS was statistically significant in the group of very sensitive patients. Research has shown that algometer can identify very sensitive patients and enables planning the analgesic protocol prior the operation. We can conclude that the analgesic protocol applied during the study was successful in preventing postoperative pain.
Ključne riječi
pain; breast cancer; algometry; analgesia
Hrčak ID:
288530
URI
Datum izdavanja:
22.12.2022.
Posjeta: 551 *