Volume 21 Issue 12
Dec.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(12): 2060-2063
YAO Guomei, YAO Hongying, SHEN Yunxia, CAO Liying, JIN Chaojie. The role of sleep quality and anxiety-depression on preoperative pain catastrophizing and early postoperative pain in patients undergoing abdominal surgery[J]. Chinese Journal of General Practice, 2023, 21(12): 2060-2063. doi: 10.16766/j.cnki.issn.1674-4152.003290
Citation: YAO Guomei, YAO Hongying, SHEN Yunxia, CAO Liying, JIN Chaojie. The role of sleep quality and anxiety-depression on preoperative pain catastrophizing and early postoperative pain in patients undergoing abdominal surgery[J]. Chinese Journal of General Practice, 2023, 21(12): 2060-2063. doi: 10.16766/j.cnki.issn.1674-4152.003290
shu

The role of sleep quality and anxiety-depression on preoperative pain catastrophizing and early postoperative pain in patients undergoing abdominal surgery

doi: 10.16766/j.cnki.issn.1674-4152.003290

  • Operating Room, Linping Hospital, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang 311100, China

Funds:

 2023XY011

  • Received Date: 2023-05-24
    Abstract
  •   Objective  To explore the mediating effects of sleep quality, anxiety-depression on pain catastrophizing before surgery and early postoperative pain in patients undergoing abdominal surgery. The findings will contribute to the development of intervention programs aimed at reducing early postoperative pain.  Methods  A total of 206 patients who underwent abdominal surgery at Linping Hospital, the Second Affiliated Hospital of Zhejiang University School of Medicine, from January 2021 to January 2022 were selected for evaluation. The evaluation was conducted using the pain catastrophizing scale (PCS), hospital anxiety and depression scale (HADS), Pittsburgh sleep quality index (PSQI) and visual analog scale (VAS). Pearson correlation analysis was used to investigate the correlation between sleep quality, anxiety-depression in preoperative pain catastrophizing and early postoperative pain in abdominal surgery patients. Additionally, a mediating effect test was conducted.  Results  A total of 206 questionnaires were distributed, and 192 valid questionnaires were collected, resulting in a response rate of 93.20%. The sample consisted of 104 males and 88 females, with an average age of (54.95±7.89) years. Pearson correlation analysis showed significant positive correlations between preoperative pain catastrophizing and early postoperative pain, anxiety-depression, as well as sleep quality (r=0.813, 0.745, 0.792, all P < 0.001), and early postoperative pain was significantly positively correlated with anxiety-depression and sleep quality (r=0.834, 0.842, all P < 0.001). The results of the Bootstrap method indicated that the mediating effect value for the three pathways was 0.106, according for 62.35% of the total effect. Specifically, the mediating ratio of path 1 (preoperative pain disaster → anxiety-depression → early postoperative pain) was 31.76%, and the mediating ratio of path 2 (preoperative pain disaster → sleep quality → early postoperative pain) was 15.29%. Path 3 (preoperative pain disaster → anxiety-depression → sleep quality → early postoperative pain) accounted for 15.29% of the total mediating effect.  Conclusion  Preoperative pain catastrophizing is associated with early pain in patients undergoing abdominal surgery. Additionally, sleep quality, anxiety-depression have an influence on both preoperative pain catastrophizing and early postoperative pain.

     

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