Patient Communication before General Anesthesia to Reduce Post-Operative Pain and Agitation after Endoscopic Sinus Surgery: A Randomized Clinical Trial

  • Seyed Reza Mazloom Department of Nursing, Mashhad University of Medical sciences, Mashhad, Iran
  • Fatemeh Navidi Department of Anesthesiology, Tehran University of Medical sciences, Tehran, Iran
  • Fatemeh Hajimohammadi Department of Anesthesiology, Tehran University of Medical sciences, Tehran, Iran
  • Behrooz Amirzargar Department of Otolaryngology Head and Neck Surgery, Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Bahram Ali Ghanbari Hashemabadi Department of Education and Psychology, Mashhad University of Medical sciences, Mashhad, Iran
  • Mohammad Reza Majidi Department of Otolaryngology Head and Neck Surgery, Mashhad University of Medical sciences, Mashhad, Iran
  • Reza Jalaeian Department of Anesthesiology, Mashhad University of Medical sciences, Mashhad, Iran
  • Mehrdad Behzadi Department of Anesthesiology, Tehran University of Medical sciences, Tehran, Iran
  • Mehrdad Jafari Department of Otolaryngology Head and Neck Surgery, Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran
Keywords: communication, pain, agitation, general anesthesia, surgery

Abstract

Background: Patients often name post-operative pain as the most horrifying aspect of the surgery. The purpose of this study was to evaluate the effect of communication with patients on post-operative pain and agitation in the patients recovering from endoscopic sinus surgery.Methods: This was a randomized clinical trial. Sixty patients scheduled for endoscopic sinus surgery were randomly allocated to control and intervention groups (30 patients in each group). A supportive and informative session was established for 20-30 minutes in two stages for the intervention group while the control group received routine information. After surgery, pain and agitation were assessed using the non-verbal pain scale, visual analog scale and Riker's sedation-agitation score.Results: The average pain scores in the recovery room by non-verbal pain scale and visual analog scale were (3.4±1.6) and (6.2±3.0) for the control group and (1.2±1.5) and (3.0±3.3) for the intervention group, respectively (P≤0.001). The average agitation score in the recovery room for the control group and the intervention group were (4.6±0.6) and (4.1±0.3), respectively (P=0.008).Conclusion: The results demonstrate that simple communication techniques before the surgery can be effective in reducing post-operative pain and agitation in patients recovering from endoscopic sinus surgery.This clinical trial was registered from IRCT with registration number IRCT201404278589N3. 

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Published
2017-06-12
How to Cite
1.
Mazloom SR, Navidi F, Hajimohammadi F, Amirzargar B, Ghanbari Hashemabadi BA, Majidi MR, Jalaeian R, Behzadi M, Jafari M. Patient Communication before General Anesthesia to Reduce Post-Operative Pain and Agitation after Endoscopic Sinus Surgery: A Randomized Clinical Trial. AACC. 3(3):348-53.
Section
Research Article(s)