Cultural and psychological determinants of pain assessment during lower limb angioplasty

Michal Goran Stanišić , Teresa Rzepa , Jarosław Nakonieczny , Przemysław Kubaszewski , Maciej Putowski , Marta Popek , Liougkos Athanasios

Abstract

Introduction. It is a common unofficial perception of surgeons performing endovascular operations that patients living in the different social and economic environment assess pain differently during peripheral angioplasty procedures. The objective was to examine the differences in assessing pain experienced during endovascular arterial interventions on lower limbs, by Polish and German patients, and to analyse the psychological determinants of the assumed differences, by referring to mental dispositions such as optimism and satisfaction with own life quality. Material and methods. 101 patients were qualified for endovascular intervention on lower limbs arteries — 51 Germans (M = 67.31; SD = 9.82) and 50 Poles (age M = 67.88; SD = 8.4). 37 women and 64 men were classified as Rutherford category 2–3. Three scales were applied: 1. Life Orientation Test-Revised 2. Satisfaction With Life Scale 3. Pain Appraisal Scale which comprises emoticons showing subsequent degrees of sustained pain and the corresponding Visual Analogue Scale. Results. The patients from Poland graded their life quality lower than the German patients (M = 23.44; SD = 5.977 and M = 25.94; SD = 5.584). The Poles presented a lower level of optimism (M = 15.04; SD = 3.703 vs M = 15.8; SD = 3.516). The Polish patients classified the level of pain during lower limb angioplasty as higher than in German patients (M = 4.22; SD = 2.999 and M = 2.88; SD = 2.215) (p < 0.012). Conclusions. Resistance to pain experienced during endovascular procedures probably depends on the assessment of the patient’s current life situation, determined by satisfaction with own life quality and related optimism. With great caution, it might also be supposed that resistance to pain depends on the life standard typical of a given population.
Author Michal Goran Stanišić
Michal Goran Stanišić,,
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, Teresa Rzepa (Wydział Zamiejscowy w Poznaniu)
Teresa Rzepa,,
- Wydział Zamiejscowy w Poznaniu
, Jarosław Nakonieczny
Jarosław Nakonieczny,,
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, Przemysław Kubaszewski
Przemysław Kubaszewski,,
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, Maciej Putowski
Maciej Putowski,,
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, Marta Popek
Marta Popek,,
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, Liougkos Athanasios
Liougkos Athanasios,,
-
Journal seriesActa Angiologica, ISSN 1234-950X, e-ISSN 1644-3276, (B 10 pkt)
Issue year2018
Vol24
No1
Pages9-13
Publication size in sheets0.5
Keywords in English lower limb angioplasty, pain measurement, social determinants
ASJC Classification2705 Cardiology and Cardiovascular Medicine
DOIDOI:10.5603/AA.2018.0002
URL https://journals.viamedica.pl/acta_angiologica/article/view/AA.2018.0002/43791
Languageen angielski
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Rzepa T., Cultural and psychological_ art_2018.pdf 125.34 KB
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Rzepa T., Cultural and psychological_ośw..pdf 20.9 KB
Score (nominal)10
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2016 = 0.05
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