|
|
|
| Influencing factors and countermeasures of the pain catastrophizing level of parturients after cesarean section |
| The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province,325015 |
|
|
|
|
Abstract To observe the related factors affecting the level of pain catastrophe of parturients after cesarean section, and to explore the targeted intervention strategies. Methods: A total of 283 parturients who underwent cesarean section in hospital from October 2022 to February 2023 were selected as the research objects by convenience sampling method. A cross-sectional survey was conducted on the parturients through the general situation questionnaire, pain catastrophizing scale(PCS), numerical rating scale(NRS), pain self-efficacy scale(PSEQ), generalized anxiety scale(GAD-7), Edinburgh postnatal depression scale(EPDS) and family care index questionnaire(APGAR). Multivariate linear stepwise regression analysis was used to explore the independent influencing factors of the pain catastrophizing level of the parturients after cesarean section. Results: The average PCS score of 269 parturients included in the study was(28.09±9.24) points, of which, there were 64(23.8%) parturients with PCS score ≥38 points. There was significant differences in the PCS score among the parturients with different educational levels or among the parturients with different occupations(P<0.05). Pearson correlation analysis showed that the PCS score of the parturients with caesarean section was positively correlated with their scores of NRS, GAD-7 and EPDS, and was negatively correlated with their PSEQ and APGAR scores(P<0.05). Multivariate linear stepwise regression analysis found that the higher education level, and the higher PSEQ and APGAR scores of the parturients were, the lower level of pain catastrophizing after cesarean section. The higher of the NRS, GAD-7 and EPDS scores of the parturients were, the higher level of pain catastrophizing after cesarean section(all P<0.05). Conclusion: The influencing factors of the level of pain catastrophizing of the parturients after cesarean section include the education level, the pain intensity, the pain self-efficacy, the anxiety symptoms, the depressive symptoms and the family support. The improving postoperative pain management and health education of the parturients can improve their pain coping ability, reduce their negative emotions, and enhance their family support, and which may be effective ways to reduce the level of pain catastrophizing of the parturients.
|
|
|
|
|
|
|
|
|
