在老年人前性观察队列中分析手术前的痛苦和术后结果的混合方法分析
Isabella Kjaerulff1, Sloan A Soyster Heinz2, Matthew Fuller2
1Duke University Trinity Arts and Sciences, Durham, North Carolina.
Anesthesiology
|October 3, 2025
概括
手术前的心理痛苦,以压力因素计量,在老年手术患者中很常见,并且与 Delirium 和更长的住院等更糟糕的结果有关. 在手术前解决患者的担忧可能会改善恢复.
科学领域:
- 老年医学 老年医学
- 外科手术的结果
- 心理上的痛苦 心理上的痛苦
背景情况:
- 建议进行手术前心理应急查,但在老年手术中未得到充分利用.
- 抑郁症对老年人手术结果的影响尚不清楚.
研究的目的:
- 评估老年手术患者的手术前应急水平.
- 评估应急措施与术后结果 (如妄想,疼痛和停留时间) 之间的关联.
主要方法:
- 对132名老年手术患者 (≥65岁) 的二次分析.
- 使用修改后的全国综合癌症网络苦难温度计来测量苦难强度,压力因素数量和主题.
- 使用混评估方法评估了手术后妄3天.
主要成果:
- 42.2%的患者报告了高度的痛苦强度 (≥4/10).
- 术前较高的压力因子数与停留时间的延长,术后疼痛的增加以及 Delirium 的风险的增加相关.
- 通常报告的压力因素包括"饮食的变化"",沟通"",睡眠"和"担心/焦虑".
结论:
- 在老年手术患者中,心理困扰很普遍.
- 手术前的压力因素数量是不良术后结果的重要预测因素.
- 一个简短的痛苦评估工具可以识别可修改的患者担忧,使麻醉科医生能够进行有针对性的干预.
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