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Adaptation to illness in relation to pain perceived by patients after surgery

Authors Chabowski M, Junke M, Juzwiszyn J, Milan M, Malinowski M, Janczak D

Received 11 December 2016

Accepted for publication 18 April 2017

Published 23 June 2017 Volume 2017:10 Pages 1447—1452

DOI https://doi.org/10.2147/JPR.S129936

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr E. Alfonso Romero-Sandoval

Mariusz Chabowski,1,2 Michał Junke,1 Jan Juzwiszyn,1 Magdalena Milan,1 Maciej Malinowski,1,2 Dariusz Janczak1,2

1Division of Surgical Specialties, Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, 2Department of Surgery, 4th Military Teaching Hospital, Wroclaw, Poland

Background: Pain is one of the factors that decrease quality of life. Undergoing surgery is inevitably associated with the sensation of pain, which can affect a patient’s level of acceptance of an illness. The aim of the study was to evaluate the level of acceptance of illness in patients undergoing surgical treatment with relation to the pain perceived by them during surgical treatment and to determine other factors that affect adaptation to illness among patients subjected to invasive treatment.
Material and methods: The study was conducted on a group of 100 patients with mean age of 51.27 (SD=18.98) hospitalized in surgery departments in the Provincial Specialist Hospital in Wrocław, Poland, in April 2016. The Acceptance of Illness Scale (AIS) and the Visual Analog Scale (VAS) for pain were used.
Results: The mean score of VAS was 3.86 (SD =2.02). The mean score of AIS was 24.42 (SD =7.35). The level of acceptance of illness was significantly negatively correlated with the intensity of pain (p<0.001; r=−0.498), the number of coexisting diseases (p=0.002; r=−0.31), age (p<0.001; r=−0.391), and the period of time since the operation (p=0.007; r=−0.266). Patients taking analgesics showed a significantly lower acceptance of illness than those who did not (p=0.009). A patient’s place of living, education, and sex had no significant impact on their acceptance of illness.
Conclusion: A higher level of pain translates into a lower adaptation to illness despite the use of analgesics, which may indicate that inadequate pain control leads to a decrease in the acceptance of illness. Further research on monitoring postoperative pain, as well as the development of postoperative prevention programs, is required.

Keywords: pain, acceptance of illness, surgical treatment, postoperative pain

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