The Effect of Preoperative Pain, Fear, and Anxiety on Postoperative Pain in Urological Surgery Patients: A Descriptive and Correlational Study

Abstract

The study was conducted to determine the effect of preoperative pain, fear, and anxiety on postoperative pain and analgesia use in urology patients. A descriptive and correlational design was used. The population of the study consisted of patients who were hospitalized in the Urology clinic of a university hospital and were planning surgery. The sample consisted of 106 patients who met the inclusion criteria and agreed to participate in the study. The study's data was collected using the Personal Information Form, Analgesia Follow-up Form, Surgical Fear Questionnaire, Surgical Anxiety Questionnaire, and Visual Analog Scale prepared in line with the literature. Descriptive statistics, Pearson correlation coefficient, and linear regression analysis were used to evaluate the data. A positive linear relationship was found between postoperative pain and surgical anxiety, surgical fear, and preoperative pain (P<.05). Regression analysis revealed that preoperative pain (P=.006) affected the level of postoperative pain. In addition, fear of surgery (P=.035) and postoperative pain (P=.000) were found to affect the use of postoperative 24-hour analgesia. The study revealed a relationship between the postoperative pain experienced by the patients and preoperative pain, fear, and anxiety.