Taenzer Paul, Melzack Ronald, Jeans Mary Ellen
Department of Psychosocial Resources, Tom Baker Cancer Centre, 1331-29th Street N.W., Calgary, Alberta T2N 4N2 Canada.
Pain. 1986 Mar;24(3):331-342. doi: 10.1016/0304-3959(86)90119-3.
Previous research has indicated that postoperative pain, mood and analgesic requirements are influenced by diverse demographic and psychological variables. The data, however, are inconsistent and the extent of these influences has not been explored using multivariate statistical methods. In the present investigation patients scheduled for elective gallbladder surgery were examined for levels of pain, mood and analgesic needs, and the data were analyzed by using stratified stepwise multiple regression analysis. The results indicate that approximately half of the variability in the postoperative outcome measures could be predicted by a set of variables which include the patient's anxiety, extroversion, depression, educational level, previous chronic pain syndromes, and bias toward using medication. The implications of these results are discussed in relation to pain management strategies for surgical populations.
先前的研究表明，术后疼痛、情绪和镇痛需求受多种人口统计学和心理变量的影响。然而，数据并不一致，且尚未使用多变量统计方法探究这些影响的程度。在本研究中，对计划进行择期胆囊手术的患者的疼痛程度、情绪和镇痛需求进行了检查，并使用分层逐步多元回归分析对数据进行了分析。结果表明，术后结果指标中约一半的变异性可由一组变量预测，这些变量包括患者的焦虑、外向性、抑郁、教育水平、既往慢性疼痛综合征以及用药倾向。结合手术人群的疼痛管理策略对这些结果的意义进行了讨论。
