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腰椎退行性疾病患者术后疼痛灾难化的研究进展

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腰椎退行性疾病是中老年人群中最常见的脊柱疾病,手术是其治疗的最佳方式,术后疼痛是腰椎退行性疾病患者最常见的主诉,疼痛可导致患者产生焦虑、沮丧、恐惧、抑郁等不良情绪,从而延长患者身体机能恢复时间.疼痛灾难化是对疼痛消极的预期和放大,与疼痛程度组成的一个重要预测因素,疼痛灾难化也是加重患者疼痛程度的主要心理因素.本文简述了腰椎退行性疾病患者术后疼痛灾难化的概念,介绍了测评工具、不良结局和影响因素,发现腰椎退行性疾病患者术后疼痛灾难化的影响因素众多,通过分析各影响因素的原因,总结相关建议,以期为腰椎退行性疾病患者护理的科研工作和临床实践提供参考.
Research progress on the catastrophic postoperative pain in patients with lumbar degenerative diseases
Lumbar degenerative disease is the most common spinal disease in the middle-aged and elderly people,and surgery is the best way of treatment.Postoperative pain is the most common complaint of patients with lumbar degenerative disease.Pain can lead to anxiety,depression,fear,depression and other bad emotions,thus prolonging the recovery time of patients'physical function.Pain catastrophizing is an important predictor of the negative expectation and amplification of pain,and pain catastrophizing is also the main psychological factor aggravating the pain degree of patients.This paper briefly describes the concept of catastrophizing post-operative pain in patients with lumbar degenerative disease,introduces the evaluation tools,adverse outcomes and influencing factors,and finds the influencing factors of postoperative pain in patients with lumbar degenerative disease.By analyzing the causes of the in-fluencing factors,summarizing the relevant suggestions,in order to provide reference for the scientific research and clinical practice of nursing patients with lumbar degenerative disease.

lumbar degenerative diseasepain catastrophiesevaluation toolsadverse outcomesinfluencing factors

李燕、李松昱、朱琳、金艳

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云南中医药大学护理学院 650500

昆明市延安医院 650051

腰椎退行性疾病 疼痛灾难化 测评工具 不良结局 影响因素

2024

中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
年,卷(期):2024.22(4)