术后肛周脓肿患者自我报告疼痛的发展轨迹及其与生活质量的关系。

IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY
Journal of Pain Research Pub Date : 2025-05-23 eCollection Date: 2025-01-01 DOI:10.2147/JPR.S492923
Yulei Gao, Li Zhang, Qiao Qian, Huachun Zhang, Yibo Yao
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引用次数: 0

摘要

背景:肛周脓肿是一种常见的肛肠疾病,其特征是肛门和直肠附近疼痛的脓液聚集。手术干预是标准的治疗方法,但术后疼痛会显著影响患者的生活质量(QoL)。了解疼痛体验的可变性及其与生活质量的关系对于改善术后预后至关重要。方法:本研究纳入了575例在2021年至2023年间接受肛周脓肿手术治疗的患者。在四周的随访期间,使用视觉模拟量表在多个时间点评估疼痛强度。生活质量使用Short Form-36健康调查进行测量。采用基于组的轨迹建模来识别不同的疼痛轨迹。多变量线性回归分析检验了疼痛轨迹和生活质量之间的关系,调整了人口统计学、生活方式和临床协变量。结果:基于组的轨迹建模确定了三种不同的疼痛轨迹。与波动组的参与者相比,处于逐渐下降轨迹的患者(β=5.17;95%置信区间:2.44,7.91)或快速下降(β=5.19;95%可信区间:2.48,7.90)疼痛患者在术后4周SF-36评分中报告的生活质量评分显著提高。结论:该研究强调了肛周脓肿患者术后疼痛体验的异质性,并强调了个性化疼痛管理策略的重要性。早期识别有不良疼痛结局风险的患者可以促进有针对性的干预,最终改善长期生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trajectory of Self-Reported Pain and Association with Quality of Life in Patients with Perianal Abscesses After Surgery.

Background: Perianal abscesses are a common anorectal condition characterized by painful collections of pus near the anus and rectum. Surgical intervention is the standard treatment, yet postoperative pain can significantly impact patients' quality of life (QoL). Understanding the variability in pain experiences and their association with QoL is crucial for improving postoperative outcomes.

Methods: This study included 575 patients who underwent surgical intervention for perianal abscesses between 2021 and 2023. Pain intensity was assessed using the Visual Analog Scale at multiple time points over a four-week follow-up period. QoL was measured using the Short Form-36 health Survey. Group-based trajectory modeling was employed to identify distinct pain trajectories. Multivariate linear regression analyses examined the association between pain trajectories and QoL, adjusting for demographic, lifestyle, and clinical covariates.

Results: Group-based trajectory modeling identified three distinct pain trajectories. Compared to participants in the fluctuating group, patients in trajectories characterized by gradual decline (β=5.17; 95% confidence interval: 2.44, 7.91) or rapid decline (β=5.19; 95% confidence interval: 2.48, 7.90) pain reported significantly higher QoL scores across SF-36 score at 4 weeks post-surgery.

Conclusion: The study highlights the heterogeneity in postoperative pain experiences among patients with perianal abscesses and underscores the importance of personalized pain management strategies. Early identification of patients at risk of poor pain outcomes can facilitate targeted interventions, ultimately improving long-term QoL.

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来源期刊
Journal of Pain Research
Journal of Pain Research CLINICAL NEUROLOGY-
CiteScore
4.50
自引率
3.70%
发文量
411
审稿时长
16 weeks
期刊介绍: Journal of Pain Research is an international, peer-reviewed, open access journal that welcomes laboratory and clinical findings in the fields of pain research and the prevention and management of pain. Original research, reviews, symposium reports, hypothesis formation and commentaries are all considered for publication. Additionally, the journal now welcomes the submission of pain-policy-related editorials and commentaries, particularly in regard to ethical, regulatory, forensic, and other legal issues in pain medicine, and to the education of pain practitioners and researchers.
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