Yulei Gao, Li Zhang, Qiao Qian, Huachun Zhang, Yibo Yao
{"title":"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。","authors":"Yulei Gao, Li Zhang, Qiao Qian, Huachun Zhang, Yibo Yao","doi":"10.2147/JPR.S492923","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":16661,"journal":{"name":"Journal of Pain Research","volume":"18 ","pages":"2615-2622"},"PeriodicalIF":2.5000,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12108952/pdf/","citationCount":"0","resultStr":"{\"title\":\"Trajectory of Self-Reported Pain and Association with Quality of Life in Patients with Perianal Abscesses After Surgery.\",\"authors\":\"Yulei Gao, Li Zhang, Qiao Qian, Huachun Zhang, Yibo Yao\",\"doi\":\"10.2147/JPR.S492923\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":16661,\"journal\":{\"name\":\"Journal of Pain Research\",\"volume\":\"18 \",\"pages\":\"2615-2622\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-05-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12108952/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pain Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/JPR.S492923\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pain Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JPR.S492923","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
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.
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.