Characteristics and influencing factors of moderate and above pain after head and neck tissue flap repair based on patient self-reports
10.3760/cma.j.cn115682-20201022-05865
- VernacularTitle:基于患者报告的头颈组织瓣修复术后中度及以上疼痛特点调查及影响因素分析
- Author:
Hongmei GUO
1
;
Jiajing JI
;
Liyuan XIANG
;
Minmin HE
;
Xiue LI
Author Information
1. 北京大学口腔医院颌面外科，北京 100081
- Keywords:
Pain, postoperative;
Head and neck tissue flap;
Patient self-report
- From:
Chinese Journal of Modern Nursing
2021;27(9):1190-1195
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aimed to explore and analyze correlated factors of the characteristics of moderate and severe pain in head and neck cancer (HNC) patients after tissue flap repairment, to provide the basis for the following pain management.Methods:The convenience sampling method was used to enroll 239 patients who underwent tissue flap repairment at the Department of Oral and Maxillofacial Surgery, Peking University Hospital of Stomatology between December 2017 and December 2018 in this study. To classify the types of pain, Verbal Rating Scale (VRS) scores were used to collect the pain symptoms of patients with 6 time periods of wound, throat, infusion, other and non-intervention for 6 days, and analyze the characteristics and correlated factors of moderate and severe pain.Results:Eighty-seven of the 239 patients complained of moderate or severe pain. The distribution of patients age and education level had statistical differences in the presence or absence of moderate to severe pain ( P<0.05) . The cases of sore throat and frequency occurred most frequently among all types of pain. Conclusions:Although patient-controlled analgesia is given to patients after flap repairment, more than one-third of patients still complained of moderate and severe pain. Different types of pain have different characteristics, and throat pain occurred more frequently. Moderate pain was more common in male patients, while severe pain has a much higher proportion in female patients.
