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首页> 外文期刊>Journal of pediatric psychology >Is postoperative pain a self-fulfilling prophecy? Expectancy effects on postoperative pain and patient-controlled analgesia use among adolescent surgical patients.
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Is postoperative pain a self-fulfilling prophecy? Expectancy effects on postoperative pain and patient-controlled analgesia use among adolescent surgical patients.

机译：术后疼痛是一种自我实现的预言吗？青少年手术患者对术后疼痛和自控镇痛的预期效果。

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OBJECTIVE: To explore relationships among anxiety, anticipated pain, coping styles, postoperative pain, and patient-controlled analgesia (PCA) use among adolescent surgical patients and their parents. METHODS: Sixty-five 12- to 18-year-old surgical patients undergoing surgery with postoperative PCA pain management were included. Before surgery, adolescents and parents reported anxiety and expected levels of postoperative pain. Pain catastrophizing and coping style were assessed within 48 hr after surgery, with pain scores and PCA use recorded through the end of the second postoperative day. RESULTS: Adolescents' preoperative psychological characteristics (anxiety and anticipated pain) predicted postoperative pain scores, number of PCA injections and demands, and the PCA injections:demands ratio, with reports of anticipated pain associating most closely with these postoperative pain outcomes. Parental anxiety and anticipated pain did not predict teens' postoperative pain. Coping style did not moderate the relationship between anticipated pain and pain outcomes. CONCLUSIONS: Findings are interpreted as suggesting a self-fulfilling prophecy in adolescents' postoperative pain experience wherein teens who expect to have high levels of postoperative pain ultimately report more pain and use more opioid PCA medication than those who report lower levels of pain.
机译：目的：探讨青少年手术患者及其父母的焦虑，预期疼痛，应对方式，术后疼痛和患者自控镇痛（PCA）之间的关系。方法：包括65名接受术后PCA疼痛治疗的12至18岁的外科手术患者。手术前，青少年和父母报告了焦虑和预期的术后疼痛程度。术后48小时内评估疼痛的灾难性和应对方式，并在术后第二天结束时记录疼痛评分和PCA使用情况。结果：青少年的术前心理特征（焦虑和预期疼痛）可预测术后疼痛评分，PCA注射次数和需求量，以及PCA注射：需求比率，其中预期疼痛的报告与这些术后疼痛结局最密切相关。父母的焦虑和预期的疼痛并不能预示青少年的术后疼痛。应对方式未能缓解预期疼痛与疼痛结果之间的关系。结论：发现被解释为预示着青少年术后疼痛经历的自我实现，与那些较低水平的疼痛报告相比，那些期望较高水平的术后疼痛的青少年最终报告更多的疼痛并使用更多的阿片类PCA药物。

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