先天性小耳畸形患儿肋软骨采取术后疼痛现状及相关因素分析
Investigation on status quo and related factors of postoperative pain in costal cartilage harvest children with congenital microtia
冯瑶 1刘娜 2张珺钰 1李杨1
作者信息
- 1. 中国医学科学院北京协和医学院 护理学院,北京 100144
- 2. 中国医学科学院北京协和医学院整形外科医院 护理部,北京 100144
- 折叠
摘要
目的 探讨先天性小耳畸形患儿肋软骨采取术后疼痛的现状及相关因素.方法 自2023年10月至2024年2月,中国医学科学院北京协和医学院整形外科医院耳再造病房选取172例肋软骨采取术的耳畸形患儿为研究对象,采用自行设计的问卷收集患儿的临床资料、术后疼痛情况;采用Wong-Baker面部表情疼痛分级量表评估患儿术后静息和活动时疼痛程度.结果 肋软骨采取术后0～96 h,静息时疼痛发生率为89.02％,中重度及以上疼痛发生率为22.48％;活动时疼痛发生率为96.48％,中重度及以上疼痛发生率为53.20％.术后6～24 h内活动时疼痛评分均值维持在较高水平(6分以上);单因素分析结果显示,家长文化程度、工作状况、家庭所在地、家庭结构、麻醉药物、镇痛泵药物对患儿术后疼痛评分比较,差异有统计学意义(P＜0.05);多元线性回归分析结果显示,患儿性别、是否为独生子女、家庭结构对患儿术后疼痛评分的影响有统计学意义(P＜0.05).结论 肋软骨采取术患儿术后疼痛发生率较高、程度较重;患儿性别、是否为独生子女、家庭结构是患儿术后疼痛的主要影响因素.
Abstract
Objective To investigate the status quo and related factors of postoperative pain in costal cartilage harvest children with microtia.Methods A convenient sample of 172 costal cartilage harvest children with microtia from the ear reconstruction depart-ment of a Beijing tertiary grade A hospital were investigated with a self-designed questionnaire,and the pain degree at rest and during ac-tivity was assessed by Wong-Baker Faces Pain Rating Scale.Results The incidence of pain at rest was 89.02％and the incidence of moderate to severe pain was 22.48％within 0～96 hours after operation;The incidence of pain during activity was 96.48％and the incidence of moderate to severe pain was 53.20％within 0～96 hours after operation.The mean value of children's pain score during activity was maintained at a high level(more than 6 points)within 6～24 hours after operation.There were significant differences in postoperative pain scores among different educational background of parents,work status of parents,family location,family structure,anesthetics and analgesic pump drugs(P＜0.05).The multiple linear regression analysis showed that gender,whether the child is an only child and family structure had significant effects on the postoperative pain scores(P＜0.05).Conclusion Postoperative pain in costal cartilage harvest children showed its high incidence and severity.Gender,whether the child is an only child,family structure are the main influencing factors of post-operative pain.
关键词
小耳畸形/儿童/术后疼痛/现状调查Key words
Microtia/Children/Postoperative pain/Status quo引用本文复制引用
出版年
2024
NETL
NSTL
万方数据