Stress symptoms among adolescents before and after idiopathic scoliosis surgery and the correlations with postoperative pain / 中国实用护理杂志

ABSTRACT

Objective To describe stress symptoms among adolescents before and after idiopathicscoliosis surgery and to explore correlations with postoperative pain. Methods A cohort of 28 adolescentpatients aged 13-18 with idiopathic scoliosis. The Trauma Symptom Checklist for Children- Alternativeversion, Youth Self- Report(YSR) and Kiddie Schedule for Affective Disorder and Schizophrenia forchildren 12-18 were used to assess the adolesents′ experiences before surgery and at six to eight monthsafter surgery. The Visual Analogue Scale was used for self- report of postoperative pain on day three.Results Rates of anxiety/depression of YSR and internalising behaviour were significantly higher beforesurgery than six months after (P=0.05). The level of stress symptoms was positively correlated withpostoperative pain on day three. The level of pain were correlated with preoperative anger, social problemsand attention problems(P=0.02, 0.01, 0.05). Conclusions The results of this study indicate a need forinterventions to reduce perioperative stress and postoperative pain to improve the quality of nursing care.Relevance to clinical practice. Attention to preoperative stress and implementation of interventions todecrease stress symptoms could ameliorate the perioperative process by reducing levels of postoperativepain, anxiety, social and attention problems in the recovery period.