Palermo T M, Drotar D D, Lambert S
Department of Psychology at Children's Hospital, Columbus, Ohio, USA.
Clin Nurs Res. 1998 Aug;7(3):275-91. doi: 10.1177/105477389800700305.
The purpose of this study was to investigate the influence of psychosocial variables in the prediction of children's pain intensity following surgery. Forty-two children, ages 7 to 17 years (M = 12.26, SD = 3.06), completed an interview 1 week prior to surgery assessing anticipatory distress related to their forthcoming surgery and history of coping strategy use. Following surgery, children reported the intensity of their pain using visual analog scales. Findings demonstrated that the majority of children experienced moderate to severe postoperative pain. Hierarchical multiple regression analyses revealed that psychosocial variables added to the prediction of children's postoperative pain after controlling for the influence of surgery-related and demographic variables. These findings lend initial support for the inclusion of psychosocial assessment measures (e.g., anticipatory surgery distress) in the preoperative assessment of pediatric patients who may be at risk for excessive postsurgical pain.
本研究的目的是调查心理社会变量对预测儿童术后疼痛强度的影响。42名年龄在7至17岁之间（均值 = 12.26，标准差 = 3.06）的儿童在手术前1周完成了一次访谈，评估与即将进行的手术相关的预期痛苦以及应对策略使用史。手术后，儿童使用视觉模拟量表报告他们的疼痛强度。结果表明，大多数儿童经历了中度至重度的术后疼痛。分层多元回归分析显示，在控制了手术相关变量和人口统计学变量的影响后，心理社会变量增加了对儿童术后疼痛的预测。这些发现为在可能有过度术后疼痛风险的儿科患者术前评估中纳入心理社会评估措施（如预期手术痛苦）提供了初步支持。
