在泌尿病学中预测术后疼痛:心理和社会因素很重要
Dor Golomb1, Fahed Atamna2, Ido Bar2
1Department of Urology, Assuta Ashdod University Hospital, Ashdod, 7747629, Israel. dorg@assuta.co.il.
World journal of urology
|July 17, 2025
概括
在泌尿外科手术患者中,手术前的焦虑显著预测了更高的术后疼痛. 管理焦虑和考虑婚姻状况是改善疼痛控制的关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 疼痛管理 疼痛管理
- 精神病体医学是一种精神病体医学.
背景情况:
- 手术后的疼痛是泌尿外科手术后的一个重大问题.
- 识别疼痛预测因素对于有效的管理策略至关重要.
研究的目的:
- 在接受泌尿器科手术的患者中评估术后疼痛水平.
- 为了确定与术后疼痛增加相关的因素.
主要方法:
- 一项前性研究,涉及200名接受泌尿外科手术的患者.
- 使用医院焦虑和抑郁量表 (HADS) 的术前评估.
- 使用美国疼痛协会患者结果问卷 (APS-POQ-R) 评估术后疼痛.
- 多变量逻辑回归分析以确定疼痛预测因子.
主要成果:
- 手术前的焦虑,通过较高的HADS得分表明,与术后疼痛增加显著相关 (p=0.016).
- 没有结婚也是术后疼痛增加的重要预测因素 (p=0.023).
- 年龄,性别,教育,BMI,并发症和之前的手术都不能预测术后疼痛.
结论:
- 手术前的焦虑是影响泌尿外科手术术后疼痛强度的一个关键因素.
- 婚姻状况成为术后疼痛感知的另一个重要因素.
- 针对焦虑和考虑婚姻状况的有针对性的干预措施被推用于疼痛管理.
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