骨科术后患者4种疼痛评估方法适用性研究  

Comparison of four pain assessing scales in postoperative orthopedic patients

作　　者：王红霞[1] 唐霖[1] 张萍[1] 

机构地区：[1]荆州市中心医院骨三科,湖北荆州434020

出　　处：《护理学杂志》2013年第6期5-7,共3页

摘　　要：目的比较直观模拟标度法(VAS)、言语等级标度法(VRS)、红色楔形物标度法(RWS)和框格标度法(BS)对髋部骨折及其他下肢创伤患者术后疼痛评估的作用以及其适用性。方法对68例髋部骨折和68例下肢其他创伤患者分别采用上述4种方法,于术前,术后24h、48h、72h进行疼痛程度评定。结果髋部骨折患者4d中VAS测定成功率为67.6%～83.8%,VRS为82.4%～100%,RWS为83.8%～97.1%,BS为79.4%～91.2%。失败原因主要为患者精神错乱、意识模糊。下肢其他创伤患者成功率为97.1%～98.5%。结论VAS对于评估髋部骨折患者疼痛缺乏可信性,VRS和RWS是较理想的评估方法;下肢其他创伤患者4种疼痛度量方法均适用。Objective to compare the efficacy of Visual Analogue Scale （VAS）, Verbal Rating Scale （VRS）, Red Wedge Scale （RWS）, and Box Scale （]KS） in assessment of pain in orthopedic patients, and to explore the feasibility and applicability of them. Methods Totally, 68 patients with hip fracture and another 68 with other lower limb trauma were assessed for severity of pain preoperatively, on the 24th, the 48th and the 72nd postoperative hours by using the above mentioned scales. Results In hip fracture patients, 67. 6O//oo to 83.8% of pain measurements within 4 consecutive days were successful for VAS, 82.4%- 100~//00 for VRS, 83.8%- 97. 1% for RWS, and 79.4%- 91.2% for ]KS. Failed measurements mainly contributed to insanity or confusion of patients. In other lower limb trauma patients, success rates of pain measurements ranged 97.1%- 98.5 %. Conclusion VAS is a less credible instrument to assess pain in hip fracture patients, while VRS and RWS are more preferable. For other lower limb trauma patients, four scales suit them well.

关 键 词：髋部骨折 下肢创伤 疼痛评估 疼痛量表 

分 类 号：R473.6[医药卫生—护理学]