Othow Cham Ojulu, Ferede Yonas Admasu, Tawuye Hailu Yimer, Aytolign Habtu Adane
Debre Tabor University, College of Health Science, Department of Anesthesia, Ethiopia.
Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Ethiopia.
Ann Med Surg (Lond). 2022 Aug 22;81:104406. doi: 10.1016/j.amsu.2022.104406. eCollection 2022 Sep.
Postoperative pain continues to be a serious consequence of surgical intervention. Several factors may contribute to the development of postoperative pain; these could be preoperative factors, demographic factors, anesthetic factors, and surgical factors.
The aim of this study was to assess the magnitude and factors associated with postoperative pain among surgical patients.
An institutional-based prospective longitudinal study included 265 postoperative patients from the surgical wards of Gambella General Hospital from April 15, 2021, to June 30, 2021. A consecutive sampling technique was used to recruit study participants. The patients were followed up for 24 h postoperatively. A numerical rating scale (NRS-11) is used for the assessment of pain. Data analysis was done using the Statistical Package for Social Science (SPSS) 25. Logistic regression analysis was used to calculate the association between dependent and independent variables with a 95% confidence interval and a p-value<0.05 was considered statistically significant.
A total of 270 data points were collected. Of these, a total of 265 with a 98.1% response rate were analyzed. The incidence of postoperative pain was 69%, 74%, and 77.0% at 2 h, 12 h, and 24 h, respectively. The following factors were strongly associated with the dependent variable: patient age, 18-45 years old [AOR = 2.8; (95%CI: 1.13, 6.74, p = 0.026)], skin incision length, 10 cm [AOR = 2.5; (95%CI: 1.30, 5.13, p = 0.007)], preoperative pain [AOR = 2.4, (95%CI: 1.02, 5.60, p = 0.045)], and surgeon experience [AOR = 2.1, (95%CI.
and Recommendation: In the current study the magnitude of postoperative pain was high, 220 patients were complaining POP (83%). Age of the patient, length of skin incision, preoperative pain, and experience of surgeons were the independent associated factors for the experience of postoperative pain. Preoperative pain management should exercise among adult surgical patients in order to reduce the incidence of postoperative pain, and the length of surgical skin incisions should be minimized.
术后疼痛仍然是手术干预的一个严重后果。几个因素可能导致术后疼痛的发生；这些因素可能是术前因素、人口统计学因素、麻醉因素和手术因素。
本研究的目的是评估手术患者术后疼痛的程度及相关因素。
一项基于机构的前瞻性纵向研究纳入了2021年4月15日至2021年6月30日期间甘贝拉综合医院外科病房的265例术后患者。采用连续抽样技术招募研究参与者。对患者术后24小时进行随访。使用数字评分量表（NRS-11）评估疼痛。使用社会科学统计软件包（SPSS）25进行数据分析。采用逻辑回归分析计算自变量与因变量之间的关联，95%置信区间，p值<0.05被认为具有统计学意义。
共收集到270个数据点。其中，共分析了265个，回复率为98.1%。术后疼痛发生率在2小时、12小时和24小时分别为69%、74%和77.0%。以下因素与因变量密切相关：患者年龄，18至45岁[AOR = 2.8；（95%CI：1.13，6.74，p = 0.026）]，皮肤切口长度，10厘米[AOR = 2.5；（95%CI：1.30，5.13，p = 0.007）]，术前疼痛[AOR = 2.4，（95%CI：1.02，5.60，p = 0.045）]，以及外科医生经验[AOR = 2.1，（95%CI...
在本研究中，术后疼痛程度较高，220例患者主诉有术后疼痛（83%）。患者年龄、皮肤切口长度、术前疼痛和外科医生经验是术后疼痛体验的独立相关因素。应在成年手术患者中进行术前疼痛管理，以降低术后疼痛的发生率，并且应尽量缩短手术皮肤切口的长度。
