心理因素及人格特征对眼科术后疼痛的影响及护理对策  

Effect of psychological factors and personality characteristics on postoperative ophthalmic pain and nursing countermeasures

作　　者：蔡仕英 CAI Shi-ying(Zhangzhou Huaxia Eye Hospital,Zhangzhou 363000,Fujian,China)

机构地区：[1]福建省漳州华厦眼科医院手术室,福建漳州363000

出　　处：《青岛医药卫生》2022年第5期367-372,共6页Qingdao Medical Journal

摘　　要：目的 探讨心理因素及人格特征对眼科术后疼痛的影响并提出相应护理对策。方法 选择2021年1月至2022年1月本院眼科手术患者80例作为研究对象,收集患者一般资料、视觉模拟疼痛评分(VAS)、状态-特质焦虑得分(STAI)、疼痛灾难化得分(PCS)、正性负性情绪得分(PANAS)、自我效能感得分(GSES)、大五人格得分(GBFS)、自测健康评定得分(SRHMS),利用单因素和多因素分析评估患者术后疼痛程度、持续时间及疼痛药物使用率的危险因素。结果 多因素分析结果显示,年龄、PCS、状态焦虑及GSES为患者术后疼痛程度的独立影响因素,神经质、STAI总分、术前疼痛程度、正性情绪、负性情绪是患者术后疼痛持续时间的独立影响因素,性别、工作状态、是否接受术前超前镇痛、状态焦虑、外向性是患者术后镇痛药物使用率的独立影响因素,差异均有统计学意义(P<0.05)。结论 心理因素和人格特征是眼科手术患者术后疼痛的重要因素,临床需加强心理护理,以达到减轻术后疼痛的目的。Objective To explore the effect of psychological factors and personality characteristics on postoperative ophthalmic pain and present nursing countermeasures. Methods A total of 80 ophthalmic surgery patients in our hospital from January 2021 to January 2022 were selected as the objects. The general information, VAS, STAI, PCS, PANAS, GSES, GBFS, SRHMS of the patients were collected. The univariate and multivariate analysis were conducted to estimate the risk factors of intense and duration of postoperative ophthalmic pain and the incidence of usage of analgesics. Results According to the multivariate analysis, age, PCS, state anxiety and GSES were independent predictors of intense of postoperative pain(P<0.05). According to the multivariate analysis, nervousness, total score of STAI, intense of preoperative pain, positive affect and negative affect were independent predictors of duration of postoperative pain(P<0.05). According to the multivariate analysis, gender, status of work, preoperative analgesia, state anxiety and extroversion were independent predictors of the incidence of usage of analgesics(P<0.05). Conclusion The psychological factors and personality characteristics were important influence factors of postoperative ophthalmic pain. Psychological nursing should be strengthened to alleviate postoperative pain.

关 键 词：心理因素 人格特征 眼科手术 术后疼痛 

分 类 号：R473.77[医药卫生—护理学]