Hodnocení bolesti operačních ran po angiochirurgických výkonech

Title in English Pain assessment of surgical wounds after angio-surgical interventions


Year of publication 2019
Type Article in Periodical
Magazine / Source Ceska a slovenska neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

Web http://dx.doi.org/10.14735/amcsnn2019S44
Doi http://dx.doi.org/10.14735/amcsnn2019S44
Keywords pain assessment; post-operative pain; surgical wound; angio-surgical intervention
Description Aim: The aim of the prospective study was to analyze the intensity of pain after surgery, perception of discomfort and post-operative pain, and the overall life feelings related to the intervention treatment. Patients and methods: The sample comprised 76 patients who had been admitted and underwent a vascular surgical procedure of an abdominal aortic aneurysm / iliac aneurysm (21.05%), femoral/popliteal aneurysm (23.68%), aortoiliac occlusive disease (3.95%), and infrainguinal occlusive disease (51.32%). The patients evaluated the pain intensity, discomfort of the pain, and the overall life feelings on a Visual Analogue Scale. The scale assessment was tested 0-7th day post-operatively through the Fisher's exact test, the chi-squared test was used for the gender, diagnosis, surgery type, anesthesiology risk, comorbidity, and complications related to the surgical intervention. A 5% level of significance was used for the testing. Results: When assessing the pain intensity, discomfort of pain, and the perception of overall life feelings, there was find a significant difference in relation with the type of the surgical intervention, diagnosis. Conclusion: Pain management is an important part of post-operative care. A systematic pain assessment is necessary to manage the pain appropriately. The highest intensity of pain was measured in patients after redo surgery, the worst discomfort and overall feeling were recorded in patients after abdominal aortic/pelvic artery aneurysm resection, while the highest intensity of pain and the worst overall feeling were measured in the first postoperative days with decreasing tendency over the time.
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