儿童烧伤患者术前焦虑与术后疼痛的相关性分析

IF 0.4 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Iranian Red Crescent Medical Journal Pub Date : 2023-02-22 DOI:10.32592/ircmj.2023.25.2.2548
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引用次数: 0

摘要

背景:烧伤是一种在热源作用下的皮肤组织损伤,是当今社会常见的一种意外伤害类型。目的:了解小儿烧伤患者术前焦虑与术后疼痛的关系,分析术前焦虑与术后疼痛的关系。方法:选取2020年10月至2021年8月在我院全麻下行烧伤手术的儿科患者108例。采用FLACC和面部表情疼痛量表评价患儿的疼痛程度,采用STAI和YPAS评价患儿的焦虑程度。采用相关性分析术前焦虑对烧伤患儿术后疼痛的影响。结果:烧伤患儿术前焦虑和重度焦虑占50%以上,1-3岁患儿与4-12岁患儿术前焦虑和术后疼痛差异有统计学意义。分析烧伤患儿术后疼痛的影响因素,包括烧伤面积、烧伤深度、既往手术情况。多因素分析显示,儿童术后疼痛的危险因素为年龄、烧伤面积、烧伤深度、儿童术前焦虑、父母特质焦虑,经统计检验,各影响因素对儿童术后疼痛均有显著影响(P < 0.05)。在烧伤患儿术前焦虑与术后疼痛的相关分析中,发现1 ~ 3岁患儿术前焦虑对患儿术后疼痛有显著影响,相关分析显示,烧伤患儿术前焦虑评分与术后疼痛呈正相关(r=0.479, P=0.001)。结论:儿童烧伤患者术前焦虑发生率较高,不同年龄组术后疼痛评分也存在差异。此外,目前烧伤患儿术前焦虑与术后疼痛存在相关性,且相关性为正相关,即患者焦虑评分越高,患者术后疼痛越强烈。
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Preoperative Anxiety and Postoperative Pain in Children with Burn Patients and Their Correlation Analysis
Background: Burn is a kind of skin tissue damage under the influence of heat source, which is a common type of accidental injury in current society. Objective: To investigate the status of preoperative anxiety and postoperative pain in children with burn patients, and to analyze the correlation between preoperative anxiety and postoperative pain. Methods: A total of 108 pediatric patients who underwent burn surgery under general anesthesia in our hospital from October 2020 to August 2021 were selected. FLACC and Facial Expression Pain Scale were used to evaluate the pain of the children, and STAI and YPAS were used to evaluate the anxiety of the children. Correlation was used to analyze the effect of preoperative anxiety on postoperative pain in burn children. Results: Preoperative anxiety and severe anxiety accounted for more than 50% of burn children, and there was a statistically significant difference in preoperative anxiety and postoperative pain between 1-3-year-old children and 4-12-year-old children. The influencing factors of postoperative pain in children with burns were analyzed, including burn area, depth of burn, and previous operations. The multivariate analysis showed that the risk factors for postoperative pain in children were age, burn area, depth of burn, preoperative anxiety of children, and parental trait anxiety, after statistical test, it shows that each influencing factor has a significant influence on postoperative pain in children (P < 0.05). In the correlation analysis of preoperative anxiety and postoperative pain in children with burns, it was shown that preoperative anxiety in children aged 1 to 3 years had a significant impact on postoperative pain of children, and the correlation analysis showed that preoperative anxiety of children with burns There was a positive correlation between anxiety score and postoperative pain (r=0.479, P=0.001). Conclusion: The incidence of preoperative anxiety in children with burn patients is high, and the postoperative pain scores are also different in different age groups. In addition, there is a current correlation between preoperative anxiety and postoperative pain in children with burn patients, and the correlation is positively correlated, that is, the higher the patient's anxiety score, the more intense the patient's postoperative pain.
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来源期刊
Iranian Red Crescent Medical Journal
Iranian Red Crescent Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.16
自引率
0.00%
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0
期刊介绍: The IRANIAN RED CRESCENT MEDICAL JOURNAL is an international, English language, peer-reviewed journal dealing with general Medicine and Surgery, Disaster Medicine and Health Policy. It is an official Journal of the Iranian Hospital Dubai and is published monthly. The Iranian Red Crescent Medical Journal aims at publishing the high quality materials, both clinical and scientific, on all aspects of Medicine and Surgery
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