• Iuliana Zavadovschi.
• Rev Med Chir Soc Med Nat Iasi. 2014 Jul 1;118(3):706-11.

AimA comparative analysis of the influence of psychosocial factors on pain perception in preoperative and postoperative period in patients scheduled for abdominal surgery.Material And MethodsA psychological assessment was performed in 50 patients without psychiatric history scheduled for abdominal surgery. The verbal expression of pain, intensity of anxiety, catastrophizing level, and the interpersonal relationships were assessed.ResultsSurgery has a powerful effect on the perception of pain intensity. Postoperatively patients perceive significantly lower pain than in the preoperative period (p = 0.001). In the postoperative period the patients mainly use emotional and evaluative verbal expressions (p = 0.000 and p = 0.000, respectively), have a high index of anxiety (p = 0.000), adopt a higher level of coping self-statements (p = 0.002), and have a higher level of perception of others (family, friends) (p = 0.005).ConclusionsIn patients undergoing surgery, surgery affects their psyche, triggering a series of events that can have psychological effects on pain intensity, doctor-patient relationship, postoperative complications, and shortening of recovery time.

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