The relationship between psycho-emotional status and pain intensity after orthognathic surgery and their impact on early postoperative rehabilitation

Galazov AT, Drobyshev AYu, Drobysheva NS, et al. . The relationship between psycho-emotional status and pain intensity after orthognathic surgery and their impact on early postoperative rehabilitation. Russian Journal of Pain. 2025;23(1):24‑32. (In Russ.)
https://doi.org/10.17116/pain20252301124

Подписка 2025-2 (Russian Journal of Pain)

Использование инфографики авторами научных работ

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OBJECTIVE

To analyze the dependence of pain intensity and early rehabilitation, as well as length of hospital-stay on extent of surgery and psychological state of patients; to estimate the influence of postoperative pain syndrome on comfort of patients in early rehabilitation period and duration of hospital-stay.

MATERIAL AND METHODS

We analyzed VAS scores of pain and comfort, as well as length of hospital-stay depending on orthognathic surgery and severity of psycho-sensory-anatomical-functional (PSAF) auto-maladjustment syndrome. Pain intensity and comfort were assessed on the 2^nd postoperative day.

RESULTS

When comparing VAS scores of pain and comfort, as well as length of hospital-stay depending on orthognathic surgery, we found no significant between-group differences (p<0.05). Distribution of patients into subgroups depending on PSAF auto-maladjustment syndrome revealed significant differences (p>0.05) when comparing VAS scores of pain in all groups, VAS scores of comfort in all groups except for S Le Fort I / BSSO / Genioplasty and BSSO groups, as well as length of hospital-stay in all groups except for BSSO / Genioplasty (p>0.05). There was significant positive strong relationship between VAS scores of pain and comfort, as well as VAS scores of pain and length of hospital-stay.

CONCLUSION

Psycho-emotional status and pain intensity influence on early postoperative rehabilitation after orthognathic surgery. At the same time, extent of surgery has no significant effect on pain intensity, comfort in early rehabilitation period and duration of hospital-stay.

Keywords:

comfort in early rehabilitation period

duration of hospital-stay

pain intensity

psycho-emotional status

PSAF of auto-maladjustment syndrome

Authors:

Galazov A.T.

Russian University of Medicine

SPIN RSCI: 1101-2180
ORCID: 0009-0006-0572-1204

Drobyshev A.Yu.

Russian University of Medicine

SPIN RSCI: 6683-8226
ORCID: 0000-0002-1710-6923

Drobysheva N.S.

Russian University of Medicine

SPIN RSCI: 1246-5965
ORCID: 0000-0002-5612-3451

Redko N.A.

Russian University of Medicine

SPIN RSCI: 6189-4835
ORCID: 0000-0001-7807-9351

Techiev S.K.

Russian University of Medicine

ORCID: 0000-0003-1377-0410

Mikhailyukov V.M.

Russian University of Medicine

ORCID: 0009-0007-4736-4468

Klipa I.A.

Russian University of Medicine

ORCID: 0000-0002-6067-7684

Sviridov E.G.

Russian University of Medicine

ORCID: 0000-0002-9395-4158

Le T.H.

Russian University of Medicine

ORCID: 0009-0004-2061-1260

Berro F.

Russian University of Medicine

ORCID: 0009-0004-5238-8948

Received:

16.07.2024

Accepted:

25.11.2024

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