在成年人中,与疼痛和功能相关的心理因素与哈卢克斯瓦尔古斯有关
Abdel Kak1, Mehak Batra2, Bircan Erbas2
1School of Health Sciences, Western Sydney University, Campbelltown, New South Wales, Australia.
Journal of foot and ankle research
|March 2, 2025
概括
疼痛灾难化显著预测了手术前lux valgus 患者的脚痛和功能恶化. 建议对疼痛灾难性的术前评估,以改善患者的护理和结果.
科学领域:
- 整形外科 整形外科 整形外科
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 心理因素影响肌肉骨状况,但它们在气中所起的作用尚未完全理解.
- 气的严重程度与生活质量降低相关,影响脚痛,功能和精神健康.
- 之前对心理因素和手术结果的研究显示出不一致的结果,可能是由于不同的测量方法.
研究的目的:
- 调查心理因素 (焦虑,抑郁,疼痛灾难化,动态恐惧症) 与成年人的手术前疼痛和功能之间的关联.
- 通过了解华症状的心理贡献者,为手术前护理策略提供信息.
主要方法:
- 一项手术前的横截面研究,涉及41名预定要接受华氏体手术的成年人.
- 经过验证的问卷评估了心理变量:抑郁焦虑压力尺度-21,Tampa运动恐惧症尺度和疼痛灾难化尺度.
- 曼彻斯特-牛津足球问卷测量了足部功能和疼痛;多重线性回归分析了关联.
主要成果:
- 疼痛灾难化是足部疼痛和足部功能的重要预测因素.
- 疼痛灾难性评分增加1个单位与脚痛增加1.41个点相关 (p < 0.001).
- 疼痛灾难性得分增加1个单位与脚功能恶化1.83个点的增加相关 (p < 0.001).
结论:
- 建议在手术前评估疼痛的灾难性作用,对于华氏体患者.
- 进一步的研究应该探讨疼痛灾难化对术后结果的长期影响.
- 完善查和治疗需要调查并发病,生活方式和性别差异.
相关概念视频
01:24Primary Motives: Sleep, Sex, and Pain Avoidance
389
Primary motives such as sleep, sex, and pain avoidance are crucial drivers of behavior in humans and animals. These motives ensure survival, reproductive success, and overall well-being by prompting actions that meet essential bodily needs.
Sleep is a fundamental physiological drive that fosters a state of restfulness crucial for several bodily functions. It facilitates body restoration, the process by which the body repairs, rejuvenates, and maintains itself during sleep, including memory...
Sleep is a fundamental physiological drive that fosters a state of restfulness crucial for several bodily functions. It facilitates body restoration, the process by which the body repairs, rejuvenates, and maintains itself during sleep, including memory...
389
01:20Pain
427
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
427
01:25Factors Affecting Perception
1.4K
Perception is influenced by perceptual set, context, motivation, and emotion. Perceptual set, or perceptual expectancy, refers to the tendency to perceive things in a particular way, influenced by previous experiences and expectations. This phenomenon affects the interpretation of stimuli, creating a set of mental tendencies and assumptions that impact sensory perceptions of sound, taste, touch, and sight.
An illustrative example of a perceptual set is the scenario where an airline pilot told...
An illustrative example of a perceptual set is the scenario where an airline pilot told...
1.4K
01:25Analgesia and Pain Management
422
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...
422
01:44Nociception
27.6K
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.
27.6K