Contini, M. (Mark) (2014) The timing of instructive information on postoperative course in third molar removal; effect on memory and pain perception. thesis, Medicine.
![[img]](https://umcg.studenttheses.ub.rug.nl/style/images/fileicons/text.png) |
Text
ContiniM.pdf Restricted to Registered users only Download (949kB) |
Abstract
In oral and maxillofacial surgery, third molar (wisdom tooth) removal is a very common procedure. It is mostly performed under local anesthesia and patients are fully conscious and aware of surgery performed. In dental care, these procedures involving the mouth and oral cavity are considered to cause the most anxiety. For the postoperative recovery period patients are given information in the form of instructions involving wound care and what to do in certain situations to prevent complications. Little is known how much the patient remembers of the information given, and if the timing of given instructions influences the amount that is remembered. Also, it is not clear if the information provided influences pain perception after the surgical procedure. This study is designed to investigate both. Prospectively, a group of 105 patients were included and divided into three groups receiving instructions either in a consulting room minutes before surgery or directly after surgery, or in the operating room seconds before surgery. Ten specific information items were provided and evaluated. The results show that the mean memory score (M) of the standard group was significantly lower (on a scale of 0-100, M=72 ± 17) than in the groups receiving separate instructions before (M=81 ± 13 ) or after (M=89 ± 11) the surgical procedure. This may be due to a possible rise in anxiety just before surgery that may impair memory imprinting. The pain scores between the groups did not differ significantly. An explanation may be that our instructions were targeted at the wound care and complications, and not meant to lower anxiety, as anxiety can have an influence on postoperative pain.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Vissink, Prof. dr. A. |
| Supervisor name: | Schortinghuis, Dr. J. and Department of Oral and Maxillofacial Surgery and Scheper Hospital, Emmen |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:50 |
| Last Modified: | 25 Jun 2020 10:50 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1147 |
Actions (login required)
 |
View Item |