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准分子激光原位角膜磨镶术后人格特质与疼痛感知的关系:在哈马丹进行的一项横断面研究

Relationship Between Personality Traits and Perceived Pain After Photorefractive Keratectomy: A Cross-Sectional Study in Hamadan.

作者信息

Bazzazi Noushin, Ahmadpanah Mohammad, Badri Mostafa, Aliseifrabie Mohammad, Alizade Mehdi

机构信息

Department of Ophthalmology, Hamadan University of Medical Sciences, Hamadan, Iran.

Research Center for Behavioral Disorders and Substances Abuse, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Galen Med J. 2024 Mar 10;13:e2989. doi: 10.31661/gmj.v13i.2989. eCollection 2024.

Abstract

BACKGROUND

Photorefractive keratectomy (PRK) is a common procedure to correct refractive errors. However, postoperative pain is one of the most common drawbacks of PRK. Evidence shows that individual`s personality traits could impact postoperative perceived pain. Hence, this study aimed to investigate the severity of postoperative pain and personality traits after PRK.

MATERIALS AND METHODS

This cross-sectional study was performed on 300 patients who attended to Mahdieh Surgical Clinic (Hamadan, Iran) and underwent PRK. Persian version of the NEO Five-Factor Inventory (NEO-FFI) was applied to assess personality traits, and postoperative pain was measured using the visual analog scale (VAS) score.

RESULTS

The mean age of patients was 31.8 ±5.51 years, and most (68%) were female. The most common personality trait was neuroticism, and the mean refractive errors of the right and left eyes of the patients were 1.2±2.67 and 1.3±2.75, respectively. Regarding the VAS score, patients with neuroticism traits perceived the most severe postoperative pain (VAS=6±2.2). Also, the Pearson correlation test indicated a positive correlation between perceived pain and neuroticism personality traits (r=0.059, P˂0.001). In contrast, a significant negative correlation was observed between extraversion and conscientiousness with pain perception (r= -0.737 and r= -0.307, respectively).

CONCLUSION

Our findings showed a positive and significant correlation between three personality traits and pain perception in these patients. Postoperative pain perception in patients undergoing PRK depends on the personality traits of these patients. Groups with less personality stability feel more pain than groups with stable personalities.

摘要

背景

准分子激光角膜切削术(PRK)是一种矫正屈光不正的常见手术。然而,术后疼痛是PRK最常见的缺点之一。有证据表明,个体的人格特质可能会影响术后的疼痛感受。因此,本研究旨在调查PRK术后疼痛的严重程度和人格特质。

材料与方法

本横断面研究对300名前往马赫迪耶外科诊所(伊朗哈马丹)接受PRK手术的患者进行。使用波斯语版的大五人格问卷(NEO-FFI)评估人格特质,术后疼痛采用视觉模拟量表(VAS)评分进行测量。

结果

患者的平均年龄为31.8±5.51岁,大多数(68%)为女性。最常见的人格特质是神经质,患者右眼和左眼的平均屈光不正分别为1.2±2.67和1.3±2.75。关于VAS评分,具有神经质特质的患者术后疼痛最严重(VAS=6±2.2)。此外,皮尔逊相关检验表明,疼痛感受与神经质人格特质之间存在正相关(r=0.059,P˂0.001)。相反,外向性和尽责性与疼痛感受之间存在显著负相关(分别为r=-0.737和r=-0.307)。

结论

我们的研究结果表明,这三种人格特质与这些患者的疼痛感受之间存在正相关且具有统计学意义。接受PRK手术患者的术后疼痛感受取决于这些患者的人格特质。人格稳定性较差的群体比人格稳定的群体感觉更痛。

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