骨科患者术后疼痛与焦虑情绪的相关性研究

Correlation between Postoperative Pain and Anxiety among Orthopedics Patients

目的探讨骨科患者手术后疼痛程度与焦虑情绪的关系。方法选取2016年10月至2017年4月温州市某三级甲等综合医院骨科290例术后患者进行问卷调查,采用数字疼痛评分法评估患者术后1~7天的疼痛状况,采用焦虑自评量表测量其焦虑程度,采用一般资料调查问卷调查人口学资料。结果 290例骨科患者术后7天内平均疼痛得分中术后第1天的疼痛评分最高(4.89±4.97)分,其次是术后第4天(4.37±4.92)分;术后7天内的平均焦虑得分中术后第1天的焦虑自评得分最高(58.28±3.48)分,随着时间焦虑水平逐渐下降,术后焦虑阳性检出率最高为术后第1天(70.3%)。Pearson相关性分析结果显示,骨科患者手术后疼痛程度与其焦虑程度呈显著正相关(P<0.05)。结论浙江省温州市某三级甲等综合医院甲等,骨科患者术后7天内疼痛水平、焦虑程度处于偏上水平,患者的焦虑程度对其疼痛水平有显著影响。

Objective To explore the correlation between postoperative pain and anxiety among orthopedics patients after surgery. Methods 290 orthopedics patients were recruited by convenience sampling during October 2016 to April 2017 from Department of Orthopedics in a Class-A tertiary hospital in Wenzhou, Zhejiang Province. Numerical Rating Scale （NRS） was used to assess the status of postoperative pain at i to 7 days after surgery in orthopedics patients. Self-Rating Anxiety Scale （SAS） was used to measure the extent of anxiety. A self-developed questionnaire was used for collecting the demographic data. Results Among the 290 orthopedics patients recruited, the average NRS score was the highest on the first day （4.89- 4.97）, followed by the fourth day after surgery （4.37 ＋ 4.92）.The highest average SAS score was from the first day （58.28 -4- 3.48）, and the score decreased with time. Also, the highest positive rate of postoperative anxiety was on the first day after operation （70.3%）. Pearson correlation analysis showed that postoperative pain was positively correlated with postoperative anxiety （P〈0.05）. Conclusions In the Class-A tertiary hospital of Wenzhou, Zhejiang Province, orthopedics patients＇postoperative pain and anxiety were at a high level in 7 days after surgery. Postoperative pain had significant influence on postoperative anxiety.