在选择性全关节和全膝关节置换手术中修改术后疼痛管理的个别因素
Alina Jurewicz1, Agata Gasiorowska2, Katarzyna Leźnicka3,4
1Department of Specialistic Nursing, Pomeranian Medical University, Żołnierska 48, 71-210 Szczecin, Poland.
Life (Basel, Switzerland)
|February 24, 2024
概括
高疼痛耐受性和对个人疼痛控制的信念预测关节或膝关节置换手术后的阿片类药物需求较低. 这些因素对于有效的术后疼痛管理和减少骨科患者的副作用至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 麻醉学 麻醉学
背景情况:
- 骨关节炎通常需要进行全关节和膝盖置换.
- 疼痛是患者整个旅程中的持续症状,从术前到术后.
- 有效的术后疼痛管理对于患者的舒适性,住院时间,成本和康复结果至关重要.
研究的目的:
- 在接受选择性关节或膝关节关节整形手术的患者中确定止痛药需求 (吗啡,乙氨基,) 的预测因子.
- 调查个人疼痛值,疼痛耐受性,体重指数 (BMI),糖尿病和对疼痛控制的信念对止痛需求的影响.
- 使用多层回归模型来分析这些因素.
主要方法:
- 采用了一个多层回归模型.
- 这项研究包括147名患者 (85名女性,62名男性) 接受选择性部 (107) 或膝盖 (40) 关节整形.
- 分析的预测因素包括疼痛耐受性,疼痛值,BMI,糖尿病和对疼痛控制的信念.
主要成果:
- 疼痛耐受性增加与手术后每公斤吗啡剂量减少相关.
- 与膝关节手术患者相比,部手术患者需要更低的凯托剂量.
- 对个人疼痛控制的强烈信念放大了疼痛耐受性和吗啡需求之间的负面关联.
- 最低的止痛剂量给那些表现出最高的耐痛能力和最强烈的个人疼痛控制信念的患者.
结论:
- 疼痛耐受性和对个人疼痛控制的信念是管理骨科手术后疼痛的重要因素.
- 将这些个体患者因素纳入疼痛管理策略可以帮助减少阿片类药物剂量和相关副作用.
- 个性化疼痛管理方法对于优化骨科患者的治疗结果至关重要.
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