Sleep Disruptions Mediate the Relationship Between Early Postoperative Pain and Later Functioning Following Total Knee Replacement Surgery.

Title

Sleep Disruptions Mediate the Relationship Between Early Postoperative Pain and Later Functioning Following Total Knee Replacement Surgery.

Creator

Cremeans-Smith Julie K; Millington Kendra; Sledjeski Eve; Greene Kenneth; Delahanty Douglas L

Publisher

Journal of Behavioral Medicine

Date

2006
2006-04

Description

Despite relatively standardized surgical procedures, patients undergoing total knee replacement (TKR) surgery differ dramatically in the speed of their recovery. Previous research has suggested a relationship between the experience of pain and sleep disruptions among patients with chronic pain or those undergoing surgery, such that more severe pain is associated with more frequent awakenings throughout the night. This study examined sleep disruptions 1 month following surgery as a mediator of the relationship between pain 1 month following surgery and functional limitations 3 months following surgery. A total of 110 patients scheduled to undergo unilateral TKR were examined at three time points: 2–3 weeks prior to surgery, 1 month following surgery, and 3 months following surgery. After controlling for presurgical levels of pain, sleep disruptions, and functional limitations, sleep disruptions 1 month following surgery partially mediated the relationship between pain 1 month following surgery and functional limitations 3 months following surgery. The present findings underscore the importance of adequate sleep during postsurgical recovery and suggest that interventions targeting sleep disruptions may improve the speed and quality of patients’ recovery from TKR and other surgical procedures. [ABSTRACT FROM AUTHOR]

Subject

CHRONIC pain; TOTAL knee replacement; KNEE surgery; POSTOPERATIVE pain; POSTOPERATIVE period; SLEEP

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

215–222

Issue

2

Volume

29

Citation

Cremeans-Smith Julie K; Millington Kendra; Sledjeski Eve; Greene Kenneth; Delahanty Douglas L, “Sleep Disruptions Mediate the Relationship Between Early Postoperative Pain and Later Functioning Following Total Knee Replacement Surgery.,” NEOMED Bibliography Database, accessed December 1, 2021, https://neomed.omeka.net/items/show/5762.

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