| Abstract |
【Abstract】 Objective To analyze the influence of disastrous perception of pain on the risk of postoperative pain and anxiety in patients with perianal abscess. Methods A retrospective collection was made of clinical data of a total of 80 patients with perianal abscess who underwent surgical treatment in our hospital from January 2024 to January 2025. According to the Pain Catastrophizing Scale (PCS), the preoperative pain catastrophizing cognitive status of patients was analyzed. Patients with a tendency towards pain catastrophizing before surgery were classified into the study group (PCS ≥ 30 points, n=24）， Patients without a tendency towards pain catastrophizing were classified as the control group (PCS<30 points, n=56). Observe the visual analogue scale (VAS) scores of two groups at 24 hours, 48 hours, and 7 days after surgery, and analyze the Hamilton Anxiety Scale (HAMA) scores of the two groups before and 7 days after surgery. Results The VAS scores of the two groups at different time points showed differences in time, between groups, and interaction effects. The VAS scores of both groups at 7 days after surgery were lower than those at 48 hours and 24 hours after surgery, and 48 hours after surgery were lower than those at 24 hours after surgery. Compared with the control group, the VAS score data of the study group at 24 hours, 48 hours, and 7 days after surgery were higher (P<0.05). Compared to the control group, the study group had a higher preoperative HAMA score (P<0.05); Compared with preoperative, both groups showed a decrease in HAMA scores on postoperative day 7, and the HAMA scores in the study group were higher than those in the control group (P<0.05). Conclusion Catastrophizing perception of pain can significantly aggravate the postoperative pain level of patients with perianal abscess and increase the risk of anxiety. Clinically, preoperative psychological assessment and intervention should be emphasized.
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