Instituto Federal de Goiás. Goiânia, Goiás, Brazil.
Universidade Federal de Goiás. Goiânia, Goiás, Brazil.
Rev Bras Enferm. 2021 Jun 11;74(suppl 4):e20200151. doi: 10.1590/0034-7167-2020-0151. eCollection 2021.
to estimate the incidence and the risk factors for severe acute postoperative pain self-reported on the first day after hospital discharge.
cohort study with 279 children from both sexes (5-12 years old), indicated for ambulatory surgery in two Brazilian hospitals. Children were assessed at the pre-surgery, immediate postoperative and first postoperative day. Faces Pain Scale-Revised and Yale Preoperative Anxiety Scale Modified were used. Severe postoperative pain was defined as score ≥6. Cox regression analyses were used.
the incidence of severe postoperative pain was 15.8% (95%CI:10.7%-20.4%) on the first postoperative day. Preoperative anxiety (HR=2.23; p=0.049), severe preoperative pain (HR=2.78; p=0.031) and having undergone two surgical procedures (HR=2.91; p=0.002) were associated with severe postoperative pain.
the incidence of severe postoperative pain self-reported after hospital discharge was high. Anxiety and severe preoperative pain, in addition to performing two surgical procedures at the same time were confirmed as risk factors.
评估出院后第一天自我报告的严重急性术后疼痛的发生率和危险因素。
这是一项队列研究，纳入了来自巴西两家医院的 279 名（5-12 岁）男女患儿。患儿在术前、即刻术后和术后第 1 天接受评估。使用面部疼痛量表修订版和耶鲁术前焦虑量表修订版进行评估。严重术后疼痛定义为评分≥6。采用 Cox 回归分析。
术后第 1 天严重术后疼痛的发生率为 15.8%（95%CI：10.7%-20.4%）。术前焦虑（HR=2.23；p=0.049）、严重术前疼痛（HR=2.78；p=0.031）和同时进行两种手术程序（HR=2.91；p=0.002）与严重术后疼痛相关。
出院后自我报告的严重术后疼痛发生率较高。焦虑和严重术前疼痛，以及同时进行两种手术程序被确认为危险因素。
