肺部外科手术后术后患者的恐惧回避信念和威胁学习之间的关系:一项观察性研究
Lihong Bao1, Chunfen Peng2, Jingting He2
1Department of Thoracic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
恐惧回避信念 (FAB) 在肺部手术后很常见,并影响行走和咳等恢复行为. 威胁学习显著影响FAB的发展,突出其在预防策略中的重要性.
科学领域:
- 疼痛管理 疼痛管理
- 心理学 心理学 心理学
- 术后护理 术后护理
背景情况:
- 恐惧回避信念 (FAB) 在慢性疼痛群体中已经建立.
- 关于FAB在术后患者中的作用的研究有限,特别是在肺部手术后.
研究的目的:
- 在肺部外科手术后的患者中调查FAB的特征.
- 检查威胁学习对该群体FAB发展的影响.
主要方法:
- 研究了一组150名接受胸腔镜肺部手术的患者.
- 收集的数据包括人口统计,疼痛强度,FAB,咳,行走和威胁学习 (直接,观察,指导).
- 使用了相关性和逐步回归分析.
主要成果:
- FAB与年龄,性别,术前疼痛恐惧和术后疼痛强度相关.
- 像行走和咳这样的恢复行为与FAB有显著的关联.
- 威胁学习指标 (直接,观察,教学) 与FAB有很强的相关性.
结论:
- 在术后肺部手术患者中,FAB很普遍,并阻碍了恢复行为.
- 威胁学习是FAB形成的一个关键因素.
- 针对威胁学习的干预措施可能对预防术后患者的FAB至关重要.
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