Article
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Gaining Insight Into Teenagers' Experiences of Pain After Laparoscopic Surgeries; A Prospective Study
Version 1
: Received: 23 February 2024 / Approved: 26 February 2024 / Online: 26 February 2024 (11:41:46 CET)
A peer-reviewed article of this Preprint also exists.
Visoiu, M.; Chelly, J.; Sadhasivam, S. Gaining Insight into Teenagers’ Experiences of Pain after Laparoscopic Surgeries: A Prospective Study. Children 2024, 11, 493. Visoiu, M.; Chelly, J.; Sadhasivam, S. Gaining Insight into Teenagers’ Experiences of Pain after Laparoscopic Surgeries: A Prospective Study. Children 2024, 11, 493.
Abstract
There is an anecdotal impression that teenage patients report exaggerated postoperative pain scores that do not correlate with their actual level of pain. Nurse and parental perception of teenagers' pain can be complemented by knowledge of patient pain behavior, pain catastrophizing thoughts, anxiety, and mood level. Two hundred two patients completed the study: 56.4% female, 89.6% White, 5.4% Black, and 5% other race. Patient ages ranged from 11 to 17 years (mean = 13.8, SD = 1.9). The patient, the parent, and the nurse completed multiple questionnaires on day one after laparoscopic surgery to assess patient pain. Teenagers and parents (r=0.56) have a high level of agreement, and teenagers and nurses (r=0.47) have a moderate level of agreement on pain scores (p <0.05). The correlation between patient APBQ (Adolescent Pain Behavior Questionnaire) and teenager VAS (Visual Analog Scale ) and between nurse APBQ and teenager VAS, while statistically significant (p < 0.05), is weaker (r range = 0.14-0.17). There is a moderate correlation between teenagers' pain scores and their psychological assessments of anxiety, catastrophic thoughts, and mood (r range= 0.26 – 0.39; p <0.05). A multi-modal evaluation of postoperative pain can be more informative than only assessing self-reported pain scores.
Keywords
Teenager Postoperative Pain; Visual Analog Pain Scale; Pain Behaviour; Pain Catastrophizing Thoughts; Anxiety; Mood; Laparoscopic Surgeries
Subject
Medicine and Pharmacology, Anesthesiology and Pain Medicine
Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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