PRE-OPERATIVE PAIN EDUCATION IMPACT ON EMOTIONAL ASPECTS IN THE POSTOPERATIVE PERIOD
Education; pain; Perioperative Period; Catastrophization; Depression; Anxiety.
Introduction: Pain is a frequent stage in the postoperative period, anxiety, depression and emotional suffering can also be observed in this period, these outcomes can influence postoperative responses. The objective of the study was to analyze the impact of pain neuroscience education (PNE), carried out preoperatively, on the psychosocial postoperative stages in individuals undergoing general surgery and without a history of chronic pain. Methods: This dissertation was divided into two sessions with the presentation of the results of a systematic review and part of a clinical trial. In the systematic review, were included studies in English that carried out intervention with PNE and their consequences in the perioperative period, interventional and observational studies were included, the databases were Pubmed, Virtual Health Library, Cochrane and Science Direct, the review was registered on the website Center for Open Science (10.17605/OSF.IO/ZTNEJ). A parallel open randomized controlled clinical trial was also carried out, following the recommendations of CONSORT, Brazilian Registry of Clinical Trials (RBR-23mr7yy), performed in hospitals in the Federal District and approved by the Research Ethics Committee of the School of Ceilândia, University of Brasília (CAAE 28572420.3.0000.8093), patients over 18 years old were included and an educational intervention on END was carried out. Results: Through the systematic review, fourteen studies were found with benefits for END in psychosocial outcomes, all of which presented a low risk of bias. The findings regarding the clinical trial showed that the intervention group had benefits in scores for depression (p=0.007), anxiety (p=0.035) and rumination (p=0.011) (pain catastrophizing subscale). Conclusion: From the systematic review it can be suggested that END brings additional benefits, beyond those obtained with conventional treatment, for psychosocial outcomes. In agreement with these findings, data from the clinical trial showed benefits for depression, anxiety and pain catastrophizing for the intervention group.