在一个学术妇科瘤学实践中,与术后患者的痛苦相关的危险因素
Maya E Gross1, Janelle N Sobecki2, Chan Park3
1Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
高度的痛苦影响近30%的妇科瘤患者手术后. 年轻的年龄,抑郁病史,吸烟和喘是困扰的关键风险因素,而知道病理是良性会减少它.
科学领域:
- 妇科瘤学 妇科瘤学
- 心理社会瘤学
- 临床结果研究研究
背景情况:
- 在妇科瘤学中,患者的痛苦显著影响临床结果和生活质量.
- 识别应急风险因素对于改善患者护理和支持至关重要.
研究的目的:
- 确定与术后妇科瘤病患者NCCN应急温度计 (DT) 评分升高相关的风险因素.
主要方法:
- 五年来1,795次手术后访问的回顾性图表审查.
- 分析NCCN DT结果作为连续和离散变量 (低,中等,高危).
- 单变量和多变量回归分析将DT得分与临床和社会人口统计因素相关联.
主要成果:
- 28.25%的患者报告了中度/高度的痛苦水平.
- 压力与年轻的年龄相关,有抑郁病史,目前的吸烟和喘.
- 对良性病理学的了解与较低的痛苦相关 (P=.002).
结论:
- 在术后妇科瘤患者中,很大一部分患者经历了中度至高度的痛苦.
- 年轻的患者,有抑郁病史的患者,吸烟者和喘患者需要针对性应急查.
- 了解诸如良性病理学知识等因素可以为支持性护理策略提供信息.
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