Pain, psychological distress and health-related quality of life at baseline and 3 months after radical prostatectomy
Open accessAbstract
BACKGROUND: Inadequate management of postoperative pain is common, and postoperative pain is a risk factor for prolonged pain. In addition to medical and technical factors, psychological factors may also influence the experience of postoperative pain. METHODS: Pain was measured postoperatively at 24, 48, and 72 hr in hospital and after 3 months at home in 140 patients undergoing radical prostatectomy (RP). Patients answered questionnaires about anxiety and depression (HAD scale) and health-related quality of life (SF-36) at baseline and 3 months after surgery. RESULTS: In the first 3 postoperative days, mild pain was reported by 45 patients (32%), moderate pain by 64 (45%), and severe pain by 31 (22%) on one or more days. High postoperative pain scores were correlated with length of hospital stay and with high pain scores at home. Forty patients (29%) reported moderate (n = 35) or severe (n = 5) pain after discharge from hospital. Patients who experienced anxiety and depression preoperatively had higher postoperative pain scores and remained anxious and depressed 3 months after surgery. The scores for the physical domains in the SF-36 were decreased, while the mental health scores were increased at 3 months. Anxiety and depression were negatively correlated with all domains of the SF-36. CONCLUSION: There is a need for nurses to be aware of the psychological status of RP patients and its impact upon patients' experience of postoperative pain and recovery. The ability to identify patients with psychological distress and to target interventions is an important goal for future research.
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Education and awareness about problems can significantly lower psychological stress.
“Though there may be considerable variations between the patients’ and urologists’ evaluation of performance status, pain, and pain relief [17], awareness and education about these problems as well as continued attempts to resolve them, or to cope better with them, can significantly reduce psychological stress [18].”
From Prostate cancer: Psychosocial implications and management (2008) · cites this paper as [18]
The Discussion reports that preoperative nursing interventions have had a positive effect on anxiety, and the Conclusion calls for further education about the psychological consequences of radical prostatectomy. The paper does not establish that education and awareness themselves significantly reduce psychological stress; it identifies targeted interventions as a goal for future research. (LLM, conf=0.81)
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- Authors
- Ene, K. W., Nordberg, G., Johansson, F. G., & Sjöström, B.
- Affiliations
- University of Gothenburg (SE)
- Sahlgrenska University Hospital (SE)
- University of Skövde (SE)
- Corresponding author
- Ene, Kerstin Wickström
- Venue
- BMC Nursing
- Published
- 2006-11-01
- Volume
- 5
- Issue
- 1
- Pages
- 8-8
- ISSN
- 1472-6955 (ISSN-L)
- PMC
- PMC1635551
- OpenAlex
- W2167774606
- Cited by
- 45
- References
- 37
- Citations by year
- 2024: 2 · 2023: 3 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 2 · 2012: 3
- FWCI
- 1.74
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Nursing (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Västra Götalandsregionen
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- radical prostatectomy, postoperative pain, psychological distress, anxiety, depression, health-related quality of life, length of hospital stay, postoperative recovery, nursing care
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