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2018年埃塞俄比亚德布雷塔博尔市德布雷塔博尔压缩专科医院术后疼痛的程度及相关因素

The magnitude and associated factors of post-operative pain at Debre Tabor compressive specialized hospital, Debre Tabor Ethiopia, 2018.

作者信息

Tiruneh Abebe, Tamire Tadese, Kibret Simegnew

机构信息

Department of Anesthesia, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

SAGE Open Med. 2021 May 16;9:20503121211014730. doi: 10.1177/20503121211014730. eCollection 2021.

Abstract

OBJECTIVES

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

目的

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。

方法

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。

结果

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b366/8132093/51dc0fec9fbe/10.1177_20503121211014730-fig1.jpg

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