Pain, Postoperative, Surgery, Thoracic
Conditions
Keywords
anxiety, preoperative education, psychologist, thoracotomy, Ravitch procedure, postoperative pain
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.
Interventions
BEHAVIORALRoutine preoperative information from a nurse
Routine preoperative information from a nurse.
BEHAVIORALAdditional information support from a psychologist
Routine preoperative information from a nurse + additional information support from a psychologist.
Sponsors
National Institute for Tuberculosis and Lung Diseases, Poland
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
9 Years to 18 Years
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in anxiety intensity scores | 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
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity scores at rest | postoperative hours: 1, 2, 4, 11, 24, 48 | The Numeric Rating Scale (NRS) was used to evaluate the intensity of pain, where 0 meant no pain, and 10 - the most severe pain. |
| Pain intensity scores during deep breathing | postoperative hours: 1, 2, 4, 11, 24, 48 | The Numeric Rating Scale (NRS) was used to evaluate the intensity of pain, where 0 meant no pain, and 10 - the most severe pain. |
| Pain intensity scores during coughing | postoperative hours: 1, 2, 4, 11, 24, 48 | The Numeric Rating Scale (NRS) was used to evaluate the intensity of pain, where 0 meant no pain, and 10 - the most severe pain. |
| Patient satisfaction | postoperative day 2 | Satisfaction was evaluated on a 4-item scale: analgesia was rated as insufficient, poor, good or very good |
Countries
Poland
Outcome results
None listed