Pain perception following different neurosurgical procedures: a quantitative prospective study

Contemp Nurse. 2016 Aug;52(4):477-485. doi: 10.1080/10376178.2016.1222240. Epub 2016 Aug 30.

Abstract

Background: Pain following neurosurgery has never been given due attention.

Objective: This was a prospective study to assess pain following various neurosurgical procedures.

Methods: Patients underwent pain assessment on 11-point scale(0-10) for 24 hours following neurosurgery, and analyzed in relation to various factors.

Results: Among total 159 patients, 88(55%), 58(37%) and 13(8%) had undergone cranial, spinal and peripheral nerve procedures respectively. The mean pain score within 12 hours was 3.51(SD ± 2.53), which increased significantly during 13-24 hours to 5.06(SD ± 2.6)(P<0.001). During 13-24 hours, the pain score among those who underwent infratentorial procedures (8.02 ± 2.77) was significantly higher than among those who underwent supratentorial procedures (3.48 ± 1.99)(P<0.001). The pain score of patients who underwent lumbar surgery (6.5 ± 1.93) was significantly higher than of those who underwent cervical surgery (4.04 ± 2.43)(P<0.001). Age and gender did not show any significant influence on pain.

Conclusion: Pain is significantly greater during 13-24 hours after neurosurgery, especially after infratentorial and lumbar surgical procedures, compared to others.

Keywords: infratentorial; lumbar; neurosurgery; nursing; pain.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Age Factors
  • Cranial Nerves / surgery*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neurosurgical Procedures / adverse effects*
  • Pain Measurement / methods
  • Pain Perception*
  • Pain, Postoperative / diagnosis*
  • Pain, Postoperative / etiology*
  • Peripheral Nerves / surgery*
  • Prospective Studies
  • Sex Factors
  • Spinal Nerves / surgery*
  • Time Factors