择期腹股沟疝和腹疝修补术前疼痛及其对患者身体活动和生活质量的影响。

Pain and its effects on physical activity and quality of life before operation in patients undergoing elective inguinal and ventral hernia repair.

作者信息

Chung Lucia, O'Dwyer Patrick J

机构信息

University Department of Surgery, University of Glasgow, University Avenue, Glasgow G12 8QQ, UK.

出版信息

Am J Surg. 2014 Sep;208(3):406-11. doi: 10.1016/j.amjsurg.2014.02.011. Epub 2014 Apr 28.

DOI:10.1016/j.amjsurg.2014.02.011

PMID:24997490

Abstract

BACKGROUND

Pain is the most common symptom associated with hernias. The aim was to assess the frequency of pain and its effects on physical activity and quality of life in patients with inguinal and ventral hernias.

METHODS

All patients undergoing elective inguinal or ventral hernia repair over a 16-month period were asked to complete a questionnaire including a 4-point Verbal Rating Scale, Visual Analog Scale, and Brief Pain Inventory (BPI) to assess pain severity and interference.

RESULTS

One hundred twenty-four patients (72 inguinal, 52 ventral) completed the questionnaire and 75% registered pain on the BPI. There was good correlation between scoring systems (correlation coefficient >.8). Ventral hernia patients had more pain (P = .037), interference with mood (P = .027), sleep (P = .004), relation with other people (P = .019), and enjoyment of life (P = .029) than their inguinal hernia counterparts.

CONCLUSIONS

The BPI is an easy and effective way of assessing pain and its impact on physical activity and quality of life in patients with an inguinal or ventral hernia with most experiencing mild to moderate chronic pain and disability.

摘要

背景

疼痛是与疝气相关的最常见症状。目的是评估腹股沟疝和腹疝患者疼痛的发生率及其对身体活动和生活质量的影响。

方法

在16个月期间接受择期腹股沟疝或腹疝修补术的所有患者均被要求完成一份问卷，其中包括4分言语评定量表、视觉模拟量表和简明疼痛量表（BPI），以评估疼痛严重程度和干扰情况。

结果

124例患者（72例腹股沟疝，52例腹疝）完成了问卷，75%的患者在BPI上记录有疼痛。评分系统之间存在良好的相关性（相关系数>.8）。与腹股沟疝患者相比，腹疝患者有更多的疼痛（P = .037）、对情绪的干扰（P = .027）、睡眠干扰（P = .004）、与他人关系的干扰（P = .019）以及对生活乐趣的干扰（P = .029）。