术后患者的疼痛严重程度及其与焦虑,抑郁和睡眠质量相关
Mariwan Husni1,2, Haitham Jahrami1, Hamdi Al Shenawi3
1Psychiatry, Arabian Gulf University, Manama, BHR.
Cureus
|March 22, 2024
概括
手术后的疼痛是一个重大问题,有91%的患者在手术后三天报告严重疼痛. 许多人还经历了中度到重度的抑郁,焦虑和失眠,突出了全面疼痛管理策略的必要性.
科学领域:
- 疼痛管理 疼痛管理
- 外科手术的结果
- 心理相关疾病 心理相关疾病
背景情况:
- 手术后疼痛是一种复杂的现象,受到感知输入和心理因素的影响.
- 对急性术后疼痛的有效管理对于患者的康复和福祉至关重要.
研究的目的:
- 为了调查手术后疼痛的严重程度,手术后三天.
- 评估术后患者中抑郁症,焦虑症和失眠症的患病率.
主要方法:
- 一项涉及67名18-64岁患者的横截面研究,他们接受了腹腔镜或开放性手术.
- 使用100毫米视觉模拟尺度 (VAS) 测量疼痛的严重程度.
- 用患者健康问卷-9 (PHQ-9) 评估心理压力,使用抑郁症的患者健康问卷-9 (PHQ-9),使用焦虑症的通用焦虑障碍7项 (GAD-7) 和失眠的失眠严重程度指数 (ISI).
主要成果:
- 91%的患者报告严重疼痛 (VAS得分).
- 观察到高程度的心理困扰:51%严重抑郁,69%中度焦虑,43%中度至重度失眠.
- 简要疼痛清单简体表格 (BPISF) 的平均得分表明疼痛水平中等.
结论:
- 手术后的患者在手术后三天经历了明显的疼痛,抑郁,焦虑和失眠.
- 这些发现强调了综合方法在术后期管理疼痛和心理并发症的重要性.
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