The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy

Ozgul Karaaslan; Cigdem Unal Kantekin; Yunus Hacimusalar; Gamze Talih

doi:10.22391/fppc.435395

Research Article

Laparoskopik kolesistektomi hastalarında sağlık anksiyetesinin postoperatif ağrı algısı ve analjezik ihtiyacına etkisi

Year 2019, Volume: 4 Issue: 1, 7 - 10, 18.03.2019

Ozgul Karaaslan , Cigdem Unal Kantekin , Yunus Hacimusalar , Gamze Talih

https://doi.org/10.22391/fppc.435395

Cited By: 1

Abstract

Giriş: Sağlık anksiyetesi,
herhangi bir bedensel hastalık bulunmadığı halde kişide normal bedensel
belirtilerin olumsuz yönde aşırı yorumlanmasıdır. Hastaların sağlık anksiyete
düzeyleri ile ilgili bilgi sahibi olmak hastaların ağrı tedavisini etkileyecek
kriterlerden bir tanesidir. Bu çalışmada laparoskopik kolesistektomi
hastalarında preoperatif sağlık anksiyetesi ile postoperatif ağrı algısı ve
analjezik ihtiyacının değerlendirilmesi amaçlanmıştır.

Yöntem: Çalışmaya American Society
of Anaesthesiologists (ASA) I-2 grubu
18-65 yaş arasında ve laparoskopik kolesistektomi operasyonu geçirecek 41 hasta
ve 40 sağlıklı kontrol alındı. Sağlıklı kontrollere ve operasyon planlanan
hastalara preoperatif dönemde Sağlık Anksiyetesi Envanteri uygulandı. Opere
olan hastalara postoperatif dönemde tramadol ile hazırlanmış hasta kontrollü
analjezi cihazları takılarak 24 saat takip edildi. Hasta kontrollü analjezi
cihazı kullanıldığı için hastların Vizüel Analog Skala (VAS) değerleri 4’ün altındaydı. Total analjezik
tüketim miktarı kaydedildi. Sonuçlar istatistiksel olarak karşılaştırıldı.

Bulgular: Hasta ve kontrol grubu
arasında yaş, cinsiyet ve beden kitle indeksi açısından anlamlı fark yoktu
(p>0,05). Bütün hastalarda VAS skoru 4’ün altındaydı. Hastaların 24 saat
sonundaki total tramadol tüketimi 221,58±73,06 idi. Kadın hastalarda analjezik
tüketim miktarı erkek hastalardan anlamlı derecede yüksekti (p=0,013). Sağlık
anksiyetesi sonuçları hasta grubunda kontrol grubuna göre anlamlı derecede
yüksek bulundu (p<0,001). Hasta grubunda sağlık anksiyetesi ile total
analjezik ihtiyacı arasında pozitif yönde korelasyon tespit edildi (r=0,813,
p<0,01).

Sonuç: Sonuç olarak sağlık
anksiyetesi yüksek olanlarda ve kadın hastalarda analjezik tüketiminin anlamlı
derecede yüksek olduğu tespit edilmiştir. Hastalarda postoperatif ağrı tedavisi
planlanırken cinsiyet ve sağlık anksiyete düzeyinin de göz önünde
bulundurulması tedaviye olumlu katkı sağlayacaktır.

Keywords

Sağlık anksiyetesi , ağrı , laparoskopik kolesistektomi , analjezi

References

1. Aydemir O, Kirpinar I, Sati T, Uykur B, Cengisiz C. Reliability and validity of the turkish version of the health anxiety inventory. Arch Neuropsychiatry 2013; 50: 325-331. https://doi.org/10.4274/npa.y6383
2. Taylor S. Understanding and treating health anxiety: A cognitive-behavioral approach. Cogn Behav Pract 2004; 11:112-123. https://doi.org/10.1016/S1077-7229(04)80015-4
3. Eti Z. Postoperative pain treatment. In: Erdine S, editor. Ağrı. İstanbul: Nobel Tıp Kitabevleri; 2007; 150-151.
4. Mitchell RW, Smith G. The control of acute postoperative pain. Br J Anaesth 1989; 63(2):147-58. https://doi.org/10.1093/bja/63.2.147
5. Allvin R, Ehnfors M, Rawal N, Idvall E. Experiences of the postoperative recovery process: an interview study. Open Nurs J. 2008; 2:1-7. https://doi.org/10.2174/1874434600802010001
6. Sitilci AT, Ozyuvacı E, Alkan Z, Demirgan S, Yigit O. The effect of perioperative infused dexmedetomidine on postoperative analgesic consumption in mastoidectomy operations. Ağrı-J Turk Soc Alg 2010; 22(3):109-116. https://www.ncbi.nlm.nih.gov/pubmed/20865582
7. Michaloliakou C, Chung F, Sharma S. Preoperative multimodal analgesia facilitates recovery after ambulatory laparoscopic cholecystectomy. Anesth Analg 1996; 82(1):44-51. https://www.ncbi.nlm.nih.gov/pubmed/8712425
8. Salkovskis PM, Rimes KA, Warwick HM, Clark DM. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med 2002; 32: 843-853. https://doi.org/10.1017/S0033291702005822
9. Granot M, Lowenstein L, Yarnitsky D, Tamir A, Zimmer EZ. Postcesarean section pain prediction by preoperative experimental pain assessment. Anesth 2003; 98(6):1422-1426. https://doi.org/10.1097/00000542-200306000-00018
10. Hsu YW, Somma J, Hung YC, Tsai PS, Yang CH, Chen CC. Predicting postoperative pain by preoperative pressure pain assessment. Anesthesiology 2005; 103(3):613-618. https://doi.org/10.1097/00000542-200509000-00026
11. De Cosmo G, Congedo E, Lai C, Primieri P, Dottarelli A, Aceto P. Preoperative psychologic and demographic predictors of pain perception and tramadol consumption usingintravenous patient-controlled analgesia. Clin J Pain 2008; 24(5):399-405. https://doi.org/10.1097/AJP.0b013e3181671a08
12. Cepeda MS, Carr DB. Women experience more pain and require more morphine than men to achieve a similar degree of analgesia. Anesth Analg 2003; 97(5):1464-1468. https://doi.org/10.1213/01.ANE.0000080153.36643.83
13. Mamie C, Bernstein M, Morabia A, Klopfenstein CE, Sloutskis D, Forster A. Are there reliable predictors of postoperative pain? Acta Anaesth Scand 2004; 48(2):234-242. https://doi.org/10.1111/j.0001-5172.2004.00298.x
14. Chia YY, Chow LH, Hung CC, Liu K, Ger LP, Wang PN. Gender and pain upon movement are associated with the requirements for postoperative patient-controlled iv analgesia: a prospective survey of 2,298 Chinese patients. Can J Anaesth 2002; 49(3):249-255. https://doi.org/10.1007/BF03020523
15. Karapicak OK, Aktas K, Aslan S. Health Anxiety Inventory in panic disorder (weekly short form): a validity and reliability study for Turkish. J Clin Psy 2012; 15:41-48.
16. Erdem D, Ugis C, Albayrak MD, Akan B, Aksoy E, Gogus N. The effect of preoperative anxiety and postperative pain levels on anaesthesia methods applied to patients undergoing perianal region surgery. Med J Bakırköy 2011; 7:11-16. https://doi.org/10.5350/BTDMJB201107103
17. Aykent R, Kocamanoglu S, Ustun E, Tur A, Sahinoglu H. Evaluation of the causes of preoperative anxiety: a comparison of APAIS and STAI Scores. Turkey Clinics J Anest Reanim 2007; 5: 7-13.
18. Ali A, Altun D, Oguz B.H, Ilhan M, Demircan F, Koltka, K. The effect of preoperative anxiety on postoperative analgesia and anesthesia recovery in patients undergoing laparascopic cholecystectomy. J Anest 2014; 28(2):222-227. https://doi.org/10.1007/s00540-013-1712
19. Mimic A, Bantel C, Jovicic J, Mimic B, Kisic-Tepavcevic D, Durutovic O, et al. Psychological factors as predictors of early postoperative pain after open nephrectomy. J Pain Res 2018; 9(11):955-966. https://doi.org/10.2147/JPR.S152282

The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy

Year 2019, Volume: 4 Issue: 1, 7 - 10, 18.03.2019

Ozgul Karaaslan , Cigdem Unal Kantekin , Yunus Hacimusalar , Gamze Talih

https://doi.org/10.22391/fppc.435395

Cited By: 1

Abstract

Introduction: Health anxiety is the excessively negative interpretation of normal
physical signs in an individual with no physical disease. Having knowledge
information about the health anxiety levels of patients is one of the criteria
that will affect the treatment of the patients’ pain. The aim of this study was
to evaluate the preoperative health anxiety of laparoscopic cholecystectomy
patients together with the perception of postoperative pain and the requirement
for analgesia.

Methods: The
study included 41 patients of American Society of Anesthesiologists(ASA) grade
I-II, aged 18-65 years who were to undergo a laparoscopic cholecystectomy
operation and a control group of 40 healthy individuals. The Health Anxiety
Inventory was applied to the patients preoperatively and to the control group.
In the postoperative period, the patients were followed up for 24 hours with a
patient-controlled analgesia device prepared with tramadol. Visuel Analog
Scale(VAS) values of patients were below 4 due to the use of patient controlled
analgesia device. Total analgesic consumption was recorded. The results were compared
statistically.

Results: No significant difference was determined between the patient and control
groups in respect of age, gender and body mass index (p>0.05). The VAS score
of all the patients was less than four. The mean total tramadol consumption of
the patients in the first 24 hours postoperatively was 221.58±73.06. The
analgesia consumption of female patients was significantly higher than that of
males (p=0.013). The health anxiety results of the patient group were found to
be significantly higher than the control group (p<0.001). A positive
correlation was determined in the patient group between health anxiety and the
total analgesia requirement (r=0.813, p<0.01).

Conclusions: In conclusion, high level of analgesia consumption was determined in
those with high health anxiety and in female patients. When planning
postoperative pain treatment, consideration of the gender of the patient and
the level of health anxiety will make a positive contribution to the treatment.

Keywords

Health anxiety , pain , laparoscopic cholecystectomy , analgesia

References

1. Aydemir O, Kirpinar I, Sati T, Uykur B, Cengisiz C. Reliability and validity of the turkish version of the health anxiety inventory. Arch Neuropsychiatry 2013; 50: 325-331. https://doi.org/10.4274/npa.y6383
2. Taylor S. Understanding and treating health anxiety: A cognitive-behavioral approach. Cogn Behav Pract 2004; 11:112-123. https://doi.org/10.1016/S1077-7229(04)80015-4
3. Eti Z. Postoperative pain treatment. In: Erdine S, editor. Ağrı. İstanbul: Nobel Tıp Kitabevleri; 2007; 150-151.
4. Mitchell RW, Smith G. The control of acute postoperative pain. Br J Anaesth 1989; 63(2):147-58. https://doi.org/10.1093/bja/63.2.147
5. Allvin R, Ehnfors M, Rawal N, Idvall E. Experiences of the postoperative recovery process: an interview study. Open Nurs J. 2008; 2:1-7. https://doi.org/10.2174/1874434600802010001
6. Sitilci AT, Ozyuvacı E, Alkan Z, Demirgan S, Yigit O. The effect of perioperative infused dexmedetomidine on postoperative analgesic consumption in mastoidectomy operations. Ağrı-J Turk Soc Alg 2010; 22(3):109-116. https://www.ncbi.nlm.nih.gov/pubmed/20865582
7. Michaloliakou C, Chung F, Sharma S. Preoperative multimodal analgesia facilitates recovery after ambulatory laparoscopic cholecystectomy. Anesth Analg 1996; 82(1):44-51. https://www.ncbi.nlm.nih.gov/pubmed/8712425
8. Salkovskis PM, Rimes KA, Warwick HM, Clark DM. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med 2002; 32: 843-853. https://doi.org/10.1017/S0033291702005822
9. Granot M, Lowenstein L, Yarnitsky D, Tamir A, Zimmer EZ. Postcesarean section pain prediction by preoperative experimental pain assessment. Anesth 2003; 98(6):1422-1426. https://doi.org/10.1097/00000542-200306000-00018
10. Hsu YW, Somma J, Hung YC, Tsai PS, Yang CH, Chen CC. Predicting postoperative pain by preoperative pressure pain assessment. Anesthesiology 2005; 103(3):613-618. https://doi.org/10.1097/00000542-200509000-00026
11. De Cosmo G, Congedo E, Lai C, Primieri P, Dottarelli A, Aceto P. Preoperative psychologic and demographic predictors of pain perception and tramadol consumption usingintravenous patient-controlled analgesia. Clin J Pain 2008; 24(5):399-405. https://doi.org/10.1097/AJP.0b013e3181671a08
12. Cepeda MS, Carr DB. Women experience more pain and require more morphine than men to achieve a similar degree of analgesia. Anesth Analg 2003; 97(5):1464-1468. https://doi.org/10.1213/01.ANE.0000080153.36643.83
13. Mamie C, Bernstein M, Morabia A, Klopfenstein CE, Sloutskis D, Forster A. Are there reliable predictors of postoperative pain? Acta Anaesth Scand 2004; 48(2):234-242. https://doi.org/10.1111/j.0001-5172.2004.00298.x
14. Chia YY, Chow LH, Hung CC, Liu K, Ger LP, Wang PN. Gender and pain upon movement are associated with the requirements for postoperative patient-controlled iv analgesia: a prospective survey of 2,298 Chinese patients. Can J Anaesth 2002; 49(3):249-255. https://doi.org/10.1007/BF03020523
15. Karapicak OK, Aktas K, Aslan S. Health Anxiety Inventory in panic disorder (weekly short form): a validity and reliability study for Turkish. J Clin Psy 2012; 15:41-48.
16. Erdem D, Ugis C, Albayrak MD, Akan B, Aksoy E, Gogus N. The effect of preoperative anxiety and postperative pain levels on anaesthesia methods applied to patients undergoing perianal region surgery. Med J Bakırköy 2011; 7:11-16. https://doi.org/10.5350/BTDMJB201107103
17. Aykent R, Kocamanoglu S, Ustun E, Tur A, Sahinoglu H. Evaluation of the causes of preoperative anxiety: a comparison of APAIS and STAI Scores. Turkey Clinics J Anest Reanim 2007; 5: 7-13.
18. Ali A, Altun D, Oguz B.H, Ilhan M, Demircan F, Koltka, K. The effect of preoperative anxiety on postoperative analgesia and anesthesia recovery in patients undergoing laparascopic cholecystectomy. J Anest 2014; 28(2):222-227. https://doi.org/10.1007/s00540-013-1712
19. Mimic A, Bantel C, Jovicic J, Mimic B, Kisic-Tepavcevic D, Durutovic O, et al. Psychological factors as predictors of early postoperative pain after open nephrectomy. J Pain Res 2018; 9(11):955-966. https://doi.org/10.2147/JPR.S152282

There are 19 citations in total.

Details

Primary Language	English
Subjects	Health Care Administration
Journal Section	Original Research
Authors	Ozgul Karaaslan 0000-0003-0829-5088 Cigdem Unal Kantekin 0000-0001-6758-7764 Yunus Hacimusalar 0000-0002-1777-2707 Gamze Talih 0000-0003-4743-9734
Publication Date	March 18, 2019
Submission Date	June 21, 2018
Acceptance Date	October 2, 2018
Published in Issue	Year 2019 Volume: 4 Issue: 1

Cite

APA	Karaaslan, O., Unal Kantekin, C., Hacimusalar, Y., Talih, G. (2019). The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. Family Practice and Palliative Care, 4(1), 7-10. https://doi.org/10.22391/fppc.435395
AMA	Karaaslan O, Unal Kantekin C, Hacimusalar Y, Talih G. The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. Fam Pract Palliat Care. March 2019;4(1):7-10. doi:10.22391/fppc.435395
Chicago	Karaaslan, Ozgul, Cigdem Unal Kantekin, Yunus Hacimusalar, and Gamze Talih. “The Effect of Health Anxiety on Postoperative Analgesia Requirement and Anesthesia Recovery in Patients Undergoing Laparoscopic Cholecystectomy”. Family Practice and Palliative Care 4, no. 1 (March 2019): 7-10. https://doi.org/10.22391/fppc.435395.
EndNote	Karaaslan O, Unal Kantekin C, Hacimusalar Y, Talih G (March 1, 2019) The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. Family Practice and Palliative Care 4 1 7–10.
IEEE	O. Karaaslan, C. Unal Kantekin, Y. Hacimusalar, and G. Talih, “The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy”, Fam Pract Palliat Care, vol. 4, no. 1, pp. 7–10, 2019, doi: 10.22391/fppc.435395.
ISNAD	Karaaslan, Ozgul et al. “The Effect of Health Anxiety on Postoperative Analgesia Requirement and Anesthesia Recovery in Patients Undergoing Laparoscopic Cholecystectomy”. Family Practice and Palliative Care 4/1 (March2019), 7-10. https://doi.org/10.22391/fppc.435395.
JAMA	Karaaslan O, Unal Kantekin C, Hacimusalar Y, Talih G. The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. Fam Pract Palliat Care. 2019;4:7–10.
MLA	Karaaslan, Ozgul et al. “The Effect of Health Anxiety on Postoperative Analgesia Requirement and Anesthesia Recovery in Patients Undergoing Laparoscopic Cholecystectomy”. Family Practice and Palliative Care, vol. 4, no. 1, 2019, pp. 7-10, doi:10.22391/fppc.435395.
Vancouver	Karaaslan O, Unal Kantekin C, Hacimusalar Y, Talih G. The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. Fam Pract Palliat Care. 2019;4(1):7-10.