Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Anxiety and Pain in Surgically Treated Breast Cancer Patients

  • Published : 2015.06.03
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Abstract

The aim of the study was to evaluate the level of anxiety and pain in women with breast cancer. Patients who had been treated with modified radical mastectomy or breast conserving surgery were included. Data were gathered using the state-trait anxiety inventory and the visual analog scale. The pain levels and analgesic consumption of the patients were evaluated after surgery. The study sample consisted of 150 women. The mean age of the participants was $50.54{\pm}10.02$. Most of the patients (58%) received breast conserving surgery. The mean state anxiety score was $44.74{\pm}11.91$, and the mean trait anxiety score was $48.78{\pm}9.48$ before surgery. The mean pain level on the first day following surgery was $3.26{\pm}1.91$ and analgesic consumption was $2.98{\pm}1.08$. There was no correlation between patient pain and anxiety levels. There was very slightly positive correlation between trait anxiety and total analgesic consumption. Assessing the levels of anxiety in breast cancer patients before surgery may contribute to the determination of postoperative pain.

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References

  1. Alacacıoglu A, Yavuzsen T, Dirioz M et al (2007). Changes in anxiety levels patients with cancer receiving chemotherapy. Int J Hematol Oncol, 2, 87-93.
  2. Dastan NB, Buzlu S (2011). Depresion and anxiety levels in early stage Turkish breast cancer patients and related factors. Asian Pac J Cancer Prev, 12, 137-141.
  3. Caumo W, Schmidt AP, Schneider CN et al (2001). Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scand, 45, 298-307. https://doi.org/10.1034/j.1399-6576.2001.045003298.x
  4. Cimilli C (2001). Anxiety in surgery. Klinik Psikiyatri, 4, 182-186.
  5. Cocelli LP, Bacaksız BD, Ovayolu N (2008). The nurse factor in pain therapy. Gaziantep Tip Dergisi, 14, 53-58.
  6. Dastan NB, Buzlu S (2011). Depression and anxiety levels in early stage Turkish breast cancer patients and related factors. Asian Pac J Cancer Prev, 12, 137-141.
  7. Aslan FE (2002). The assessment methods of pain. Cumhuriyet Universitesi Hemsirelik Yuksekokulu Dergisi, 6, 9-16.
  8. Aslan FE, Kayis A, Inanir I et al (2011). Prevelance of cancer pain in outpatients registered to a cancer therapy center in Turkey. Asian Pac J Cancer Prev, 12, 1373-5.
  9. Erdem D, Ugis C, Albayrak D et al (2011). The effects of anesthesia procedures in preoperative and postoperative anxiety and pain levels in perianal surgery patients. Med J Bakırkoy, 7, 11-16.
  10. Katz J, Poleshuck EL, Andrus CH et al (2005). Risk factors for acute pain and its persistence following breast cancer surgery. Pain, 119, 16-25. https://doi.org/10.1016/j.pain.2005.09.008
  11. Liao MN, Chen PL, Chen MF et al (2010). Effect of supportive care on the anxiety of women with suspected breast cancer. J Adv Nurs, 66, 49-59. https://doi.org/10.1111/j.1365-2648.2009.05139.x
  12. Montgomery GH, David D, Goldfarb AB et al (2003). Sources of anticipatory distress among breast surgery patients. J Behav Med, 26, 153-164. https://doi.org/10.1023/A:1023034706298
  13. Oner N, Le Compte A (1983). Sureksiz durumluk/surekli kaygi envanteri el kitabi, 1. baski, istanbul: bogazici universitesi yayinlari.
  14. Ozmen V (2008). Breast cancer in the world and Turkey. J Breast Health, 4, 7-12.
  15. Ozmen V, Ozcinar B, Karanlik H et al (2009). Breast cancer risk factors in Turkish women-a University Hospital based nested case control study. World J Surg Oncol, 7, 1-8. https://doi.org/10.1186/1477-7819-7-1
  16. Ozalp G, Sarıoglu R, Tuncel G et al (2003). Preoperative emotional states in patients with breast cancer and postoperative pain. Acta Anaesthesiol Scand, 47, 26-9. https://doi.org/10.1034/j.1399-6576.2003.470105.x
  17. Oztunc G, Yesil P, Paydas S et al (2013). Social support and hopelessness in patients with breast cancer. Asian Pac J Cancer Prev, 14, 571-8. https://doi.org/10.7314/APJCP.2013.14.1.571
  18. Pedersen AE, Sawatzky JA, Hack TF (2010). The sequelae of anxiety in breast cancer: a human response to illness model. Oncol Nurs Forum, 37, 469-475. https://doi.org/10.1188/10.ONF.469-475
  19. Reddick BK, Nanda JP, Campbell L et al (2005). Examining the influence of coping with pain on depression, anxiety, and fatigue among women with breast cancer. J Psychosoc Oncol, 23, 137-157.
  20. Rizalar S, Ozbas A, Akyolcu N et al (2014). Effect of perceived social support on psychosocial adjustman of Turkish patients with breast cancer. Asian Pac J Cancer Prev, 15, 3429-34. https://doi.org/10.7314/APJCP.2014.15.8.3429
  21. Schou I, Ekeberg O, Karesen R et al (2008). Psychosocial intervention as a component of routine breast cancer care- who participates and does it help. Psychooncology, 17, 716-720. https://doi.org/10.1002/pon.1264
  22. Schnur JB, Hallquist MN, Bovbjerg DH et al (2007). Predictors of expectancies for post-surgical pain and fatigue in breast cancer surgical patients. Pers Individ Dif, 42, 419-29. https://doi.org/10.1016/j.paid.2006.07.009
  23. Stephens PA, Osowski M, Fidale MS et al (2008). Identifying the educational needs and concerns of newly diagnosed patients with breast cancer after surgery. Clin J Oncol Nurs, 12, 253-8. https://doi.org/10.1188/08.CJON.253-258
  24. Tuncer G, Yucel SC (2014). Comfort and anxiety levels of women with early stage breast cancer who receive radiotherapy. Asian Pac J Cancer Prev, 15, 2109-14. https://doi.org/10.7314/APJCP.2014.15.5.2109
  25. Vadivelu N, Schreck M, Lopez J et al (2008). Pain after mastectomy and breast reconstruction. Am Surg, 74, 285-296.
  26. Vaughn F, Wichowski H, Bosworth G (2007). Does preoperative anxiety level predict postoperative pain. AORN J, 85, 589-604. https://doi.org/10.1016/S0001-2092(07)60130-6
  27. Yilmaz SG, Arslan S (2015). Effects of progressive relaxation exercises on anxiety and comfort of Turkish breast cancer patients receiving chemotherapy. Asian Pac J Cancer Prev, 16, 217-220. https://doi.org/10.7314/APJCP.2015.16.1.217