乳房手术后的慢性疼痛:发生率、风险因素和对生活质量的影响

IF 0.9 Q3 ANESTHESIOLOGY
S. Nogueira , D. Rodrigues , M. Barros , J. Menezes , L. Guimarães-Pereira
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引用次数: 0

摘要

引言和目的乳腺癌是最常见的恶性肿瘤,而乳腺手术后慢性疼痛(CPBS)是一个日益受到重视的治疗相关问题。我们对 CPBS 的发生率、特征、相关因素以及对患者生活质量(QoL)的影响进行了评估。采用多种问卷收集数据:结果共有 112 名患者完成了研究。约有三分之一(34.8%)的患者出现了 CPBS,几乎所有患者都有潜在的神经病理性疼痛。CPBS 影响了患者的日常生活,降低了他们的生活质量。糖尿病(p=.028)、灾难化(p=.042)和急性术后疼痛严重程度(p< .001)与 CPBS 相关。医护人员需要了解 CPBS,采取措施预防和治疗 CPBS,并为患者提供足够的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Dolor crónico tras la cirugía de mama: incidencia, factores de riesgo e impacto en la calidad de vida

Dolor crónico tras la cirugía de mama: incidencia, factores de riesgo e impacto en la calidad de vida

Introduction and objectives

Breast cancer is the most frequently diagnosed malignancy, and chronic pain after breast surgery (CPBS) is an increasingly recognized therapy-related problem. We evaluated CPBS incidence, characteristics, associated factors, and impact on patient quality of life (QoL).

Materials and methods

Six-month observational prospective study in patients undergoing breast surgery in a tertiary university hospital. Data were collected using several questionnaires: Pain Catastrophizing Scale, Brief Pain Inventory-Short Form, Douleur Neuropathique 4 Questionnaire, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and its Breast Cancer Module.

Results

A total of 112 patients completed the study. Approximately, one third (34.8%) developed CPBS, almost all with potentially neuropathic pain. CPBS interfered with patients’ daily life and reduced their QoL. Diabetes (p=.028), catastrophizing (p=.042), and acute postoperative pain severity (p<.001) were associated with CPBS.

Conclusions

This study broadens our understanding of CPBS and shows the impact of this syndrome. Healthcare workers need to be aware of CPBS and take steps to prevent and treat it, and provide patients with adequate information.

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来源期刊
CiteScore
1.80
自引率
15.40%
发文量
113
审稿时长
82 days
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