Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2019, 163(2):172-178 | DOI: 10.5507/bp.2018.060

Influence of preoperative information support on anxiety, pain and satisfaction with postoperative analgesia in children and adolescents after thoracic surgery: A randomized double blind study

Lucyna Tomaszeka, Grazyna Cepuchb, Dariusz Fenikowskia
a Department of Thoracic Surgery, Institute for Tuberculosis and Lung Diseases, Pediatric Division, Rabka-Zdroj, Poland
b Collegium Medicum, Faculty of Health Sciences, Jagiellonian University, Krakow, Poland

Aims/Background: The proportion of patients who experience anxiety prior to planned surgery, even a minimally invasive one, is estimated at 50-70%. Thoracic surgery, causes significant preoperative anxiety, especially in children. The aim of this study was to determine the effect of an important component of psychological preparation for a surgery as information support on levels of anxiety, pain and satisfaction with postoperative analgesia.

Methods: The randomized double blind study including patients aged 9-18 years qualified for lateral thoracotomy or Ravitch procedure. The subjects were randomized to the control group (n=56) provided with a routine preoperative information by a nurse, and the experimental group (n=56) offered additional psychological consultation. Data were collected via the State-Trait Anxiety Inventory.

Results: In the experimental group, the level of state anxiety at 48 h post-surgery was significantly lower than prior to the procedure, but only in subjects with preoperative trait anxiety Conclusion: Information support from a psychologist offered prior to a thoracic surgery decrease the level of postoperative state anxiety solely in children with lower levels of trait anxiety. Higher level of postoperative state anxiety negatively affect patients' satisfaction with post-surgical analgesia. Trial Registration: ClinicalTrials.gov; Influence of Preoperative Support on Anxiety, Pain and Satisfaction With Postoperative Analgesia; NCT03488459, https://clinicaltrials.gov/ct2/show/record/NCT03488459?cntry=PL&city=Rabka-Zdr%C3%B3j&rank=1

Keywords: anxiety, preoperative education, psychologist, thoracotomy, Ravitch procedure, postoperative pain

Received: April 8, 2018; Accepted: September 21, 2018; Prepublished online: October 5, 2018; Published: June 25, 2019  Show citation

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Tomaszek, L., Cepuch, G., & Fenikowski, D. (2019). Influence of preoperative information support on anxiety, pain and satisfaction with postoperative analgesia in children and adolescents after thoracic surgery: A randomized double blind study. Biomedical papers, 163(2), 172-178. doi: 10.5507/bp.2018.060
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