文摘

背景:随着北美人口年龄、膝骨关节炎的患病率和外科干预措施(即全膝关节置换术(TKA))旨在纠正疼痛和残疾也将按比例上升。因此,努力更好地理解与手术结果相关联的因素是必要的。到目前为止,没有研究调查了社会心理因素对急性TKA术后疼痛的影响。目的:检查协会的主要目标是在小题大作、消极情绪、人口和急性TKA术后疼痛。辅助分析研究协会的术前和术后疼痛心理变量。方法:患者完成问卷包2 h手术和术后连续三天前在医院。调查问卷包包括简式麦吉尔疼痛问卷,剧烈疼痛规模和情绪状态的缩短版本的概要文件。细微精神状态检查也是管理。从病人的人口数据提取医学图表。结果:建立了协会在小题大作、负面情绪和疼痛。 Regressions showed that younger age predicted greater preoperative and postoperative day 1 pain; catastrophizing predicted preoperative and postoperative day 2 pain; and negative mood predicted postoperative day 3 pain. Catastrophizing and negative mood were highly correlated at several assessment points. Preoperative variables did not predict postoperative pain.CONCLUSION: These results have postoperative pain management implications. Heightened attention to psychosocial variables, such as postoperative catastrophizing and negative mood, may be useful in identifying patients at risk for greater postoperative pain.