Gender differences on preoperative psychologic factors affecting acute postoperative pain in patients with lumbar spinal disorders

IF 1.5 4区 医学 Q3 ORTHOPEDICS
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引用次数: 0

Abstract

Background

Psychosexual factors are one of the preoperative factors influencing acute postoperative pain. Because of gender differences in pain, the preoperative factors that influence acute postoperative pain may also differ between males and females. However, there have been no reports on such factors in patients with spinal disorders that focused on gender differences. Therefore, the purpose of this study was to examine the preoperative factors that influence acute postoperative pain, focusing on gender differences.

Methods

The subjects were 75 males and 60 females admitted for surgery for lumbar spinal disorders. Preoperatively, the following were assessed: low back pain using the Numeric Rating Scale (NRS); anxiety and depression using the Japanese version of the Hospital Anxiety and Depression Scale (HADS); catastrophic thinking using the Pain Catastrophizing Scale (PCS); psychiatric problems using the Brief Scale for Psychiatric Problems in Orthopaedic Patients (BS-POP); and neurological assessments. Acute postoperative pain was also assessed using the NRS within 48 h, postoperatively. Based on these data, we analyzed gender differences in preoperative factors affecting acute postoperative pain in patients with lumbar spinal disorders.

Results

Postoperative NRS and preoperative PCS scores were higher in females compared to males. In the males, the coefficient of determination of the multiple regression equation was 0.088, and PCS (β = 0.323, p = 0.015) was extracted as a significant factor. In the females, the coefficient of determination of the multiple regression equation was 0.075, and BS-POP (β = 0.300, p = 0.019) was extracted as a significant factor.

Conclusion

Preoperative factors influencing acute postoperative pain for patients with lumbar spinal disorders vary by gender. It was suggested that males should be screened using PCS. In females, on the other hand, PCS alone is not sufficient for evaluation. It was suggested that evaluation using BS-POP should be considered in addition to PCS.

影响腰椎疾病患者术后急性疼痛的术前心理因素的性别差异。
背景:性心理因素是影响术后急性疼痛的术前因素之一。由于疼痛的性别差异,影响术后急性疼痛的术前因素在男性和女性之间也可能不同。然而,目前还没有关于脊柱疾病患者中此类因素的报告,这些因素主要集中在性别差异上。因此,本研究的目的是检查影响术后急性疼痛的术前因素,重点关注性别差异。方法:受试者为75名男性和60名女性,因腰椎疾病接受手术。术前,评估以下内容:使用数字评定量表(NRS)评估腰痛;使用日本版医院焦虑和抑郁量表(HADS)的焦虑和抑郁;使用疼痛灾难量表的灾难性思维;使用骨科患者精神问题简要量表(BS-POP)的精神问题;以及神经系统评估。术后48小时内使用NRS评估急性术后疼痛。基于这些数据,我们分析了影响腰椎疾病患者术后急性疼痛的术前因素的性别差异。结果:女性术后NRS和术前PCS评分高于男性。在男性中,多元回归方程的决定系数为0.088,PCS(β=0.323,p=0.015)被提取为一个显著因素。在女性中,多元回归方程的决定系数为0.075,提取BS-POP(β=0.300,p=0.019)作为显著因素。结论:影响腰椎疾病患者术后急性疼痛的术前因素因性别而异。有人建议男性应该使用PCS进行筛查。另一方面,在女性中,单独使用PCS不足以进行评估。有人建议,除了PCS外,还应考虑使用BS-POP进行评估。
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来源期刊
Journal of Orthopaedic Science
Journal of Orthopaedic Science 医学-整形外科
CiteScore
3.00
自引率
0.00%
发文量
290
审稿时长
90 days
期刊介绍: The Journal of Orthopaedic Science is the official peer-reviewed journal of the Japanese Orthopaedic Association. The journal publishes the latest researches and topical debates in all fields of clinical and experimental orthopaedics, including musculoskeletal medicine, sports medicine, locomotive syndrome, trauma, paediatrics, oncology and biomaterials, as well as basic researches.
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