Pain and wound healing in surgical patients
| Autor: | Stephanie L. Dickinson, Stanley Lemeshow, Ronald Glaser, W.S. Melvin, Peter Muscarella, Lynanne McGuire, Kathi L. Heffner, E. C. Ellison, William B. Malarkey, Charles H. Cook, Janice K. Kiecolt-Glaser, Bradley Needleman |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Population Gastric Bypass Pain medicine.disease_cause medicine Humans Obesity Prospective Studies education Prospective cohort study General Psychology Depression (differential diagnoses) Wound Healing education.field_of_study integumentary system Depression Gastric bypass surgery business.industry Length of Stay Middle Aged Surgery Clinical trial Psychiatry and Mental health Elective Surgical Procedures Anesthesia Female Elective Surgical Procedure Wound healing business Surgical patients |
| Zdroj: | Annals of Behavioral Medicine. 31:165-172 |
| ISSN: | 1532-4796 0883-6612 |
| DOI: | 10.1207/s15324796abm3102_8 |
| Popis: | Background: Human and animal laboratory studies have shown that stress delays healing of standardized punch biopsy wounds. Purpose: This 5-week prospective study of 17 women who underwent elective gastric bypass surgery addressed the association between postsurgical pain intensity and subsequent healing of a standard 2.0-mm punch biopsy wound. Methods: Participants were assessed 1 week before surgery, within 3 hr before surgery, 1 to 3 days postsurgery, and at weekly intervals for 4 weeks following surgery. Results: Patient ratings of greater acute postsurgical pain, averaged over Days 1 and 2 postsurgery, and greater persistent postsurgical pain, averaged over 4 weekly postsurgery pain ratings, were significantly associated with subsequent delayed healing of the punch biopsy wound. Presence of depressive symptoms on the day of surgery, pre-existing persistent pain, and medical complications following initial discharge from the hospital were not related to wound healing. Depressive symptoms on the day of surgery and pre-existing persistent pain did predict persistent postsurgical pain intensity. Conclusions: These findings extend the previous laboratory models of wound healing to a surgical population, providing the first evidence that pain plays an important role in postsurgery wound healing, a key variable in postsurgical recovery. |
| Databáze: | OpenAIRE |
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