Tabla 3: Cuestionario internacional de desenlaces de dolor (IPO-Q). |
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Variables estudiadas |
Grupo completo (N = 182) |
Sin PDP (N = 160) |
Con PDP (N = 22) |
p |
P1 peor dolor |
< 0.001* |
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Media ± DE |
4.79 ± 2.87 |
4.31 ± 2.70 |
8.32 ± 1.04 |
|
Mediana [mín.-máx.] |
5.00 [0-10.0] |
4.00 [0-10.0] |
8.00 [7.00-10.0] |
|
P2 menor dolor |
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Media ± DE |
2.60 ± 2.08 |
2.33 ± 1.91 |
4.59 ± 2.28 |
|
Mediana [mín.-máx.] |
2.00 [0-10.0] |
2.00 [0-8.00] |
4.50 [1.00-10.0] |
< 0.001* |
P3 frecuencia severidad |
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Media ± DE |
0.313 ± 0.226 |
0.257 ± 0.171 |
0.723 ± 0.141 |
|
Mediana [mín.-máx.] |
0.300 [0-1.00] |
0.300 [0-0.600] |
0.700 [0.600-1.00] |
< 0.001* |
P4 dolor en cama |
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Media ± DE |
4.57 ± 2.73 |
4.21 ± 2.65 |
7.14 ± 1.81 |
|
Mediana [mín.-máx.] |
5.00 [0-10.0] |
4.00 [0-10.0] |
8.00 [2.00-10.0] |
< 0.001* |
P4 dolor y tos |
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Media ± DE |
3.65 ± 2.89 |
3.25 ± 2.71 |
6.71 ± 2.37 |
|
Mediana [mín.-máx.] |
3.00 [0-10.0] |
3.00 [0-10.0] |
7.00 [1.00-10.0] |
< 0.001* |
No respondieron, n (%) |
1 (0.5) |
0 (0) |
1 (4.5) |
|
Frecuencia de tos, n (%) |
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Ausente |
26 (14.3) |
26 (16.3) |
0 (0) |
0.0859‡ |
Presente |
156 (85.7) |
134 (83.8) |
22 (100) |
|
P4 dolor al dormir |
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Media ± DE |
2.76 ± 2.91 |
2.29 ± 2.59 |
6.29 ± 2.83 |
|
Mediana [mín.-máx.] |
2.00 [0-10.0] |
1.00 [0-10.0] |
7.00 [2.00-10.0] |
< 0.001* |
No respondieron, n (%) |
1 (0.5) |
0 (0) |
1 (4.5) |
|
Frecuencia de dolor al dormir, n (%) |
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Ausente |
58 (31.9) |
58 (36.3) |
0 (0) |
0.0014*,§ |
Presente |
124 (68.1) |
102 (63.8) |
22 (100.0) |
|
P4 dolor fuera de cama, n (%) |
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Ausente |
37 (20.3) |
34 (21.3) |
3 (13.6) |
0.5827‡ |
Presente |
145 (79.7) |
126 (78.8) |
19 (86.4) |
|
P4 interferencia con las actividades |
|
|
|
|
Media ± DE |
2.93 ± 2.81 |
2.58 ± 2.59 |
5.50 ± 3.07 |
< 0.001* |
Mediana [mín.-máx.] |
2.50 [0-9.00] |
2.00 [0-9.00] |
6.50 [0-9.00] |
|
P5 ansiedad |
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Media ± DE |
2.85 ± 2.73 |
2.47 ± 2.55 |
5.55 ± 2.56 |
|
Mediana [mín.-máx.] |
2.00 [0-10.0] |
2.00 [0-10.0] |
5.50 [0-10.0] |
< 0.001* |
No respondieron, n (%) |
1 (0.5) |
1 (0.6) |
0 (0) |
|
Frecuencia de ansiedad, n (%) |
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Ausente |
54 (29.7) |
53 (33.1) |
1 (4.5) |
0.0123*,§ |
Presente |
128 (70.3) |
107 (66.9) |
21 (95.5) |
|
P5 paciente indefenso |
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Media ± DE |
2.42 ± 2.64 |
2.03 ± 2.31 |
5.58 ± 3.08 |
< 0.001* |
Mediana [mín.-máx.] |
2.00 [0-10.0] |
1.00 [0-10.0] |
6.00 [0-10.0] |
|
No respondieron, n (%) |
8 (4.4) |
5 (3.1) |
3 (13.6) |
|
P6 náusea |
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Media ± DE |
0.773 ± 1.73 |
0.575 ± 1.40 |
2.29 ± 2.95 |
|
Mediana [mín.-máx.] |
0 [0-10.0] |
0 [0-8.00] |
0 [0-10.0] |
0.0022* |
No respondieron, n (%) |
1 (0.5) |
0 (0) |
1 (4.5) |
|
Frecuencia de náusea, n (%) |
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Ausente |
136 (74.7) |
125 (78.1) |
11 (50.0) |
0.0097*,§ |
Presente |
46 (25.3) |
35 (21.9) |
11 (50.0) |
|
P6 somnolencia |
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Media ± DE |
1.85 ± 2.66 |
1.48 ± 2.27 |
4.45 ± 3.74 |
0.0001* |
Mediana [mín.-máx.] |
0 [0-10.0] |
0 [0-9.00] |
5.00 [0-10.0] |
|
No respondieron, n (%) |
1 (0.5) |
1 (0.6) |
0 (0) |
|
Frecuencia de somnolencia, n (%) |
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Ausente |
97 (53.3) |
91 (56.9) |
6 (27.3) |
0.0172*,§ |
Presente |
85 (46.7) |
69 (43.1) |
16 (72.7) |
|
P6 picazón |
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Media ± DE |
1.20 ± 2.13 |
1.01 ± 1.87 |
2.67 ± 3.21 |
0.007* |
Mediana [mín.-máx.] |
0 [0-10.0] |
0 [0-9.00] |
2.00 [0-10.0] |
|
No respondieron, n (%) |
2 (1.1) |
1 (0.6) |
1 (4.5) |
|
Frecuencia de picazón, n (%) |
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Ausente |
115 (63.2) |
106 (66.3) |
9 (40.9) |
0.0379*,§ |
Presente |
67 (36.8) |
54 (33.8) |
13 (59.1) |
|
P6 mareo |
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Media ± DE |
0.972 ± 2.05 |
0.736 ± 1.69 |
2.68 ± 3.34 |
0.00262* |
Mediana [mín.-máx.] |
0 [0-10.0] |
0 [0-9.00] |
0.500 [0-10.0] |
|
No respondieron, n (%) |
1 (0.5) |
1 (0.6) |
0 (0) |
|
P7 frecuencia de alivio |
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Media ± DE |
0.640 ± 0.273 |
0.645 ± 0.278 |
0.605 ± 0.236 |
0.3332 |
Mediana [mín.-máx.] |
0.700 [0-1.00] |
0.700 [0-1.00] |
0.700 [0.200-1.00] |
|
No respondieron, n (%) |
1 (0.5) |
1 (0.6) |
0 (0) |
|
P8 requirió más tratamiento, n (%) |
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No |
124 (68.1) |
114 (71.3) |
10 (45.5) |
0.0466*,§ |
Sí |
56 (30.8) |
45 (28.1) |
11 (50.0) |
|
No respondieron |
2 (1.1) |
1 (0.6) |
1 (4.5) |
|
P9 información oportuna de tratamiento, n (%) |
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No |
46 (25.3) |
36 (22.5) |
10 (45.5) |
0.0277*,§ |
Sí |
134 (73.6) |
123 (76.9) |
11 (50.0) |
|
No respondieron |
2 (1.1) |
1 (0.6) |
1 (4.5) |
|
P10 tomó parte en las decisiones del tratamiento |
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Media ± DE |
4.95 ± 4.42 |
5.06 ± 4.47 |
4.19 ± 4.13 |
0.3035 |
Mediana [mín.-máx.] |
5.00 [0-10.0] |
5.00 [0-10.0] |
3.00 [0-10.0] |
|
No respondieron, n (%) |
6 (3.3) |
5 (3.1) |
1 (4.5) |
|
P11 satisfacción tratamiento dolor |
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Media ± DE |
7.88 ± 2.57 |
8.01 ± 2.56 |
6.86 ± 2.48 |
0.0082* |
Mediana [mín.-máx.] |
9.00 [0-10.0] |
9.00 [0-10.0] |
7.00 [1.00-10.0] |
|
No respondieron, n (%) |
3 (1.6) |
2 (1.3) |
1 (4.5) |
|
P12 uso de método no médico, n (%) |
||||
No |
120 (65.9) |
107 (66.9) |
13 (59.1) |
0.6295§ |
Sí |
62 (34.1) |
53 (33.1) |
9 (40.9) |
|
P12 frecuencia uso de compresa fría, n (%) |
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No |
179 (98.4) |
158 (98.8) |
21 (95.5) |
0.8062‡ |
Sí |
3 (1.6) |
2 (1.3) |
1 (4.5) |
|
P12 frecuencia uso de calor, n (%) |
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No |
175 (96.2) |
153 (95.6) |
22 (100) |
0.6823‡ |
Sí |
7 (3.8) |
7 (4.4) |
0 (0) |
|
P12 hablar con los familiares, n (%) |
||||
No |
170 (93.4) |
148 (92.5) |
22 (100) |
0.3838‡ |
Sí |
12 (6.6) |
12 (7.5) |
0 (0) |
|
P12 distractor, n (%) |
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No |
180 (98.9) |
159 (99.4) |
21 (95.5) |
0.5733‡ |
Sí |
2 (1.1) |
1 (0.6) |
1 (4.5) |
|
P12 meditar, n (%) |
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No |
181 (99.5) |
159 (99.4) |
22 (100) |
NS‡ |
Sí |
1 (0.5) |
1 (0.6) |
0 (0) |
|
P12 caminar, n (%) |
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No |
151 (83.0) |
134 (83.8) |
17 (77.3) |
0.6489‡ |
Sí |
31 (17.0) |
26 (16.3) |
5 (22.7) |
|
P12 relajación, n (%) |
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No |
166 (91.2) |
147 (91.9) |
19 (86.4) |
0.6495‡ |
Sí |
16 (8.8) |
13 (8.1) |
3 (13.6) |
|
P12 respiración, n (%) |
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No |
155 (85.2) |
137 (85.6) |
18 (81.8) |
0.8799‡ |
Sí |
27 (14.8) |
23 (14.4) |
4 (18.2) |
|
P12 rezar, n (%) |
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No |
169 (92.9) |
151 (94.4) |
18 (81.8) |
0.0886‡ |
Sí |
13 (7.1) |
9 (5.6) |
4 (18.2) |
|
P12 masaje, n (%) |
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No |
178 (97.8) |
157 (98.1) |
21 (95.5) |
0.979‡ |
Sí |
4 (2.2) |
3 (1.9) |
1 (4.5) |
|
PDP = peor dolor persistente. DE = desviación estándar. NS = no significativo. * p < 0.05. ‡ Prueba exacta de Fisher. § Prueba χ2. |