PREDICTION OF POSTOPERATIVE PAIN ON THE BASIS OF THE PSYCHOLOGICAL
CHARACTERISTICS OF PATIENTS AND STANDARD PAIN STIMULI
Stepanova I.V., Shchelkova O.V., Lebedinskiy K.M., Mazurok V.A.
North-Western State Medical University named after I.I. Mechnikov, 191015, St. Petersburg, Russia;
St.Petersburg State University, 199034, St. Petersburg, Russia
Practical physicians do not have instruments for objective pain assessment despite recent advances of
neurophysiology and pain pharmacology. The article deals with the study of relations between preoperative
pain sensitivity (finger prickand venipuncture) and pain level after surgery. 60 patients involved in the study
were divided into two groups. Pain sensitivity was assessed in all patients by visual analogue scale before
surgery, after awaking, in 1 hour and in 3 hours after awaking and in 1 day after the surgery. Psychological
status of patients was assessed by integration anxious test, neurotic disorders questionnaire and type of
attitude to the disease questionnaire. All patients were assessed by 70 criteria (54 psychological). Results of
the study show that postoperative pain syndrome is affected by different psychophysiological factors.
Therefore it is diffi cult to forecast the level of postoperative pain syndrome.
Key words: postoperative pain, forecasting, standard pain stimuli, psychological factors
AN-1303-063
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