在腹部手术后的患者中预测急性疼痛的诺莫грам的开发:一项前性观察性研究
Ling Wang1,2, Fang Qin1,2, Li Zhen1
1Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Journal of clinical nursing
|February 21, 2024
概括
这项研究开发了一种名谱,用于预测腹部手术患者的术后疼痛风险. 该工具有助于个性化疼痛管理策略,以改善患者的康复.
科学领域:
- 疼痛管理 疼痛管理
- 手术瘤学手术瘤学
- 临床预测模型临床预测模型
背景情况:
- 准确预测手术后疼痛对于有效管理和恢复至关重要.
- 现有的急性手术后疼痛风险因素在研究中显示出不一致的发现.
- 缺乏全面的模型来预测术后急性疼痛.
研究的目的:
- 开发一种名谱,用于查腹部手术后有术后疼痛风险的患者.
- 创建一个可靠的工具来识别需要针对性疼痛预防策略的个人.
- 为了增强腹部外科手术中个性化疼痛管理协议.
主要方法:
- 一项前性观察性研究,涉及352名接受腹部手术的患者.
- 使用二进制逻辑回归来预测急性术后疼痛概率的nomogram的开发.
- 通过区分,校准和通过Bootstrap重抽样进行内部验证来评估预测性表现.
主要成果:
- 术后急性疼痛的发生率为39.49% (352名患者中有139名).
- 确定的主要预测因素包括年龄<60岁,未婚/离婚/寡妇婚姻状况,手术内使用雷米芬坦尼尔>2毫克,排水管存在,睡眠质量差,高疼痛灾难性,低疼痛自我有效性,以及不使用患者控制的静脉止痛疗法 (PCIA).
- 开发的名图表显示了可靠的区分和校准.
结论:
- 建立了一个在线动态预测模型,用于对腹部手术后的急性疼痛进行个性化风险评估.
- 命名图表是风险评估的实用和内部验证的工具.
- 该模型为手术后疼痛的个性化管理和预防策略提供了便利.
更多相关视频
07:14A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
9.3K
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
267
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
Acute Pancreatitis II: Clinical Manifestations and Management
124
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
124
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
84
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
84
Appendicitis-I: Introduction
145
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
145
