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术后电话随访对疼痛感知的影响:一项针对118例牙周外科手术的研究。

The influence of postoperative telephone calls on pain perception: a study of 118 periodontal surgical procedures.

作者信息

Touyz L Z, Marchand S

机构信息

Faculty of Dentistry, McGill University, Montreal, Quebec, Canada.

出版信息

J Orofac Pain. 1998 Summer;12(3):219-25.

PMID:9780943
Abstract

This age-matched and sex-matched study examined the influence of postoperative telephone calls on pain perception and on the number of analgesics used for pain relief. Adult periodontitis subjects (n = 118) received periodontal surgery after examination and sanative therapy (scaling, root planing, and removal of local irritants). All subjects received similar care, postoperative instructions, and medication, except 59 subjects were phoned 24 hours postoperative (PC group), and 59 were not (NC group). Callers covered 10 points and were reassuring and positive about surgical outcomes. One week postoperative, subjects completed a questionnaire that rated pain intensity on a visual analogue scale and indicated the number of pills used and whether they had been called. Pain and analgesics used were significantly decreased in the PC group (P < 0.001) compared to the NC group. A significant positive correlation was found between pain and pills used in the groups combined (r = 0.79, P < 0.001 PC + NC), and in the groups separately (r = 0.50, P < 0.001 PC; r = 0.41, P < 0.01 NC). Postoperative communication between healthcare providers and patients significantly reduces pain perception and number of analgesics used for relief.

摘要

这项年龄和性别匹配的研究考察了术后电话回访对疼痛感知以及用于缓解疼痛的镇痛药使用数量的影响。成年牙周炎患者(n = 118)在接受检查和治疗(洁治、根面平整及清除局部刺激物)后接受了牙周手术。所有患者接受了相似的护理、术后指导及药物治疗,其中59名患者在术后24小时接受了电话回访(PC组),另外59名未接受电话回访(NC组)。回访者涵盖了10个要点,并对手术结果给予了安慰和肯定。术后一周,患者完成了一份问卷,该问卷通过视觉模拟量表对疼痛强度进行评分,并注明所服用药丸的数量以及他们是否接受了电话回访。与NC组相比,PC组的疼痛和镇痛药使用量显著降低(P < 0.001)。在合并组中(r = 0.79,P < 0.001 PC + NC)以及分别在两组中(r = 0.50,P < 0.001 PC;r = 0.41,P < 0.01 NC),疼痛与药丸使用量之间均存在显著正相关。医疗服务提供者与患者之间的术后沟通显著降低了疼痛感知及用于缓解疼痛的镇痛药数量。

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