1Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Faculty of Humanities and Social Sciences in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 3Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia.
Acta Clin Croat. 2022 Feb;60(3):399-405. doi: 10.20471/acc.2021.60.03.09.
The experience of labor pain is a complex process that represents the interaction of the nociceptive stimulus within the physiologic process with a series of psychological factors. The aim of this study was to investigate the relation between the choice of epidural analgesia as a form of pain management and psychological state of woman in labor; moreover, whether the women in labor with a higher level of anxiety have a more intensive experience of pain during labor and therefore decide on epidural analgesia. Pain was evaluated by the visual analog scale, while the sensory and affective pain components were evaluated by the McGill Pain Questionnaire, and anxiety as a trait was measured with the State-Trait Anxiety Inventory-form X. Women in labor with a higher level of anxiety had a significantly increased affective component of pain, but did not significantly more frequently decide on labor with epidural analgesia. The women having chosen epidural analgesia experienced more intense pain during delivery before epidural analgesia, with the sensory component of pain being less pronounced in the women in labor without epidural analgesia, while there was no difference in the affective component of pain.
分娩疼痛的体验是一个复杂的过程，代表了伤害性刺激在生理过程中的相互作用与一系列心理因素的相互作用。本研究旨在探讨硬膜外镇痛作为一种疼痛管理方式的选择与产妇心理状态之间的关系；此外，是否处于分娩中的焦虑水平较高的女性在分娩过程中经历更强烈的疼痛，因此决定选择硬膜外镇痛。疼痛通过视觉模拟评分进行评估，而感觉和情感疼痛成分通过麦吉尔疼痛问卷进行评估，特质焦虑通过状态-特质焦虑问卷 X 进行测量。焦虑水平较高的产妇疼痛的情感成分显著增加，但并不显著更频繁地决定采用硬膜外镇痛进行分娩。选择硬膜外镇痛的产妇在使用硬膜外镇痛前分娩时经历更强烈的疼痛，而未使用硬膜外镇痛的产妇的疼痛感觉成分不那么明显，而情感成分的疼痛则没有差异。
