了解青少年在腹腔镜手术后的疼痛经历:一项前性研究
Mihaela Visoiu1, Jacques Chelly2, Senthilkumar Sadhasivam1
1UPMC Children's Hospital of Pittsburgh, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, 4401 Penn Avenue, Pittsburgh, PA 15224, USA.
Children (Basel, Switzerland)
|April 27, 2024
概括
青少年 青少年 青少年
科学领域:
- 疼痛管理 疼痛管理
- 青少年健康 青少年健康
- 心理评估 心理评估
背景情况:
- 事证据表明,青少年可能会夸大术后疼痛.
- 了解青少年的疼痛感知需要考虑行为,焦虑和情绪.
研究的目的:
- 调查青少年自我报告的疼痛与父母和护士的感知之间的协议.
- 探索青少年疼痛得分与心理因素之间的相关性.
主要方法:
- 202名患者 (11-17岁) 填写了手术后疼痛的问卷.
- 使用视觉模拟量表 (VAS) 和青少年疼痛行为问卷 (APBQ) 评估疼痛.
- 评估患者,家长和护士疼痛评分和心理评估之间的协议.
主要成果:
- 青少年与家长之间的高度一致 (r=0.56);与护士在疼痛评分上的中度一致 (r=0.47).
- 在APBQ和VAS分数之间存在弱相关性 (r=0.14-0.17).
- 在疼痛得分和焦虑,灾难化和情绪之间发现了中等相关性 (r=0.26-0.39).
结论:
- 包括心理因素在内的多模式疼痛评估比单独的自我报告得分更具信息性.
- 父母和护士的感知提供了有价值的,虽然不完美,补充了青少年的疼痛报告.
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