普外科术后操作性疼痛发生现状及其影响因素分析

Analysis of the current situation and influencing factors of postoperative procedural pain in general surgery department

目的探究普外科术后操作性疼痛发生现状及其影响因素。方法采用便利抽样法选取2021年7月至2023年2月我院普外科收治的190例术后患者作为研究对象,术后24 h内采用疼痛数字评价量表(NRS)进行调查,根据是否发生操作性疼痛将患者分为发生组(n=137)和未发生组(n=53)。通过问卷调查获取两组患者的临床资料,通过多因素Logistic回归分析普外科术后操作性疼痛发生的影响因素。结果190例患者术后操作性疼痛发生率为72.11%,其中51.82%的患者选择积极报告疼痛,48.18%的患者选择隐瞒或忍耐疼痛。两组的性别、慢性疼痛史、负面心理、引流管数量、急性生理学与慢性健康状况评分Ⅱ(APACHEⅡ)评分比较,差异具有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,女性、有慢性疼痛史、有负面心理、引流管数量>3根、高APACHEⅡ评分是普外科术后操作性疼痛发生的影响因素(P<0.05)。结论普外科术后操作性疼痛发生率较高,性别、慢性疼痛史、负面心理、引流管数量、APACHEⅡ评分均会影响术后操作性疼痛发生,临床医护人员应根据操作性疼痛的影响因素,采取针对性策略进行管理。

Objective To explore the current situation and influencing factors of postoperative procedural pain in general surgery department.Methods A total of 190 postoperative patients admitted in the general surgery department of our hospital from July 2021 to February 2023 were selected as the research objects by convenience sampling method.The Numerical Rating Scale(NRS)was used to investigate within 24 h after surgery.The patients were divided into occurrence group(n=137)and non-occurrence group(n=53)according to whether the procedural pain occurred.The clinical data of the two groups of patients were obtained by questionnaire survey,and the influencing factors of postoperative procedural pain in general surgery department were analyzed by multivariate Logistic regression.Results The incidence of postoperative procedural pain in 190 patients was 72.11%,of which 51.82%of patients chose to report pain actively,and 48.18%of patients chose to conceal or tolerate pain.There were statistically significant differences in gender,history of chronic pain,negative psychology,number of drainage tubes,and Acute Physiology and Chronic Health EvaluationⅡ(APACHEⅡ)score between the two groups(P<0.05).The results of multivariate Logistic regression analysis showed that female,history of chronic pain,negative psychology,number of drainage tubes>3,high APACHEⅡscore were the influencing factors of postoperative procedural pain in general surgery deparment(P<0.05).Conclusion The incidence of postoperative procedural pain in general surgery department is high.Gender,history of chronic pain,negative psychology,number of drainage tubes,and APACHEⅡscore all affect the occurrence of postoperative procedural pain.Clinical medical staff should adopt targeted strategies for management based on the influencing factors of procedural pain.