Aspectos psicossociais associados à percepção da dor pós-operatória em indivíduos submetidos a cirurgia coronária | = Psychosocial aspects associated with pain perception in individuals undergoing coronary surgery

• Type: Article in International Scientific Journal
• Date: 2005

Authors

E. Leal (Author) Other; José Luís Pais Ribeiro (Author) FPCEUP; M. Oliveira (Author) Other; José Roquete (Author) Other

Journal

Title: Revista Portuguesa de Cardiologia

Vol. 24 No. 10

Pages: 1221-1231

ISSN: 0870-2551

Publisher: Sociedade Portuguesa De Cardiologia

Indexing

Scopus

Scientific classification

FOS: Social sciences > Psychology

Other information

Abstract (EN): Objective: To identify the psychological factors that influence post-surgery pain perception in patients undergoing coronary artery bypass graft surgery (CABG). Methods: This was an exploratory correlational study of 91 patients (71 men and 20 women) who underwent CABG (aortocoronary anastomosis) by sternotomy. Mean age was 63.8 ± 9.6 years (between 39 and 84). The following instruments were used: visual analogical scales at 24, 48 and 96 hours of post-surgery; demographic characteristics survey; pain expectations scale; perceived support scale; self-efficacy scale, Mental Inventory (5 items); health perception scale; and satisfaction with treatment, doctors and nurses (American Pain Society questionnaire) at 96 hours after surgery. Results: Patients who had presented high expectations of pain, perceived more support, presented high levels of self-efficacy to deal with pain or were male, felt less pain. Furthermore, patients who presented better mental health, perceived their general health as being good, or expressed greater satisfaction with treatment, felt less pain. Pain was not influenced by age, level of education or satisfaction with doctors and nurses. Conclusion: After the first 48 hours following surgery, the pain experience is influenced by psychosocial factors, in particular by expectation of pain and of self-efficacy, perceived support, perception of general and mental health, and satisfaction with pain treatment. The results confirm the need to bring together different kinds of knowledge for a broad, multidisciplinary approach to postoperative CABG pain treatment, focusing, along with other aspects, on management of patients' expectations.

Language: Portuguese

Type (Professor's evaluation): Scientific

Notes: <a href="http://www.scopus.com/record/display.url?eid=2-s2.0-28844487799&origin=resultslist">Acesso à Scopus</a>