摘要
目的对头颈组织瓣修复术后患者中度及以上疼痛特点研究及相关因素分析,为后续术后疼痛管理提供相关依据。方法采用便利抽样法,选取2017年12月—2018年12月在北京大学口腔医院颌面外科住院行组织瓣修复术的239例患者为研究对象,采用患者症状自我报告方法,先根据疼痛报告条目对疼痛类型分类,每天以疼痛程度分级法(VRS)评分对患者6个时间段伤口、咽喉、输液、其他及非干预疼痛进行为期6 d疼痛症状收集,分析中度及以上疼痛特点及相关因素。结果239例患者中有87例主诉出现中度及以上疼痛,其中42例为重度疼痛;不同年龄、文化程度的患者,在有无中重度疼痛方面比较差异有统计学意义(P<0.05)。咽喉疼痛病例数和频次排在所有类型疼痛的第1位。结论头颈组织瓣修复术后虽经静脉给予患者自控镇痛,但超过1/3患者仍主诉存在中度及以上疼痛,并且不同类型的疼痛也存在着不同的疼痛特点,咽喉疼痛较为突出。性别因素中男性患者以中度疼痛病例数为多,而女性患者显示出更高比例的重度疼痛。
Objective This study aimed to explore and analyze correlated factors of the characteristics of moderate and severe pain in head and neck cancer(HNC)patients after tissue flap repairment,to provide the basis for the following pain management.Methods The convenience sampling method was used to enroll 239 patients who underwent tissue flap repairment at the Department of Oral and Maxillofacial Surgery,Peking University Hospital of Stomatology between December 2017 and December 2018 in this study.To classify the types of pain,Verbal Rating Scale(VRS)scores were used to collect the pain symptoms of patients with 6 time periods of wound,throat,infusion,other and non-intervention for 6 days,and analyze the characteristics and correlated factors of moderate and severe pain.Results Eighty-seven of the 239 patients complained of moderate or severe pain.The distribution of patients age and education level had statistical differences in the presence or absence of moderate to severe pain(P<0.05).The cases of sore throat and frequency occurred most frequently among all types of pain.Conclusions Although patient-controlled analgesia is given to patients after flap repairment,more than one-third of patients still complained of moderate and severe pain.Different types of pain have different characteristics,and throat pain occurred more frequently.Moderate pain was more common in male patients,while severe pain has a much higher proportion in female patients.
作者
郭宏梅
季佳婧
向丽媛
贺敏敏
李秀娥
Guo Hongmei;Ji Jiajing;Xiang Liyuan;He Minmin;Li Xiue(Department of Maxillofacial Surgery,Peking University Hospital of Stomatology,Beijing 100081,China;Nursing Department,Peking University Hospital of Stomatology,Beijing 100081,China)
出处
《中华现代护理杂志》
2021年第9期1190-1195,共6页
Chinese Journal of Modern Nursing
关键词
疼痛
手术后
头颈组织瓣
患者自我报告
Pain,postoperative
Head and neck tissue flap
Patient self-report
