在重复的时间点上,静脉管道诱导的疼痛变化:观察性队列研究
Martin Johansson1, Krister Mogianos1,2, Anna Km Persson1,2
1Department of Anesthesia and Intensive Care Medicine, Region Halland, Hallands Sjukhus, Halmstad, Sweden.
The journal of vascular access
|November 3, 2025
概括
静脉管疼痛表现出较低的个体内变化,这意味着疼痛强度通常会随着时间的推移保持一致. 然而,在管过程中疼痛水平较高可能会导致未来体验的变化更大.
科学领域:
- 疼痛研究 疼痛研究
- 临床疼痛评估 临床疼痛评估
- 患者体验患者体验
背景情况:
- 静脉通道是一个常见但痛苦的程序.
- 评估静脉管诱导疼痛 (VCP) 可以预测术后疼痛和阿片类药物使用.
- 了解疼痛的变化对于患者的管理至关重要.
研究的目的:
- 为了研究VCP在三个时间点的个体内变化.
- 为了确定影响静脉通管过程中报告的疼痛水平的因素.
主要方法:
- 101名参与者在三次访问中接受了标准化的静脉通道.
- 疼痛强度使用视觉模拟量表 (VAS) 进行测量.
- 焦虑,抑郁和疼痛灾难性被评估使用验证的尺度.
主要成果:
- 观察到VCP的低个体内变化 (平均变化系数1.2,~20%的差异).
- 在VCP期间更高的疼痛强度与更大的个体内变化相关.
- 在焦虑,抑郁,疼痛灾难化或先前存在的疼痛状况和VCP强度之间没有发现相关性.
结论:
- 静脉管疼痛表现出较低的个体内变异性,表明持续的疼痛感知.
- 经历较高VCP的个体在随后的评估中可能会显示出更大的变化.
- 这些发现对使用疼痛评估作为疼痛敏感性代理和管理先前有疼痛经历的患者有影响.
相关概念视频
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
282
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
282
Venous Thrombosis IV: Nursing Management
191
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
191
Varicose Veins II: Diagnostic Studies and Interprofessional Care
178
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
178
Assessment of the Cardiovascular System III: Palpation
993
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
993
Pre-Procedural Guidelines for Assessing Blood Pressure
803
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
803
Sites for measruring blood pressure
3.3K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
3.3K


