骨科术后患儿疼痛灾难化现状及其影响因素分析

Analysis of the Statusand Influencing Factors of Pain Disaster in Children after Orthopedic Surgery

目的探讨骨科术后患儿疼痛灾难化现状及其影响因素。方法选取2023年5月-10月湖南省3所三级甲等医院的骨科术后患儿321例为研究对象,采用一般资料调查表、疼痛灾难化量表、视觉模拟评分量表、恐动症量表及骨科患者功能锻炼依从性量表进行调查。结果骨科术后患儿疼痛灾难化总分为(38.28±2.47)分,处于较高水平。多元线性回归分析结果显示,骨科术后患儿疼痛灾难化的影响因素包括手术方式、术后天数、疼痛、恐动症及功能锻炼依从性(P<0.05)。结论骨科术后患儿疼痛灾难化处于较高水平,医护人员应根据上述影响因素重点关注骨科术后患儿疼痛灾难化水平,制定有效的干预方案,促进患儿术后康复。

Objective To investigate the statusand influencing factors of pain disaster in children after orthopedic surgery.Methods 321 children with orthopaedic surgery were investigated by general data questionnaire,pain catastrophizing scale,visual analog scale,moophobia scale and functional exercise compliance scale.Results The total score of the pain catastrophizing scale was(38.28±2.47).Multiple linear regression analysis showed that the influencing factors of pain catastrophizing in orthopedic children included operation method,postoperative days,pain,moophobia and functional exercise compliance(P<0.05).Conclusion The level of pain disaster in children after orthopaedic surgery is at a high level.Medical staff should pay attention to the level of pain disaster in children after orthopaedic surgery,and formulate effective intervention programs according to its influencing factors to promote the postoperative rehabilitation of children.