活着的肝脏捐赠者经历了手术后的慢性疼痛的疼痛经历和应对方法:定性研究
Runida Doğan1, Hatice Oltuluoğlu2, Emine Bayrakçi3
1Department of Surgical Nursing, Faculty of Nursing, Inonu University, Malatya, Turkey.
概括
活着的肝脏捐赠者经历了中度的术后慢性疼痛,而运动往往会使症状恶化. 虽然疼痛可能并不总是影响日常生活,但它会导致心理痛苦,而药物治疗是主要的应对策略.
科学领域:
- 移植手术 移植手术
- 疼痛管理 疼痛管理
- 心理健康 心理健康
背景情况:
- 活体肝脏捐赠与显著的术后身体症状有关,特别是疼痛.
- 手术后的疼痛是接受活体肝脏捐献手术的个体常见的担忧.
研究的目的:
- 研究活体肝脏捐赠者的慢性疼痛经历.
- 确定活着的肝脏捐赠者在管理持续的术后疼痛时使用的应对机制.
主要方法:
- 这是一项涉及16名活体肝脏捐赠者的定性研究.
- 通过个人信息表格和半结构化问卷收集数据.
- 使用描述性统计,主题和内容分析分析的定量和定性数据.
主要成果:
- 术后慢性疼痛评分的平均值为4.5.
- 运动/自发运动被确定为主要的疼痛加剧因子.
- 虽然疼痛并不总是影响日常活动,但在大多数捐赠者中,疼痛会导致心理痛苦 (悲伤,恶化).
- 药物治疗是最常用的应对方法.
结论:
- 活着的肝脏捐赠者通常会经历中度的术后慢性疼痛,并伴有相关的心理症状.
- 建议采用多学科的疼痛管理方法,包括移植中心内的培训.
- 与身体疼痛一起解决心理健康对于活着的肝脏捐赠者恢复至关重要.
相关概念视频
Chronic Pancreatitis II: Collaborative Care
70
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
70
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
48
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...
48
Analgesia and Pain Management
496
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
496
Blood and Nerve Supply to the Bones
10.7K
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
10.7K
Nociception
27.7K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.7K
Chronic Pancreatitis I: Introduction
71
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
71


