Gil K M, Ginsberg B, Muir M, Sullivan F, Williams D A
Department of Psychiatry, Duke University Medical Center, Durham, North Carolina 27710.
Clin J Pain. 1992 Sep;8(3):215-21.
To examine the relationship of psychological variables to pain and patient-controlled analgesia (PCA) use in adolescents undergoing orthopedic surgeries.
Cohort.
Fifty adolescents and their parents.
Visual analogue scales of pain, the McGill Pain Questionnaire, and questionnaires that assessed overall psychological distress, anxiety, and family environment.
Correlations of the psychological variables with measures of pain and PCA use showed that high levels of anxiety and distress in adolescents were related to higher postoperative pain. Adolescents from controlling and conflicted families also had higher pain ratings and made more frequent PCA demands during the lockout interval when drug was unavailable. Parent anxiety and distress were also related to adolescent pain and PCA use.
The psychological status of adolescents and their parents can significantly influence postoperative pain and PCA use.
探讨心理变量与接受骨科手术的青少年疼痛及患者自控镇痛（PCA）使用之间的关系。
队列研究。
50名青少年及其父母。
疼痛视觉模拟量表、麦吉尔疼痛问卷，以及评估总体心理困扰、焦虑和家庭环境的问卷。
心理变量与疼痛及PCA使用指标的相关性表明，青少年的高焦虑和高困扰水平与术后疼痛加剧有关。来自控制型和冲突型家庭的青少年在药物不可用的锁定期间也有更高的疼痛评分，并更频繁地要求使用PCA。父母的焦虑和困扰也与青少年的疼痛及PCA使用有关。
青少年及其父母的心理状态可显著影响术后疼痛及PCA的使用。
