PDF(Pubmed)
Abstract：
Postoperative pain is an expected and undesirable by-product of all surgical procedures. The provision of effective and safe postoperative pain management should be one of the top priorities of any healthcare, where surgical procedures are carried out. Major abdominal surgical operations require pain management services, regular pain assessment, and timely management of breakthrough pains in the postoperative period.
UNASSIGNED: This study aimed to determine the prevalence and factors associated with acute postoperative pain.
UNASSIGNED: A cross-sectional study was conducted at Minilik and Zewditu Referral hospitals from October to December 2021 and chart review and face-to-face interviews were the methods of data collection. The pain was measured at the 2, 12, and 24 h postoperatively through a numerical rating scale, and the pain was categorized as no pain (score=0), mild pain (score 1-3), moderate pain (score 4-6), or severe pain (score 7-10). All independent variables with P less than or equal to 0.2 in the univariable logistic regression were reanalyzed with multivariable logistic regression at 95% CI to determine predictive factors and a P-value of less than 0.05 was considered statistically significant.
UNASSIGNED: In the study period, a total of 368 eligible patients were involved, out of this 11 patients were discharged before 24 h, four patients refuse to participate two incomplete documentation and one patient was ICU admitted, therefore 350 patients were involved with a response rate of 95.1%. Among those patients 73.1% of respondents\' experience at least one episodes of moderate to severe postoperative pain within the first 24 h. Preoperative anxiety (AOR: 2.2, 95% CI: 1.2, 5.1), urban residency (AOR: 2.3, 95% CI: 1.2, 50), participants who have not formal education (AOR: 2.5, 95% CI: 1.3, 4.1), surgical patients without pre-emptive analgesia (AOR: 2.7, 95% CI: 1.3, 3.6), abdominal incision greater than 10 cm (AOR: 3.5, 95% CI: 2.1, 7.2), and surgical duration greater than or equal to 60 min (AOR: 2.3, 95% CI: 1.1, 3.1) were factors associated with acute postoperative pain following elective gynecologic surgery.
UNASSIGNED: In this study, the overall incidence of moderate to severe postoperative pain after gynecologic surgery was unacceptably high, and patients undergoing gynecologic surgical procedures suffer sufficient postoperative pain need of intervention.
UNASSIGNED: This study aimed to determine the prevalence and factors associated with acute postoperative pain.
UNASSIGNED: A cross-sectional study was conducted at Minilik and Zewditu Referral hospitals from October to December 2021 and chart review and face-to-face interviews were the methods of data collection. The pain was measured at the 2, 12, and 24 h postoperatively through a numerical rating scale, and the pain was categorized as no pain (score=0), mild pain (score 1-3), moderate pain (score 4-6), or severe pain (score 7-10). All independent variables with P less than or equal to 0.2 in the univariable logistic regression were reanalyzed with multivariable logistic regression at 95% CI to determine predictive factors and a P-value of less than 0.05 was considered statistically significant.
UNASSIGNED: In the study period, a total of 368 eligible patients were involved, out of this 11 patients were discharged before 24 h, four patients refuse to participate two incomplete documentation and one patient was ICU admitted, therefore 350 patients were involved with a response rate of 95.1%. Among those patients 73.1% of respondents\' experience at least one episodes of moderate to severe postoperative pain within the first 24 h. Preoperative anxiety (AOR: 2.2, 95% CI: 1.2, 5.1), urban residency (AOR: 2.3, 95% CI: 1.2, 50), participants who have not formal education (AOR: 2.5, 95% CI: 1.3, 4.1), surgical patients without pre-emptive analgesia (AOR: 2.7, 95% CI: 1.3, 3.6), abdominal incision greater than 10 cm (AOR: 3.5, 95% CI: 2.1, 7.2), and surgical duration greater than or equal to 60 min (AOR: 2.3, 95% CI: 1.1, 3.1) were factors associated with acute postoperative pain following elective gynecologic surgery.
UNASSIGNED: In this study, the overall incidence of moderate to severe postoperative pain after gynecologic surgery was unacceptably high, and patients undergoing gynecologic surgical procedures suffer sufficient postoperative pain need of intervention.
摘要：
术后疼痛是所有外科手术的预期和不期望的副产品。提供有效和安全的术后疼痛管理应该是任何医疗保健的首要任务之一。在那里进行外科手术。大型腹部外科手术需要疼痛管理服务,定期疼痛评估，并在术后及时处理突破性疼痛。
■本研究旨在确定急性术后疼痛的患病率和相关因素。
■2021年10月至12月在Minilik和Zewditu转诊医院进行了一项横断面研究，图表审查和面对面访谈是数据收集的方法。通过数字评定量表在术后2、12和24h测量疼痛，疼痛被归类为无痛（评分=0），轻度疼痛（评分1-3），中度疼痛（评分4-6），或剧烈疼痛（评分7-10）。单变量logistic回归中P小于或等于0.2的所有自变量在95%CI时用多变量logistic回归重新分析，以确定预测因素，P值小于0.05被认为具有统计学意义。
■在研究期间，共有368名符合条件的患者参与其中，这11名患者在24小时前出院，四名患者拒绝参加两份不完整的文件，一名患者被ICU收治，因此350例患者参与其中,有效率为95.1%.在这些患者中，73.1％的受访者在最初的24小时内至少经历过一次中度至重度术后疼痛发作。术前焦虑（AOR：2.2，95％CI：1.2，5.1），城市居住权(AOR：2.3，95%CI：1.2，50)，未受过正规教育的参与者(AOR：2.5，95%CI：1.3，4.1)，无超前镇痛的手术患者（AOR：2.7，95%CI：1.3，3.6），腹部切口大于10cm(AOR:3.5,95%CI:2.1,7.2),手术时间大于或等于60min(AOR:2.3,95%CI:1.1,3.1)是妇科择期手术后急性术后疼痛的相关因素.
■在这项研究中，妇科手术后中度至重度术后疼痛的总发生率高得令人无法接受，接受妇科外科手术的患者需要进行足够的术后疼痛干预。
■本研究旨在确定急性术后疼痛的患病率和相关因素。
■2021年10月至12月在Minilik和Zewditu转诊医院进行了一项横断面研究，图表审查和面对面访谈是数据收集的方法。通过数字评定量表在术后2、12和24h测量疼痛，疼痛被归类为无痛（评分=0），轻度疼痛（评分1-3），中度疼痛（评分4-6），或剧烈疼痛（评分7-10）。单变量logistic回归中P小于或等于0.2的所有自变量在95%CI时用多变量logistic回归重新分析，以确定预测因素，P值小于0.05被认为具有统计学意义。
■在研究期间，共有368名符合条件的患者参与其中，这11名患者在24小时前出院，四名患者拒绝参加两份不完整的文件，一名患者被ICU收治，因此350例患者参与其中,有效率为95.1%.在这些患者中，73.1％的受访者在最初的24小时内至少经历过一次中度至重度术后疼痛发作。术前焦虑（AOR：2.2，95％CI：1.2，5.1），城市居住权(AOR：2.3，95%CI：1.2，50)，未受过正规教育的参与者(AOR：2.5，95%CI：1.3，4.1)，无超前镇痛的手术患者（AOR：2.7，95%CI：1.3，3.6），腹部切口大于10cm(AOR:3.5,95%CI:2.1,7.2),手术时间大于或等于60min(AOR:2.3,95%CI:1.1,3.1)是妇科择期手术后急性术后疼痛的相关因素.
■在这项研究中，妇科手术后中度至重度术后疼痛的总发生率高得令人无法接受，接受妇科外科手术的患者需要进行足够的术后疼痛干预。
