HealthDay News — Attention to preoperative stress in adolescents undergoing scoliosis surgery may reduce levels of postoperative pain as well as anxiety and social and attention problems in the recovery period, according to a study published in the Journal of Clinical Nursing.

Anna-Clara Rullander, RN, PhD, from Umeå University in Sweden, and colleagues assessed 37 adolescents’ experiences before scoliosis surgery and again at 6 to 8 months after surgery.

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The researchers found that rates of anxiety/depression and internalizing behavior were significantly higher before surgery than at 6 months after. There was a significant correlation between preoperative anger, social problems, and attention problems and postoperative pain on day 3. There was a similar correlation between postoperative pain and anxiety, social problems, and attention problems at follow-up.

“The results of this study indicate a need for interventions to reduce perioperative stress and postoperative pain to improve the quality of nursing care,” the authors wrote.


Rullander A, Lundström M, Lindkvist M, Hägglöf B, Lindh V. Stress symptoms among adolescents before and after scoliosis surgery: correlations with postoperative pain. J Clin Nurs. 2016. doi:10.1111/jocn.13137.