Tiruneh Abebe, Tamire Tadese, Kibret Simegnew
Department of Anesthesia, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
SAGE Open Med. 2021 May 16;9:20503121211014730. doi: 10.1177/20503121211014730. eCollection 2021.
Post-operative pain is a form of acute pain following surgical intervention. And it is due to skin incision, tissue dissection, manipulation, and traction during the surgical procedure. The magnitude may reach up to 85.5% globally. Age, gender, duration of surgery, and length of skin incision were the common factors for post-operative pain. This study aims to assess the magnitude and associated factors of post-operative pain among surgical patients.
Institutional-based cross-sectional study design was used. The study was conducted on a total of 159 surgical patients aged 8 years and above. The data were collected using chart review and recording the status of post-operative pain by the result of the Numeric Rating Scale at 1, 6, 12, 24, and 72 h of the post-operative period. Descriptive statistics, bivariate, and multivariable logistic regression were used. An adjusted odds ratio with a 95% confidence interval was used to determine the association. A -value of less than 0.05 was used to declare statistical significance.
The majority (58.5%) of the study participants were females. The percentage of moderate to severe post-operative pain (Numeric Rating Scale: 4 and above) was between 37.7% within 1 h and 76.7% at 6 h of post-operative period. On multivariable logistic regression being female gender, preoperative pain and large skin incision were significantly associated with post-operative pain.
Post-operative pain is still high which needs the attention of health professionals working on surgical patients and considering factors associated with post-operative pain.
术后疼痛是手术干预后的一种急性疼痛形式。它是由手术过程中的皮肤切口、组织解剖、操作和牵拉引起的。全球范围内其发生率可能高达85.5%。年龄、性别、手术时长和皮肤切口长度是术后疼痛的常见因素。本研究旨在评估手术患者术后疼痛的程度及相关因素。
采用基于机构的横断面研究设计。该研究共纳入了159名8岁及以上的手术患者。通过查阅病历收集数据,并根据术后1、6、12、24和72小时数字评分量表的结果记录术后疼痛状况。使用描述性统计、双变量和多变量逻辑回归分析。采用调整后的比值比及95%置信区间来确定关联性。P值小于0.05表示具有统计学意义。
研究参与者中大多数(58.5%)为女性。术后中重度疼痛(数字评分量表:4及以上)的比例在术后1小时为37.7%,术后6小时为76.7%。在多变量逻辑回归分析中,女性性别、术前疼痛和较大的皮肤切口与术后疼痛显著相关。
术后疼痛程度仍然较高,这需要关注手术患者的医护人员加以重视,并考虑与术后疼痛相关的因素。