不同人群使用NRS评分评估患儿术后疼痛的相关性分析  

Correlation analysis of assessment of post-operative pain in children by different groups of people using numerical rating scale

作　　者：李作菊[1] 贾真[1] 王晓霞[1] 李婷[1] 

机构地区：[1]武警河南总队医院麻醉科,郑州450052

出　　处：《中国实用护理杂志》2013年第4期53-55,共3页Chinese Journal of Practical Nursing

摘　　要：目的比较护士、家长，患儿三者使用数字疼痛评分法（NRS）对儿童术后疼痛评估的准确度，并评估其相关性。方法选择年龄5～12岁，拟行手术治疗的患儿为研究对象。在患儿手术后进入麻醉恢复室（PACU）时，由患儿、家长及护士分别对术后疼痛情况进行评估，患儿、家长、护士互相之前均不了解他方的评估结果。然后，在患儿离开PACU返回病房之前，再进行1次同样的评估。结果回收有效数据31份，手术类型包括腹部手术、泌尿外科手术、矫形手术、腔镜手术等。患儿转入PACU及转出PACU时，家长评估与患儿自身评估之间的组内相关系数（ICC）分别为0．948（95％a，0．897～0．975）和0．938（95％CI，0．877～0．970）；护士评估与患儿自身评估之间的组内相关系数为0．961（95％CI，0．922-0．981），0．972（95％CI，0．944～0．986）；家长评估与护士评估的组内相关系数则为0．924（95％CI，0．850-0．963），0．921（95％CI，0．844～0．961）。结论数字疼痛评分法（NRS）的年龄适用范围较为宽广，患儿、家长和护士使用NRS对患儿术后疼痛进行评估时，具有良好的相关性。Objective To compare the accuracy of post-operative pain score ratings using three numerical rating scales（NRS） between the children,nurses and parents. Methods Cognitively intact children aged five to twelve undergoing all surgical procedures were studied. Thirty-one children were included in the study. The numerical rating scale was used to rate the children＇s pain by the children, nurses and parents on arrival to the PACU and prior to discharge. Results We found strong correlations between children＇s, parent＇s and nurses＇ pain scores on admission and discharge from PACU. The intraclass correlation coefficient of pain scores reported by children and parents was 0.948（95%CI,0.897-0.975） and 0.938（95%CI,0.877-0.970）. The intraclass correlation coefficient of pain scores reported by children and nurses was 0.961 （95%CI,0.922-0.981）, 0.972（95%CI, 0.944-0.986）. The intraclass correlation coefficient of pain scores reported by parents and nurses was 0.924 （95%CI,0.850-0.963）,0.921 （95%CI,0.844-0.961）. Conclusions The numerical rating scale appeared to be suitable for younger children. We found strong correlations between pain scores reported by children, nurses and parents using a numerical rating scale.

关 键 词：疼痛评估 护理 术后管理 

分 类 号：R473.6[医药卫生—护理学]