Premedication and preoperative information reduces pain intensity and increases satisfaction in patients undergoing ablation for atrial fibrillation. A randomised controlled study.

Abstract

BACKGROUND Pain and discomfort are common during radiofrequency ablation (RFA) for atrial fibrillation. AIMS To compare and evaluate the effect of premedication, standardised preoperative information and preoperative anxiety on pain intensity, drug consumption and patients' satisfaction. METHODS Preoperative anxiety at baseline, pain intensity during RFA, and patient satisfaction after the procedure were measured in 3 random groups. Group A (n=20) received standard pain management, group B (n=20) received premedication and group C (n=20) received premedication and standardised preoperative information. RESULTS Patients in groups B and C experienced less pain intensity (p<0.001) and needed fewer anxiolytics (p=0.023) and analgesics (p=0.031) compared to group A. Patient satisfaction was higher in group C (p=0.005) compared to group A. Increased preoperative anxiety is related to elevated drug demand (p<0.05). CONCLUSION Premedication alone or combined with preoperative information reduces and higher preoperative anxiety increases pain intensity and drug consumption during RFA. Preoperative information improves patient satisfaction.

DOI: 10.1016/j.apnr.2015.01.011

Cite this paper

@article{AlAzawy2015PremedicationAP, title={Premedication and preoperative information reduces pain intensity and increases satisfaction in patients undergoing ablation for atrial fibrillation. A randomised controlled study.}, author={Mawahib Al-Azawy and Kjersti Oterhals and Bengt Fridlund and J{\"{o}rg A\ssmus and Peter Schuster}, journal={Applied nursing research : ANR}, year={2015}, volume={28 4}, pages={268-73} }