在术后肺癌患者的疼痛灾难的潜形状分析
Xinyan Wu1,2, Tao Xu2, Ping Cai1
1Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, 214122, People's Republic of China.
Journal of pain research
|April 7, 2025
概括
这项研究在手术后的肺癌患者中确定了三种不同的疼痛灾难性概况. 了解这些模式有助于为更好的疼痛管理和康复量身定制干预措施.
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 心理学 心理学 心理学
背景情况:
- 接受胸腔镜手术的肺癌患者经常经历严重的术后疼痛,阻碍康复和生活质量.
- 疼痛灾难化,对疼痛的负面心态,显著影响疼痛感知和管理.
- 关于疼痛灾难化的传统研究通常使用了以变量为中心的方法,忽视了个体患者的差异.
研究的目的:
- 通过以个人为中心的方法,在胸腔镜肺癌手术后的患者中识别不同的疼痛灾难性的子组.
- 分析每个确定的疼痛灾难化特征的特定特征和影响因素.
- 为精准干预提供信息,以管理术后疼痛并改善患者的治疗结果.
主要方法:
- 一项涉及409名接受胸腔镜肺癌手术的患者的横截面研究.
- 隐形形状分析 (LPA) 用于将患者分为不同的疼痛灾难化群体.
- 进行了统计分析,包括千二测试,ANOVA和多项逻辑回归,以确定影响因素.
主要成果:
- 鉴定出了三种不同的潜在疼痛灾难化类别:轻度 (26.2%),中度 (33.2%),严重 (40.6%).
- 影响轻度疼痛灾难性的因素包括疲劳,社会支持,婚姻状况,照顾者,瘤位置和临床阶段.
- 与中度疼痛灾难化相关的因素包括疲劳,社会支持,婚姻状况,教育,照顾者和临床阶段.
结论:
- 肺癌患者手术后存在明显的疼痛灾难化模式,需要个性化护理.
- 早期识别高风险患者的疼痛灾难化对于有效的管理至关重要.
- 为精确的疼痛管理,建议针对生理,心理和社会因素的有针对性的干预措施.
相关概念视频
01:20Lazarus's Cognitive Appraisal Theory
98
Cognitive psychologist Richard Lazarus proposed the cognitive-mediational theory of emotions, which emphasizes how individuals' assessments of stressors significantly affect their experience of stress. According to Lazarus, the stress response is determined by a two-step appraisal process: primary appraisal and secondary appraisal. These cognitive appraisals help individuals evaluate the potential impact of a stressor and determine the adequacy of their coping resources.
Primary Appraisal:...
Primary Appraisal:...
98
01:25Analgesia and Pain Management
403
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...
403
01:27Pneumothorax-II
108
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
108