Personality assessment and postoperative pain and complications

Parbrook, G.D.; Dalrymple, D.G.; Steel, D.F.

doi:10.1016/0022-3999(73)90104-9

Cited by 16 publications

(4 citation statements)

References 8 publications

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“…Nevertheless, the randomization of our patients and the similarities in their anthropometric parameters make such differences very unlikely (21). Another limitation of our design was that we did not estimate our patients' postoperative stage of consciousness, pain, or both.…”

Section: Resultsmentioning

confidence: 96%

“…This new and exciting modality has gained great support among surgeons, and is rapidly replacing the traditional open procedure (Received in original form July 21,1994 and in revised form Aprif 18,1995) (12)(13)(14). Although advantages of the laparoscopic over the open technique have been well documented in a large series of surgical patients, this success has been arbitrarily attributed to the less invasive nature of the laparoscopic technique (14).…”

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confidence: 98%

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Effects of laparoscopic cholecystectomy on global respiratory muscle strength.

Rovina

Bouros²,

Tzanakis³

et al. 1996

Am J Respir Crit Care Med

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Laparoscopic cholecystectomy has a better postoperative outcome than the traditional open technique, which has been shown to significantly affect respiratory muscle function. The aim of this study was to investigate the effects of laparoscopic surgery on respiratory function, and particularly that of the respiratory muscles. Respiratory muscle strength was assessed in 26 patients who underwent laparoscopic cholecystectomy and in 25 who underwent open cholecystectomy by measuring mouth pressure during maximum static inspiratory (PImax) and expiratory (PEmax) efforts. PImax, PEmax, and blood gases were measured 24 h preoperatively (-24 h) as well as 24 h (+24 h) and 48 h (+48 h) postoperatively. FEV1 and FVC were measured at -24 h and +48 hr, and the ratio of FEV1 to FVC (FEV1/FVC) was calculated. PImax decreased at +24 h and +48 h in both groups, but this decrease was significantly greater in the patients who had open surgery, (p < 0.01, and p < 0.005, respectively). Similarly, PEmax was significantly smaller in the open- than in the laparoscopic-surgery group (p < 0.0001) at +48 h. Spirometric indices showed a more severe restrictive defect at +48 h after open surgery than after laparoscopy (p = 0.01). The arterial oxygen tension (PaO2) was significantly greater in the laparoscopic- than in the open-surgery group at +24 h (p < 0.007). Laparoscopic cholecystectomy caused smaller decreases in respiratory muscle strength than did open surgery. This accords with the hypothesis of phrenic nerve inhibition during open surgery. The results are of clinical importance, since they may explain the different outcomes with the two techniques.

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Section: Resultsmentioning

confidence: 96%

mentioning

confidence: 98%

Effects of laparoscopic cholecystectomy on global respiratory muscle strength.

Rovina

Bouros²,

Tzanakis³

et al. 1996

Am J Respir Crit Care Med

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“…Findings of the present study are supported by many studies in literature and state that pain perception is flexible and varies dependent on personality traits and specifically dependent on trait neuroticism. [16,24,25] Patients with a neurotic personality should be treated with greater care and provided with greater psychological support throughout orthodontic treatment. [22] Contrary to the results of the present study, many studies are cited in the literature which shows that personality characteristics do not have any effects on pain perception.…”

Section: Discussionmentioning

confidence: 99%

Effect of the personality traits of the patient on pain perception and attitude toward orthodontic treatment

Kadu

Chopra²,

Jayan

et al. 2015

J Indian Orthod Soc

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A successful orthodontic treatment is largely dependent on the knowledge and skills of the clinician and the cooperation of patients and also that of the parents, in case of children and adolescent patients. Major considerations regarding patient cooperation are regularity in keeping appointments, compliance in wearing elastics, headgear or wearing removable appliances, refraining from chewing hard and tenacious substances that are likely to distort the arch wires, and remove bonded brackets and maintenance of oral hygiene. Laxity in following these instructions may lead not only to compromised treatment but also to slow progress of treatment, loss of chair time, increased number of visits to the orthodontist and frustration for the clinician, patient, and parents.Personality traits, pain perception and attitude of the patient toward orthodontic treatment can be important factors influencing cooperation of the patient and knowledge of their interrelationship will help to gain maximum cooperation from the patient and thereby optimal treatment results. Discomfort and pain are common during orthodontic treatment. Approximately, 90% to 95% of orthodontic patients are reported to experience pain during the course of orthodontic treatment. [1] In orthodontics, the main cause of pain is the application of forces to induce tooth movement. Pain is also influenced by motivation, gender, and personality factors. [2] Pain and discomfort can be one of the important discouraging factors for orthodontic treatment.It is very important to understand the personality of the patient, pain perception, and attitude toward treatment so as to customize the treatment protocol to achieve optimum

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“…Anxiety is the affective state most closely associated with acute pain (Stembach 1968). Emotion, such as anxiety, will intensify the pain experienced (Parbrook et al 1973). This is caused by arousal of the RF and cortex, which increases perception of noxious stimuli (Chapman 1979).…”

Section: Cognitive/affective Responsesmentioning

confidence: 99%

Responses to acute pain and the nursing implications

Wells

1984

J Adv Nurs

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Management of acute pain offers many techniques--peripherally, to reduce the sensory input from the nociceptors and ascending fibres, and centrally by altering cognition, evaluation and emotional arousal to the sensory input. Scientifically-based nursing intervention is imperative. Therefore, nurses needed a better understanding of recent research regarding pain. As well, recognition that all individuals express and cope with pain in different ways, and therefore exhibit different pain behaviours, is necessary if effective nursing care is to be given. Finally, with all the interacting variables and methods of intervention available, pain medication should never be the only intervention used for the patient with pain.

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Personality assessment and postoperative pain and complications

Cited by 16 publications

References 8 publications

Effects of laparoscopic cholecystectomy on global respiratory muscle strength.

Effects of laparoscopic cholecystectomy on global respiratory muscle strength.

Effect of the personality traits of the patient on pain perception and attitude toward orthodontic treatment

Responses to acute pain and the nursing implications

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