手术前后甲状腺细针穿刺疼痛的感觉

Mezei Tibor, Vargyasi Tímea, Kolcsár Melinda
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摘要

细针穿刺细胞学(FNAC)被认为是评估甲状腺结节的金标准,但有时会引起部分患者的恐惧,导致手术延误。我们的目的是分析手术前想象或预期的疼痛强度与手术过程中实际疼痛强度的差异,以及影响疼痛强度的一些因素。材料和方法。103名患者回答了问卷调查。采用直径25G的针头,在没有局部麻醉的情况下进行取样。干预前填写问卷第一页,干预后填写问卷第二页。数值疼痛量表用于表示预期(手术前)和感知(手术后)疼痛强度。结果。患者的平均年龄为54岁,76%的患者尚未接受过此类手术。在所有患者中,在干预期间经历的疼痛强度低于患者预期(p <0.0001)。第一次做手术的人比已经做过手术的人更痛苦(p = 0.0163)。对于那些已经接受过这种手术的人来说,预期疼痛的强度和经历疼痛的强度之间没有差异(p = 0.6307)。手术前(r2 = 0.01925)和手术中(r2 = 0.03045)疼痛感随年龄的增长而下降。与中学和高等教育毕业生(23-24%)相比,仅小学毕业的患者更害怕疼痛(58%),后者的成员更专注于细胞学报告的结果。讨论,结论。我们研究了与甲状腺吸入细胞学相关的预期疼痛和经历疼痛的强度,以及可能影响这种强度的一些因素。预期的疼痛程度似乎受到患者意识的影响,因为那些第一次接受甲状腺穿刺的人预期的疼痛比他们实际经历的要严重得多。总之,手术后疼痛加重的患者的一般特征是意识水平低或完全没有意识,年龄较小,受教育程度较低。我们认为,适当的患者教育可以显著减少甲状腺FNAC手术的拖延,减轻患者的焦虑,从而帮助他们得到及时和适当的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The perception of pain associated with thyroid fine needle aspiration before and after the procedure
Abstract The idea of fine needle aspiration cytology (FNAC), which is considered the gold standard in the evaluation of thyroid nodules, occasionally elicits fear on the part of patients that often results in delays to the procedure. Our aim was to analyze the difference between the intensity of pain imagined or expected, before and the real pain experienced during the procedure, and also some of the factors influencing it. Materials and methods. Questionnaires were used, answered by 103 patients. Sampling was performed without local anesthesia using 25G diameter needles. The first page of the questionnaire was completed before and the second page after the intervention. A numerical pain scale was used to indicate the expected (pre-procedure) and perceived (post-procedure) intensity of pain. Results. The mean age of the patients was 54 years, and 76% had not yet undergone such procedure. In all patients, the intensity of pain experienced during the intervention itself was less than what patients expected (p <0.0001). First-time goers expected greater pain compared to those who had already underwent such a procedure (p = 0.0163). For those who had already underwent such a procedure, there was no difference between the intensity of expected pain and the intensity of experienced pain (p = 0.6307). The pain perception decreased with age, both before (r2 = 0.01925) and during the procedure (r2 = 0.03045). Patients who graduated only primary school were more afraid of the pain (58%) as opposed to graduates of secondary and higher education (23–24%), members of the latter group were rather preoccupied with the outcome of the cytological report. Discussions, conclusions. We studied the intensity of expected and experienced pain associated with thyroid aspiration cytology, and some of the factors that may influence this. The level of expected pain appears to be influenced by patient awareness, as those who underwent for the first time a thyroid aspiration, expected significantly more pain than they actually experienced. In conclusion, the general characteristics of patients who experienced greater pain after the procedure were those with low levels of awareness or complete absence thereof, younger age and lower levels of education. We believe that proper patient education significantly reduces the procrastination of the procedure of thyroid FNAC and alleviates patients ’anxiety, thereby aiding them to receive prompt and appropriate care.
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