심장수술 후 지속적 통증의 관련 요인: 체계적 문헌고찰 및 메타분석

Purpose: This study aimed at identifying factors related to persistent postoperative pain after cardiac surgery and estimating their effect sizes. Methods: The literature search and selection was conducted in four different databases (CINAHL, Cochrane Library, PubMed, and PQDT) using the Preferred R...

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Published in:Journal of Korean Academy of Nursing 2020-04, Vol.50 (2), p.159-177
Main Authors: 배재원, 신수진, Bae, Jaewon, Shin, Sujin
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Language:Korean
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container_title Journal of Korean Academy of Nursing
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creator 배재원
신수진
Bae, Jaewon
Shin, Sujin
description Purpose: This study aimed at identifying factors related to persistent postoperative pain after cardiac surgery and estimating their effect sizes. Methods: The literature search and selection was conducted in four different databases (CINAHL, Cochrane Library, PubMed, and PQDT) using the Preferred Reporting Items for Systematic Review and Meta-Analysis Statement. A total of 14 studies met the inclusion criteria and were systematically reviewed. For the meta-analysis, R was used to analyze 30 effect sizes of for both individual and operative factors as well as publication biases from a total of nine studies. Results: The meta-analysis revealed that persistent postoperative pain after cardiac surgery was related to one individual factor (gender) and two operative factors (acute postoperative pain and use of the internal mammary artery). Operative factors (OR=5.26) had a larger effect size than individual factors (OR=1.53). Conclusion: Female gender, acute pain after surgery, and use of the internal mammary artery are related factors to persistent postoperative pain. The development of interventions focusing on modifiable related factors, such as acute postoperative pain, may help to minimize or prevent PPP after cardiac surgery.
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title 심장수술 후 지속적 통증의 관련 요인: 체계적 문헌고찰 및 메타분석
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