// The mediating role of pain in the relationship between perioperative anxiety and postoperative recovery following adenotonsillectomy in children
前瞻性觀察130名5–12歲兒童腺扁桃體切除術患者，術後1天至1週疼痛減輕、恢復改善｜睡眠品質無顯著變化，分層迴歸顯示疼痛為恢復的最強預測因子｜圍術期焦慮非直接影響恢復，但會透過加重術後疼痛間接惡化，建議早期識別並以非藥物減痛介入改善復原
// This prospective observational study of 130 children (age 5–12) undergoing adenotonsillectomy measured perioperative anxiety, postoperative pain, sleep quality, and recovery using validated scales and tested associations with hierarchical regression and Hayes PROCESS mediation. Postoperative pain decreased and recovery improved from day 1 to week 1 while sleep quality did not change; regression showed pain was the strongest predictor of recovery at both timepoints. Mediation analysis found perioperative anxiety had no direct effect on recovery but indirectly worsened recovery by increasing postoperative pain. Early identification of perioperative anxiety and supportive non‑pharmacological strategies to reduce pain may improve postoperative recovery.
Published 2026年9月11日
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