THE IMPACT OF POST-TRAUMATIC STRESS DISORDER ON THE PAIN PERCEPTION IN A PERIOPERATIVE PERIOD IN SERVICEMAN

An estimation of psycho-emotional state allows to further select appropriate distinctive strategy of treatment, moreover protect complications due to feeling of pain is a subjective reaction. Objective. To identify the relationship between intensity of pain syndrome before and after surgical intervention depending on initial psycho-emotional condition. Methods. The psychological state of 138 servicemen who had upper limb injuries was studied. Assessment was conducted using the Mississippi scale for combat-related posttraumatic stress disorder and the PSM 25 psychological distress scale. The average age the patients was (40,5 ± 10,6). Pain intensity was assessed using a visual analogue pain scale (VAS).The pain assessment was studied 2 hours before and 24 hours after surgery. Results. According to the Mississippi PTSD scale, the normal control group (first) had an average score of (62,92 ± 9,16), psychiatric patent group up to (88,13 ± 8,47), PTSD patients’ group had an average score of (119,66 ± 5,50). Data obtained on the PSM 25 scale, namely the low stress group had an average score of (60.73 ± 24.5), the medium group up to (95.33 ± 29.8), and the high group had an average score of (123 ± 29.7). The pain assessment according to the VAS: the average score in the first group was (4.4 ± 1.6), in the second — (5.75 ± 2.0), in the third — (6.8 ± 1.6). The amount of 1% morphine solution administered postoperatively was significantly different between the first and second groups (p = 0.03). No significant difference was found when comparing the second and third groups. Conclusions. The largest percentage of military personnel had a medium level of stress, the development and clinical manifestation of PTSD was detected in 6.52 % of the studied. The pain indicator before the operation depended on the initial psycho-emotional condition of the patient. Keywords. Post-traumatic stress disorder, pain, analgesia, postoperative period.