Analysis of the current situation and influencing factors of postoperative procedural pain in general surgery department
Objective To explore the current situation and influencing factors of postoperative procedural pain in general surgery department.Methods A total of 190 postoperative patients admitted in the general surgery department of our hospital from July 2021 to February 2023 were selected as the research objects by convenience sampling method.The Numerical Rating Scale(NRS)was used to investigate within 24 h after surgery.The patients were divided into occurrence group(n=137)and non-occurrence group(n=53)according to whether the procedural pain occurred.The clinical data of the two groups of patients were obtained by questionnaire survey,and the influencing factors of postoperative procedural pain in general surgery department were analyzed by multivariate Logistic regression.Results The incidence of postoperative procedural pain in 190 patients was 72.11%,of which 51.82%of patients chose to report pain actively,and 48.18%of patients chose to conceal or tolerate pain.There were statistically significant differences in gender,history of chronic pain,negative psychology,number of drainage tubes,and Acute Physiology and Chronic Health Evaluation Ⅱ(APACHE Ⅱ)score between the two groups(P<0.05).The results of multivariate Logistic regression analysis showed that female,history of chronic pain,negative psychology,number of drainage tubes>3,high APACHE Ⅱ score were the influencing factors of postoperative procedural pain in general surgery deparment(P<0.05).Conclusion The incidence of postoperative procedural pain in general surgery department is high.Gender,history of chronic pain,negative psychology,number of drainage tubes,and APACHE Ⅱ score all affect the occurrence of postoperative procedural pain.Clinical medical staff should adopt targeted strategies for management based on the influencing factors of procedural pain.
general surgery departmentpostoperative procedural painnumerical rating scale