手术后环境噪声对手术引起的疼痛的影响:基于前性观察性研究的证据
Wenjun Ou1, Chengkun Tao2, Yang Zhang3
1Department of Gynaecology and Obstetrics, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
General hospital psychiatry
|March 20, 2024
概括
手术后的环境噪音显著增加了剖腹产后妇女的疼痛和止痛需求. 减少病房噪音可能会改善手术患者的疼痛管理.
科学领域:
- 医疗保健 医疗保健 医疗保健 医疗保健
- 护理 护理 护理
- 疼痛管理 疼痛管理
背景情况:
- 外科病房中的环境噪音会扰乱患者.
- 这种噪音对术后疼痛的影响还不太清楚.
研究的目的:
- 调查术后环境噪音和疼痛水平之间的关联.
- 为了确定噪音是否会影响止痛药的要求.
主要方法:
- 一项前性研究,涉及182名剖腹产后妇女.
- 在24小时内使用数值评分表 (NRS) 进行持续的噪音记录和疼痛评估.
- 计算累积疼痛分数,记录最大疼痛和止痛药消耗.
主要成果:
- 白天环境噪音强度是累积疼痛,最大疼痛和止痛药使用的重要因素.
- 暴露于较高噪音水平 (≥58分贝) 的患者报告疼痛得分显著更高,需要更多止痛药.
- 中度至重度疼痛的发生率 (NRS ≥4) 在较高噪音组的两倍以上.
结论:
- 术后较高的噪音水平与增加的疼痛严重程度和止痛药需求相关.
- 减少病房中的环境噪音可能是术后疼痛管理的有益策略.
- 研究结果表明,减少噪音的干预措施可以改善剖腹产后患者的康复.
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