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Study of the effect of pain on postoperative rehabilitation of patients with uterine malignant tumor

OBJECTIVE: The relationship between acute postoperative pain (APSP) and health-related quality of life (HRQoL) in patients with uterine malignant tumor after operation was evaluated with self-rating scales, and the influencing factors of postoperative rehabilitation were screened. METHODS: A total o...

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Autores principales: Lv, Xiaohong, Li, Chunlai, Tang, Min, Yuan, Dan, Zhong, Yu, Xie, Yubo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9847568/
https://www.ncbi.nlm.nih.gov/pubmed/36684209
http://dx.doi.org/10.3389/fsurg.2022.1052800
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author Lv, Xiaohong
Li, Chunlai
Tang, Min
Yuan, Dan
Zhong, Yu
Xie, Yubo
author_facet Lv, Xiaohong
Li, Chunlai
Tang, Min
Yuan, Dan
Zhong, Yu
Xie, Yubo
author_sort Lv, Xiaohong
collection PubMed
description OBJECTIVE: The relationship between acute postoperative pain (APSP) and health-related quality of life (HRQoL) in patients with uterine malignant tumor after operation was evaluated with self-rating scales, and the influencing factors of postoperative rehabilitation were screened. METHODS: A total of 102 patients undergoing elective surgery for Gynecology in the First Affiliated Hospital of Guangxi Medical University were included in this study. PCS, SAS, NRS and EQ-5D scales were evaluated 1 day before surgery, and NRS and EQ-5D scales were evaluated 1,3,7,14, and 30 days after surgery. In addition, the general and perioperative information of patients was collected from the medical record system of the hospital. RESULTS: From the 1st to the 30th day after operation, the NRS and EQ-5D-5L scores of patients decreased gradually, and EQ-VAS scores increased gradually. NRS score was correlated with EQ-5D score (P < 0.01). Postoperative hospital stay, Education level, PCS score and NRS score (Overall state and Active state) were the principal influencing factors of EQ-5D score (P < 0.05). Patients in the pain group had a later time to get out of bed and eat, a higher incidence of postoperative complications, and a longer postoperative hospital stay (P < 0.05). Endoscopic surgery can reduce postoperative pain and promote postoperative rehabilitation (χ(2 )= 37.631, P < 0.001). CONCLUSIONS: The postoperative rehabilitation of patients in the pain group was poor. Minimally invasive surgery can reduce postoperative pain and promote postoperative rehabilitation. EQ-5D score can be used as a subjective index to evaluate postoperative rehabilitation. TRIAL REGISTRATION: Chinese Clinical Trial Registry (identifier: ChiCTR2000032759).
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spelling pubmed-98475682023-01-19 Study of the effect of pain on postoperative rehabilitation of patients with uterine malignant tumor Lv, Xiaohong Li, Chunlai Tang, Min Yuan, Dan Zhong, Yu Xie, Yubo Front Surg Surgery OBJECTIVE: The relationship between acute postoperative pain (APSP) and health-related quality of life (HRQoL) in patients with uterine malignant tumor after operation was evaluated with self-rating scales, and the influencing factors of postoperative rehabilitation were screened. METHODS: A total of 102 patients undergoing elective surgery for Gynecology in the First Affiliated Hospital of Guangxi Medical University were included in this study. PCS, SAS, NRS and EQ-5D scales were evaluated 1 day before surgery, and NRS and EQ-5D scales were evaluated 1,3,7,14, and 30 days after surgery. In addition, the general and perioperative information of patients was collected from the medical record system of the hospital. RESULTS: From the 1st to the 30th day after operation, the NRS and EQ-5D-5L scores of patients decreased gradually, and EQ-VAS scores increased gradually. NRS score was correlated with EQ-5D score (P < 0.01). Postoperative hospital stay, Education level, PCS score and NRS score (Overall state and Active state) were the principal influencing factors of EQ-5D score (P < 0.05). Patients in the pain group had a later time to get out of bed and eat, a higher incidence of postoperative complications, and a longer postoperative hospital stay (P < 0.05). Endoscopic surgery can reduce postoperative pain and promote postoperative rehabilitation (χ(2 )= 37.631, P < 0.001). CONCLUSIONS: The postoperative rehabilitation of patients in the pain group was poor. Minimally invasive surgery can reduce postoperative pain and promote postoperative rehabilitation. EQ-5D score can be used as a subjective index to evaluate postoperative rehabilitation. TRIAL REGISTRATION: Chinese Clinical Trial Registry (identifier: ChiCTR2000032759). Frontiers Media S.A. 2023-01-04 /pmc/articles/PMC9847568/ /pubmed/36684209 http://dx.doi.org/10.3389/fsurg.2022.1052800 Text en © 2023 Lv, Li, Tang, Yuan, Zhong and Xie. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Lv, Xiaohong
Li, Chunlai
Tang, Min
Yuan, Dan
Zhong, Yu
Xie, Yubo
Study of the effect of pain on postoperative rehabilitation of patients with uterine malignant tumor
title Study of the effect of pain on postoperative rehabilitation of patients with uterine malignant tumor
title_full Study of the effect of pain on postoperative rehabilitation of patients with uterine malignant tumor
title_fullStr Study of the effect of pain on postoperative rehabilitation of patients with uterine malignant tumor
title_full_unstemmed Study of the effect of pain on postoperative rehabilitation of patients with uterine malignant tumor
title_short Study of the effect of pain on postoperative rehabilitation of patients with uterine malignant tumor
title_sort study of the effect of pain on postoperative rehabilitation of patients with uterine malignant tumor
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9847568/
https://www.ncbi.nlm.nih.gov/pubmed/36684209
http://dx.doi.org/10.3389/fsurg.2022.1052800
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