Joseph Sujka1, Shawn St Peter1, Claudia M Mueller2. 1. Department of Surgery, Children's Mercy Hospital, Kansas City, MO, 64108, USA. 2. Department of Surgery, Stanford University School of Medicine, 300 Pasteur, Alway M116, Stanford, CA, 94305, USA. mueller4@stanford.edu.
Abstract
PURPOSE: The pain experience is highly variable among patients. Psychological mindsets, in which individuals view a particular characteristic as either fixed or changeable, have been demonstrated to influence people's actions and perceptions in a variety of settings including school, sports, and interpersonal. The purpose of this study was to determine if health mindsets influence the pain scores and immediate outcomes of post-operative surgical patients. METHODS: As part of a multi-institutional, prospective, randomized clinical trial involving patients undergoing a minimally invasive pectus excavatum repair of pectus excavatum, patients were surveyed to determine whether they had a fixed or growth health mindset. Their post-operative pain was followed prospectively and scored on a Visual Analog Scale and outcomes were measured according to time to oral pain medication use. RESULTS:Fifty patients completed the Health Beliefs survey, 17 had a fixed mindset (8 epidural, 9 PCA) and 33 had a growth mindset (17 epidural, 16 PCA). Patients with a growth mindset had lower post-operative pain scores than patients with a fixed mindset although pain medication use was not different. CONCLUSION: This is the first usage of health mindsets as a means to characterize the perception of pain in the post-operative period. Mindset appears to make a difference in how patients perceive and report their pain. Interventions to improve a patient's mindset could be effective in the future to improve pain control and patient satisfaction.
RCT Entities:
PURPOSE: The pain experience is highly variable among patients. Psychological mindsets, in which individuals view a particular characteristic as either fixed or changeable, have been demonstrated to influence people's actions and perceptions in a variety of settings including school, sports, and interpersonal. The purpose of this study was to determine if health mindsets influence the pain scores and immediate outcomes of post-operative surgical patients. METHODS: As part of a multi-institutional, prospective, randomized clinical trial involving patients undergoing a minimally invasive pectus excavatum repair of pectus excavatum, patients were surveyed to determine whether they had a fixed or growth health mindset. Their post-operative pain was followed prospectively and scored on a Visual Analog Scale and outcomes were measured according to time to oral pain medication use. RESULTS: Fifty patients completed the Health Beliefs survey, 17 had a fixed mindset (8 epidural, 9 PCA) and 33 had a growth mindset (17 epidural, 16 PCA). Patients with a growth mindset had lower post-operative pain scores than patients with a fixed mindset although pain medication use was not different. CONCLUSION: This is the first usage of health mindsets as a means to characterize the perception of pain in the post-operative period. Mindset appears to make a difference in how patients perceive and report their pain. Interventions to improve a patient's mindset could be effective in the future to improve pain control and patient satisfaction.
Authors: Jacqueline F M van Dijk; Albert J M van Wijck; Teus H Kappen; Linda M Peelen; Cor J Kalkman; Marieke J Schuurmans Journal: Int J Nurs Stud Date: 2011-08-15 Impact factor: 5.837
Authors: Neha A John-Henderson; Robert C Wright; Kody J Manke; Omid Fotuhi; Barry Zuckerman; Laura Nally; Claudia M Mueller Journal: Int J Behav Med Date: 2021-03-15
Authors: Elizabeth Shelton; Nicolas B Barreto; Serena Bidwell; Margaret Folk-Tolbert; Andrew Shelton; Amber W Trickey; Cindy J Kin Journal: J Gastrointest Surg Date: 2021-10-19 Impact factor: 3.452
Authors: Rachel B Fissell; David Schlundt; Kerri L Cavanaugh; Claudia Mueller; Ebele M Umeukeje; Devika Nair; Marcus Wild; Saqib Chariwala; Andrew Guide; Thomas Stewart; Kenneth Wallston Journal: J Patient Exp Date: 2021-11-17