剖宫产产妇术前焦虑抑郁、睡眠状况对其术后疼痛灾难化水平影响

Effects of the preoperative anxiety,depression and sleep status of women with cesarean section on their catastrophizing level of postoperative pain

目的:调查剖宫产产妇的疼痛灾难化水平现状,分析剖宫产产妇术前睡眠、心理状况对其术后疼痛灾难化水平的影响,为制定有针对性的镇痛策略提供依据。方法:选取2023年1月1日-2023年6月30日于本院住院的778名剖宫产产妇作为研究对象,采用一般资料问卷、医院焦虑抑郁量表、匹兹堡睡眠量表、疼痛灾难化量表进行调查。结果:剖宫产产妇的疼痛灾难化得分为(43.49±11.04)分,疼痛灾难化发生率77.76%,疼痛灾难化水平与睡眠、焦虑、抑郁呈正相关(r=0.624,P<0.001;r=0.471,P<0.001;r=0.510,P<0.001),多因素logistics回归分析显示焦虑(OR=1.67,95%CI 1.78~16.54)、睡眠质量评分高(OR=1.52,95%CI 1.16~15.55)是剖宫产产妇术后疼痛灾难化的独立危险因素。结论:剖宫产产妇的疼痛灾难化水平较高,制定改善剖宫产产妇术前睡眠、焦虑状况的措施对降低其术后疼痛灾难化水平,提高镇痛效果,促进产后舒适化水平有重要意义。

Objective:To investigate the current situation of the pain catastrovization of women with cesarean section,and to analyze the effects of the preoperative sleep and psychologic status of the women with cesarean section on their catastrophizing level of postoperative pain sleep,so as to provide evidences for developing the targeted analgesic strategies.Methods:A total of 778 women who were hospitalized for cesarean section were selected as the study objects from January 1,2023 to June 30,2023.The general information questionnaire,the hospital anxiety and depression scale,the Pittsburgh sleep quality index and the pain catastrophizing scale were used for investigation.Results:The score of the pain catastrophizing of the women with cesarean section was 43.49±11.04 points,and with the incidence of pain catastrophizing of 77.8%.The level of pain catastrophizing of the women was positively correlated with their situations of sleep,anxiety and depression(r=0.624,P<0.001;r=0.471,P<0.001;r=0.510,P<0.001).Multivariate logistic regression analysis showed that the anxiety(OR=1.67,95%CI 1.78-16.54)and the sleep quality(OR=1.52,95%CI 1.16-15.55)of the women were the independent risk factors of their pain catastrophizing after cesarean section.Conclusion:The pain catastrocization level of the women after cesarean section is at high level.The developed measures of improving preoperative sleep and relieving preoperative anxiety of the women with cesarean section can help reduce their pain catastrocization level,improve their postpartum analgesic effect and promote their postpartum comfort level.