癌症住院患者疼痛强度描述语的对应量化研究
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女,硕士,主管护师

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山东省医务职工科技创新计划项目(SDYWZGKCJHLH202252)


Correspondence quantification study of pain intensity descriptors in cancer hospita-lized patients
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    摘要:

    目的 比较癌症患者主诉疼痛强度描述语评分与疼痛数字评分量表(Numeric Rating Scales, NRS)评分的相关性和一致性,为临床准确评估疼痛提供参考。方法 采用横断面问卷调查法,对1 120例癌症患者采用自制疼痛强度描述语对应量化问卷进行调查。以NRS作为效标,比较患者主诉疼痛强度描述语在患者疼痛评估中的灵敏性。结果 共收集了24个疼痛强度描述语,患者主诉疼痛描述语评分与NRS评分呈显著正相关(r=0.937,P<0.001);Bland-Altman分析显示,患者主诉疼痛描述语评分与NRS评分一致性较高(平均差值0.2,95%CI -2.06~2.47)。结论 患者主诉疼痛描述语能够准确反映患者疼痛强度,通过将患者的疼痛主诉描述与NRS评分相对应,结合主观描述和客观量化,可为医护人员提供更直观的方式来理解和评估患者的疼痛程度,提高疼痛评估的准确性。

    Abstract:

    Objective To compare correlation and consistency between cancer patients′ self-reported pain intensity descriptors and Numeric Rating Scale (NRS) score, and to provide a reference for accurate clinical pain assessment. Methods A cross-sectional questionnaire survey was conducted, and a self-made quantitative questionnaire corresponding to pain intensity descriptors was used to investigate 1,120 cancer patients.Using the NRS as the reference standard,compared the sensitivity of patients′ self-reported pain intensity descriptions with the NRS in pain assessment. Results A total of 24 self-reported pain intensity descriptors were collected.There was a significant positive correlation between patient pain description score and NRS score (r=0.937, P<0.05). Bland-Altman analysis showed that there was a high consistency between patient pain description score and the NRS score (mean deviation was 0.2, 95%CI -2.06~2.47). Conclusion The patients′ self-reported pain intensity descriptions can accurately reflect the pain intensity of the patient. By matching the description with the NRS score and combining the subjective description with objective quantification, it can provide a more intuitive way for the medical staff to understand and evaluate the pain degree of the patient, and improve the accuracy of pain assessment.

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吕娇,王倩,王雅莉,孟英涛.癌症住院患者疼痛强度描述语的对应量化研究[J].护理学杂志,2024,39(22):68-71

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  • 收稿日期:2024-06-03
  • 最后修改日期:2024-08-02
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  • 在线发布日期: 2024-12-28