Pain, psychological distress and health-related quality of life at baseline and 3 months after radical prostatectomyReportar como inadecuado

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BMC Nursing

, 5:8

First Online: 01 November 2006Received: 29 September 2006Accepted: 01 November 2006


BackgroundInadequate 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.

MethodsPain 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.

ResultsIn 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.

ConclusionThere 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.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6955-5-8 contains supplementary material, which is available to authorized users.

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Autor: Kerstin Wickström Ene - Gunnar Nordberg - Fannie Gaston Johansson - Björn Sjöström


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