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预测儿科急性术后疼痛的风险和保护因素:系统审查和元分析

Cheryl H T Chow¹, Christy Yu², Wei Yu²

¹Department of Psychology, Neuroscience & Behaviour, McMaster University.

Health psychology : official journal of the Division of Health Psychology, American Psychological Association

|June 1, 2023

概括

儿童的急性术后疼痛 (APSP) 受手术前疼痛,焦虑和灾难性的影响. 加强应对策略可以帮助减轻这种疼痛,改善手术后的康复.

科学领域:

儿科手术儿科手术
疼痛管理疼痛管理
心理社会因素心理社会因素

背景情况:

急性术后疼痛 (APSP) 影响大多数儿科手术患者,许多患者经历的疼痛会扰乱日常生活.
识别影响APSP的因素对于有效的疼痛管理策略至关重要.

研究的目的:

确定与儿科患者急性术后疼痛 (APSP) 严重程度相关的外科及心理社会因素.
了解APSP的预测因素,以告知早期干预策略.

主要方法:

在多个数据库 (MEDLINE,EMBASE,CINAHL,PsycINFO,Web of Science,CENTRAL) 进行了系统的文献搜索,截至2021年10月.
对12项涉及1,192名儿科参与者 (1-18岁) 的研究进行了元分析,以确定各种因素与APSP之间的关联程度.

主要成果:

儿童手术前的疼痛,手术后的疼痛,预期的疼痛,气质,疼痛灾难化,年龄,手术前的焦虑以及父母的手术前的焦虑和疼痛灾难化与APSP有关.
儿童应对疼痛的有效性显示出对APSP的保护作用.
确定了几个可修改的儿童和家长心理社会因素作为APSP严重程度的显著预测因素.

结论:

虽然已识别的因素与APSP有一定的关联,但需要进一步的研究来解释疼痛经历的变化.
早期识别有风险的儿科患者对于及时干预至关重要,以尽量减少疼痛负担.
专注于增强儿童应对机制的干预措施可以有效地减少APSP.

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