Loxe Samanta Coelho, de Mello Liliane Saraiva, Camara Ligia, de Oliveira Braga Teixeira Ricardo Henrique, de Góes Salveti Marina, Gomes Galas Filomena Barbosa, Costa Auler Júnior José Otávio, de Castro Caio César Bianchi, Corso Pereira Mara Helena, Jardim Jaquelline Maria
Residency Program of Cardiopulmonary Nursing, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (Incor-HCFMUSP), São Paulo, Brazil.
Lung Transplantation Group, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (Incor-HCFMUSP), São Paulo, Brazil.
Transplant Proc. 2020 Jun;52(5):1388-1393. doi: 10.1016/j.transproceed.2020.02.032. Epub 2020 Apr 16.
Aiming to investigate the prevalence of chronic pain and its impact on quality of life of lung transplantation (LTx) recipients, we performed a transversal study collecting data using a standard interview model in 2 different periods: first, in 2016 we studied LTx recipients after 3 to 11 months of the transplantation; and second, in 2019, we studied the same patients after 39 to 55 months of transplantation surgery. The chosen questionnaires were the Brief Pain Inventory and Short-Form Health Survey. Chronic pain was identified in 47.2% of the analyzed recipients at the initial interview and in 40.7% at the second evaluation. In both periods, the domain quality of life was the most affected in contrast to functional capacity, which was the least affected. On the first analysis, a moderate negative correlation was found between pain intensity and functional capacity domains (-0,42/P = .010), pain (-0,46/P = .005), and mental health (-047/P = .004); meanwhile, the second survey showed a moderate/high negative correlation for most of the domains, except for the mental health (-0,036/P = .120). We conclude that the prevalence of chronic pain after LTx is high, and the pain intensity had a moderate negative correlation with domains such functional capacity, mental health, and pain at the first analysis in contrast to the moderate/high negative correlation for almost every domain, except mental health, at the second analysis.
为了调查慢性疼痛的患病率及其对肺移植（LTx）受者生活质量的影响，我们进行了一项横断面研究，在两个不同时期使用标准访谈模型收集数据：首先，在2016年，我们研究了移植后3至11个月的LTx受者；其次，在2019年，我们研究了同一批患者在移植手术后39至55个月的情况。所选用的问卷是简明疼痛量表和健康调查简表。在初次访谈中，47.2%的分析对象被确定存在慢性疼痛，在第二次评估中这一比例为40.7%。在这两个时期，与功能能力受影响最小相比，生活质量领域受影响最大。在第一次分析中，发现疼痛强度与功能能力领域（-0.42/P = 0.010）、疼痛（-0.46/P = 0.005）和心理健康（-0.47/P = 0.004）之间存在中度负相关；同时，第二次调查显示，除心理健康外（-0.036/P = 0.120），大多数领域存在中度/高度负相关。我们得出结论，LTx后慢性疼痛的患病率很高，在第一次分析中，疼痛强度与功能能力、心理健康和疼痛等领域存在中度负相关，而在第二次分析中，除心理健康外，几乎每个领域都存在中度/高度负相关。
