调查急性产后疼痛的关联因素:一个队列研究
Chin Wen Tan1,2, Nicole Y-Kit Tan3, Rehena Sultana4
1Department of Women's Anesthesia, KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, Singapore, Singapore.
BMC anesthesiology
|July 25, 2023
概括
产后疼痛的强度和产科并发症,如肩膀缩和流血,与急性产后疼痛有关. 产前分娩疼痛,而不是整体心理评分,是关键因素.
科学领域:
- 产科和妇科 产科和妇科
- 疼痛管理 疼痛管理
- 围产期健康 围产期健康
背景情况:
- 急性产后疼痛会对母亲的健康产生负面影响.
- 关于分娩疼痛强度与急性产后疼痛之间的联系的研究有限.
- 了解这种关联对于改善产后护理至关重要.
研究的目的:
- 调查分娩疼痛强度和心理因素与急性产后疼痛之间的关联.
- 在分娩后24小时内确定高急性产后疼痛的预测因素.
主要方法:
- 包括880名具有ASA身体状况II,怀孕≥36周和单独怀孕的妇女.
- 在分娩前评估了分娩疼痛强度 (角度分娩疼痛问卷) 和心理因素 (PCS,FACS,STAI).
- 急性产后疼痛 (数值评分尺度≥3) 是产后0-24小时测量的主要结局.
主要成果:
- 13.8%的妇女经历了高急性产后疼痛.
- 较高的分娩疼痛分数,增加的血液流失,肩膀缩和佩提丁使用与高急性产后疼痛有关.
- 月经期间的恶心与高急性产后疼痛的风险降低有关.
结论:
- 产前疼痛因素和产科并发症独立预测高急性产后疼痛.
- 产后疼痛的特定方面,而不是一般的心理评分,与急性产后疼痛有关.
- 这些发现强调了在管理产后疼痛时考虑分娩疼痛和产科因素的重要性.
相关概念视频
Acute Coronary Syndrome V: Nursing Management
17
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
17
Analgesia and Pain Management
660
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
660
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Factors Affecting Illness
4.3K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.3K
Acute Coronary Syndrome III: Diagnostic Studies
10
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
10
Factors Affecting the Risk of Infection
12.0K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.0K


