Ngôn ngữ sử dụng
Cách trích dẫn
Tải xuống
Tóm tắt
Objective: This study aimed to identify some factors associated with postoperative pain in patients undergoing upper limb fracture fixation surgery at Nghe An Trauma and Orthopedics Hospital in 2024.
Participants and methods: A cross-sectional descriptive study was conducted on 150 patients who underwent upper limb fracture fixation surgery at the Upper Limb Department, Nghe An Trauma and Orthopedics Hospital, from April to June 2024. The Brief Pain Inventory (BPI) was used to assess postoperative pain levels. Anxiety levels were measured using the Hospital Anxiety and Depression Scale-Anxiety Subscale (HADS-A). Social support was evaluated using the ENRICHD Social Support Instrument (ESSI). Data were analyzed using SPSS 22.0. Descriptive statistics were used to summarize patient characteristics. Independent t-test was applied to compare differences between groups. Additionally, Pearson correlation analysis examined linear relationships between variables. The statistical significance was set at p < 0.05.
Results: The proportion of male and female participants was 67.3% and 32.7%, respectively. The mean patient age was 45.7 ± 15.8 years, ranging from 18 to 77 years. A majority of patients (66.7%) had a high school education. Factors significantly associated with postoperative pain included surgical incision length, gender, duration of surgery, anxiety levels, and social support (p < 0.05) at 24, 48, and 72 hours postoperatively.
Conclusion: Minimizing postoperative pain requires a multidisciplinary approach, including optimizing surgical techniques, implementing multimodal analgesia strategies, and enhancing psychological support. These measures are essential for reducing tissue trauma, improving pain management, and enhancing the quality of life for postoperative patients.
Từ khóa
Tài liệu tham khảo
Mai Anh Dung. Pain status of patients after lower limb fusion surgery at the trauma department of Nam Dinh Provincial General Hospital in 2019 [Master’s thesis in nursing]. Nam Dinh University of Nursing. 2019.
Postoperative Pain Management–Good Clinical Practice (2016). European Society of Regional Anaesthesia and Pain Therapy. 2016.
Liver, TJ Poorly controlled postoperative pain:prevalence, consequences, and prevention. Journal of Pain Research. 2017, 2287-2298. doi: 10.2147/JPR.S144066.
Truong Dong Tam et al. Evaluation of the results of combined surgery of upper limb bones at the University of Medicine and Pharmacy Hospital in the period 2007-2014, Mountainous Medical Newsletter No. 1, Thai Nguyen University of Medicine and Pharmacy. 2016, 1.
Le Thi Mai Phuong, Phan Thi Dung. Outcomes of patient care after surgery for open fractures of the upper limb and some related factors at the Agricultural General Hospital in 2021, [Master’s thesis in nursing]. Hanoi University of Business and Technology. 2021.
Cleeland et al. The Brief Pain Inventory User Guide. The University of Texas, pp. 1-11. 2009.
Zigmond, AS and RP Snaith. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 1983, 67(6): 361-370. doi: 10.1111/j.1600-0447.1983.tb09716.x.
Mitchell PH et al. A short social support measure for patients recovering from myocardial infarction: the ENRICHD Social Support Inventory. Journal of Cardiopulmonary Rehabilitation. 2003, 23(6), pp. 398-403. doi: 10.1097/00008483-200311000-00001.
Tran Xuan Truong et al. Survey of pre- and post-operative pain levels of patients in the Department of Treatment on Demand 9B1, Vietnam Medical Journal. 2023, 527(DB1), pp. 320-328.
Allen, J., & Zumwalt, M. Biological sex differences in pain response and functional outcomes after orthopedic surgical procedures: a scoping review. Current Orthopedic Practice, 2024, 35(5), 189-196. DOI: 10.1097/BCO.0000000000001269
Tran Thi Cam Nhung. Study on the effectiveness of anesthesia during surgery and postoperative pain relief of brachial plexus anesthesia with a mixture of bupivacaine - Dexmedetomidine in upper limb bone fusion, [Doctoral thesis in medicine]. Institute of Clinical Medicine 108. 2020.
MS. abJeong et al. Mutual relationship between anxiety and pain in the intensive care unit and its effect on medications. Journal of Critical Care. 2015, 30(5), pp. 1043-1048. doi: 10.1016/j.jcrc.2015.05.025.
Nguyen Bich Phuong. Pain status of patients after laparoscopic surgery for uterine fibroids at the Central Obstetrics Hospital, Hanoi in 2022, [Master’s thesis in Nursing]. Nam Dinh University of Nursing. 2022.
Dao Tien Thinh. Assessment of pain and factors affecting pain in patients after abdominal surgery at the Department of Hepatobiliary Surgery, Thai Nguyen Central General Hospital in 2017, [Master’s thesis in nursing]. Nam Dinh University of Nursing. 2017.
công trình này được cấp phép theo Creative Commons Attribution-phi thương mại 4.0 International Giấy phép .
Bản quyền (c) 2025 Tạp chí Khoa học Điều dưỡng