The relationship between Postoperative Pain after Cesarean Section with Pre and Postoperative Anxiety

Document Type : Original Article


1 M.Sc. Student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

2 Assistant professor, Department of Midwifery, Evidence-Based Caring Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

3 Assistant professor, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran


Introduction: The intensity of anxiety and pain is not the same in all people. In other words, pain experience in patients is affected by past experiences of pain, anxiety and expectation of pain relief. So, this study was performed with aim to investigate the relationship between postoperative pain after cesarean section with pre and postoperative anxiety.
Methods: This correlation study was conducted on 101 pregnant women referred to Mashhad Omolbanin hospital who underwent elective caesarean section in 2015. Sampling was performed by accessible method. To assess preoperative anxiety, the patients completed Spielberger questionnaire2-3 hours before surgery. 1.5-2.5 hours after surgery, anxiety was evaluated by Spielberger questionnaire and pain was measured by short form of Mcgill pain questionnaire and visual analogue scale. Data were analyzed by SPSS software (version 16), Chi-square, Spearman and Pearson correlation tests by controlling the time. PResults: from 101 studied cases, 67 patients)66.4%( had moderate state preoperative anxiety and 64 (63.4%) moderate trait preoperative anxiety and 78 (77.2%) moderate  state postoperative anxiety and 53 (52.5%) had moderate postoperative pain. There was no significant correlation between preoperative state anxiety (r=-0.01 ,P=0.91) and trait anxiety (r=0.018 , P=0.86) with postoperative pain. But, significant relationship was observed between postoperative state anxiety and postoperative pain (r=0.32 ,P=0.001).
Conclusion: There is a significant relationship between postoperative anxiety and postoperative pain in cesarean section. So, it is better to consider the methods of reducing anxiety to decrease the patient's pain.


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