Individual factors modifying postoperative pain management in elective total hip and total knee replacement surgery

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cris.lastimport.scopus2025-04-03T03:14:05Z
dc.abstract.enTotal hip and knee replacements are the most common orthopedic procedures performed due to osteoarthritis. Pain is an intrinsic symptom accompanying osteoarthritis, persisting long before surgery, and continuing during the preoperative and postoperative periods. Appropriate pain management after surgery determines the comfort, duration, and cost of hospitalization, as well as the effectiveness of postoperative rehabilitation. Individual differences in pain perception and tolerance in orthopedic patients remain an important research topic. Therefore, the aim of this study was to investigate the predictors of analgesic requirements (morphine, acetaminophen, and ketoprofen), including individual pain threshold and tolerance, body mass index (BMI), diabetes, and beliefs about pain control in patients undergoing elective hip or knee arthroplasty using a multilevel regression model (N = 147, 85 women, 62 men, 107 after hip replacement, and 40 after knee replacement). Results: Higher pain tolerance was associated with a lower dose of morphine per kg after surgery. Patients undergoing hip surgery received a lower dose of ketoprofen than patients undergoing knee surgery. The more the patient believed in personal pain control, the stronger the negative relationship between pain tolerance and morphine requirement. The lowest doses were given to patients with the highest pain tolerance and the greatest belief in personal control. Factors such as belief in pain control and pain tolerance should be considered in comprehensive postoperative pain management in orthopedic patients to reduce opioid doses and, thus, side effects.
dc.affiliationInsytut Psychologii
dc.affiliationWydział Psychologii we Wrocławiu
dc.affiliationInstytut Psychologii
dc.contributor.authorJurewicz, Alina
dc.contributor.authorGąsiorowska, Agata
dc.contributor.authorLeźnicka, Katarzyna
dc.contributor.authorPawlak, Maciej
dc.contributor.authorSochacka, Magdalena
dc.contributor.authorMachoy-Mokrzyńska, Anna
dc.contributor.authorBohatyrewicz, Andrzej
dc.contributor.authorMaciejewska-Skrendo, Agnieszka
dc.contributor.authorPawlus, Grzegorz
dc.date.access2024-01-31
dc.date.accessioned2024-02-09T07:12:03Z
dc.date.available2024-02-09T07:12:03Z
dc.date.created2024-01-23
dc.date.issued2024-01-31
dc.description.abstract<jats:p>Total hip and knee replacements are the most common orthopedic procedures performed due to osteoarthritis. Pain is an intrinsic symptom accompanying osteoarthritis, persisting long before surgery, and continuing during the preoperative and postoperative periods. Appropriate pain management after surgery determines the comfort, duration, and cost of hospitalization, as well as the effectiveness of postoperative rehabilitation. Individual differences in pain perception and tolerance in orthopedic patients remain an important research topic. Therefore, the aim of this study was to investigate the predictors of analgesic requirements (morphine, acetaminophen, and ketoprofen), including individual pain threshold and tolerance, body mass index (BMI), diabetes, and beliefs about pain control in patients undergoing elective hip or knee arthroplasty using a multilevel regression model (N = 147, 85 women, 62 men, 107 after hip replacement, and 40 after knee replacement). Results: Higher pain tolerance was associated with a lower dose of morphine per kg after surgery. Patients undergoing hip surgery received a lower dose of ketoprofen than patients undergoing knee surgery. The more the patient believed in personal pain control, the stronger the negative relationship between pain tolerance and morphine requirement. The lowest doses were given to patients with the highest pain tolerance and the greatest belief in personal control. Factors such as belief in pain control and pain tolerance should be considered in comprehensive postoperative pain management in orthopedic patients to reduce opioid doses and, thus, side effects.</jats:p>
dc.description.accesstimeat_publication
dc.description.issue2
dc.description.physical1-14
dc.description.versionfinal_published
dc.description.volume14
dc.identifier.doi10.3390/life14020211
dc.identifier.eissn2075-1729
dc.identifier.issn0024-3019
dc.identifier.urihttps://share.swps.edu.pl/handle/swps/456
dc.identifier.weblinkhttps://www.mdpi.com/2075-1729/14/2/211
dc.languageen
dc.pbn.affiliationpsychologia
dc.rightsCC-BY
dc.rights.questionYes_rights
dc.share.articleOPEN_JOURNAL
dc.subject.enpressure pain threshold
dc.subject.enpressure pain tolerance
dc.subject.entotal knee replacement
dc.subject.entotal hip replacement
dc.subject.enpain management
dc.subject.enmorphine
dc.subject.enbeliefs about controlling pain
dc.swps.sciencecloudsend
dc.titleIndividual factors modifying postoperative pain management in elective total hip and total knee replacement surgery
dc.title.journalLife
dc.typeJournalArticle
dspace.entity.typeArticle