在抽取后的患者中,安慰剂的低和nocebo的高效应-一个横截面研究
Suchithra Sampath Kumar1, Sidra Bano2, Jagan P3
1Sri Ramakrishna Dental College and Hospital, Coimbatore, India.
British journal of pain
|August 4, 2023
概括
提取后的疼痛与患者的期望,焦虑和抑郁有关. 了解这些心理因素,包括安慰剂和安慰剂效应,对于在拔牙后治疗术后疼痛至关重要.
科学领域:
- 在口腔外科手术.
- 疼痛管理 疼痛管理
- 心理医学 心理医学
背景情况:
- 牙科手术后的术后疼痛可能很严重,即使有足够的疼痛管理.
- 患者的情绪状态显著影响他们对术后疼痛的感知.
- 了解心理因素是有效管理疼痛的关键.
研究的目的:
- 为了调查安慰剂,nocebo效应和牙拔除后的术后疼痛之间的关联.
- 探索术前心理状态与术后观察到的疼痛之间的关系.
- 确定患者期望对牙科手术后疼痛感知的影响.
主要方法:
- 一项涉及301名接受牙拔牙的患者的横截面研究.
- 术前评估包括预期疼痛的数值评分表 (NRS),医院焦虑和抑郁量表 (HADS) 和可信度预期问卷 (CEQ).
- 观察到的术后疼痛是使用NRS在6小时,24小时和当天疼痛峰值时记录的.
主要成果:
- 在预期和观察到的术后疼痛之间发现了显著的关联 (p < 0.05).
- 术前焦虑和抑郁的得分与观察到的术后疼痛有显著的相关性.
- 安慰剂和安慰剂效应表明,与观察到的术后疼痛有统计学显著的关联.
结论:
- 提取后疼痛是一种复杂的疾病,受心理因素的影响.
- 疼痛预期,手术前焦虑,抑郁和治疗结果预期是关键考虑因素.
- 这些心理变量应在手术前进行评估,以优化疼痛管理策略.
关键词:
焦虑 焦虑是一种焦虑.抑郁 抑郁症 抑郁症 抑郁症 是一种预期是指期望的时间.诺塞博效应 (nocebo效应) 是一种无效的疗法.避孕药效应对安慰剂的影响术后疼痛 术后疼痛 术后疼痛拔牙拔牙的方法 拔牙拔牙的方法更多相关视频
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