Subjective Evaluation of Pain Ailments Occurring in Neurosurgical Patients
Keywords
pain, pain after surgery, pain in neurosurgeryAbstract
Background. The International Association for the Study of Pain has defined pain as an unpleasant sensory and emotional sensation caused by tissue damage or damage risk, or related to such a damage.
Aim. The aim of the study was to assess the pre- and postoperative pain in neurosurgical patients. The following were assessed: 1) level of pain intensity in a patient before and after an operation, 2) frequency of occurrence of pain in a patient before and after an operation, and 3) influence of pain on functional efficiency of a patient before and after an operation.
Material and method. Researches were performed on Neurosurgical Ward of Provincial Hospital in Włocławek. Researches included 118 patients. Diagnostic survey with use of inquiry form was applied in the research. Survey questionnaire was formed in order to collect information on subjective feelings of examined patients upon subject of pain discomfort before and after the surgery. To assess an intensity of pain discomfort before and after surgery, pain scale called Visual Analogue Scale (VAS) was applied modified for the needs of visual-analogue examination, while the scale called Verbal Rating Scale (VRS) was used to assess the frequency of pain occurrence. Functional Capacity Scale (FCS) was applied for assessment of functional endurance of patient before and after surgery.
Results. Significant statistical differences have been observed as for the intensity of pain before and after the operation (p<0.05), with the frequency of pain before and after the procedure (p<0.05) and the influence of the pain ailments on the functional efficiency of the patiens before and after the operation (p<0.05).
Conclusions. The level of intensity of pain ailments before an operation was muchhigher in comparison with the postoperative period. Pain ailments occurred more frequently before an operation. To a significant extent pain limited patients’ functional efficiency before an operation in comparison with the postoperative period.
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