Trajectories and influencing factors of perioperative pain catastrophizing in patients undergoing lumbar internal fixation surgery
10.3760/cma.j.cn115682-20240912-05063
- VernacularTitle:腰椎内固定术患者围手术期疼痛灾难化变化轨迹及影响因素分析
- Author:
Shaojuan TIAN
1
;
Xiaolan ZHAO
1
;
Dakai ZHOU
1
;
Rui SHI
1
;
Zhenjun ZHU
1
Author Information
1. 新乡市中心医院骨科一（脊柱）、新乡医学院第四临床学院、新乡市老年健康照护与促进重点实验室，新乡 453000
- Publication Type:Journal Article
- Keywords:
Perioperative period;
Lumbar internal fixation surgery;
Pain catastrophizing;
Trajectory;
Latent class growth model;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2025;31(21):2889-2894
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the latent trajectory class of perioperative pain catastrophizing in patients undergoing lumbar internal fixation surgery and analyze the influencing factors of these latent classes.Methods:A total of 180 patients who underwent lumbar internal fixation surgery at Xinxiang Central Hospital from January to December 2023 were selected using convenience sampling. The Pain Catastrophizing Scale (PCS) was used to assess pain catastrophizing at 1 day preoperatively and on postoperative days 3, 7, and 14. Latent Class Growth Modeling (LCGM) was employed to identify trajectory classes of pain catastrophizing, and Logistic regression analysis was used to examine their influencing factors.Results:A total of 177 patients completed the follow-up, with a follow-up rate of 98.33% (177/180) . The overall perioperative PCS score was (30.39±10.86) . PCS scores at 1 day preoperatively and on postoperative days 3, 7, and 14 were (37.63±6.23) , (33.27±6.00) , (28.55±9.02) , and (23.81±9.33) , respectively. The proportions of patients with PCS≥38 at the four times were 42.94% (76/177) , 23.16% (41/177) , 22.60% (40/177) , and 12.43% (22/177) , respectively. LCGM identified three latent trajectory classes of perioperative pain catastrophizing: "high-level declining group" (55.93%, 99/177) , "high-level fluctuating group" (28.81%, 51/177) , and "persistent high-level group" (15.25%, 27/177) . Logistic regression analysis showed that payment method, surgical duration, and preoperative PCS score were significant influencing factors of pain catastrophizing trajectory classes ( P<0.05) . Conclusions:Pain catastrophizing levels in patients undergoing lumbar internal fixation surgery peaked preoperatively. While most patients showed a declining trend postoperatively, a subset exhibited fluctuating or persistently high levels. Payment method, surgical duration, and preoperative pain catastrophizing levels significantly influenced the trajectory of pain catastrophizing, warranting attention from clinical nursing staff.
