疼痛敏感度量表可用于预测经皮静脉穿刺的疼痛程度  

Prediction of pain during percutaneous venipuncture using pain sensitivity questionnaire

作　　者：吴鸥[1] 夏青 张挺杰[1] 刘益鸣[1] 冯艺[1] WU Ou;XIA Qing;ZHANG Ting-Jie;LIU Yi-Ming;FENG Yi(Department of Pain Medicine,Peking University People's Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院疼痛医学科,北京100044

出　　处：《中国疼痛医学杂志》2020年第9期680-684,共5页Chinese Journal of Pain Medicine

基　　金：科技部重点研究与发展项目(2018YFC2001905)。

摘　　要：目的:观察疼痛敏感度对经皮静脉穿刺疼痛的影响。方法:选取我科90例腰椎间盘突出症病人为慢性疼痛组,90例年龄、性别相匹配的非慢性疼痛病人为对照组。所有受试者均完成以下量表:疼痛敏感度量表(pain sensitivity questionnaire, PSQ)、医院焦虑抑郁量表(hospital anxiety and depression scale, HADS)和疼痛灾难化量表(pain catastrophizing scale, PCS)。所有受试者分别在静脉采血和静脉输液过程中采用数字评分法(numerical rating scale, NRS)进行疼痛评估。结果:慢性疼痛组病人的HADS、PCS评分显著高于对照组(P<0.05)。两组的PSQ评分及两次静脉穿刺疼痛评分之间的差别均无统计学意义。静脉穿刺疼痛评分与PSQ评分相关,但与HADS、PCS评分之间无明显相关。结论:疼痛敏感度或许可作为一种常规护理评估手段,用于预测静脉穿刺时的疼痛程度。Objective:To assess the influence of pain sensitivity on pain during percutaneous venipuncture.Methods:Ninety patients with lumbar disc herniation were included in the chronic pain group,while 90 non-chronic pain patients with matching age and gender were enrolled in the control group.The following questionnaires were completed:Pain sensitivity questionnaire(PSQ),hospital anxiety and depression scale(HADS),and pain catastrophizing scale(PCS).All patients were assessed by numerical rating scale(NRS)during venous blood collection and intravenous infusion.Results:The HADS and PCS scores in chronic pain group were significantly higher than those in control group(P<0.05).There was no significant difference in PSQ score and Venipuncture pain score between the two groups.Venipuncture pain score was correlated with the PSQ score,but not with the HADS and PCS scores.Conclusion:Pain sensitivity can be used as a routine nursing assessment to predict the severity of pain at venipuncture.

关 键 词：疼痛敏感度量表 经皮静脉穿刺 临床护理 

分 类 号：R681.53[医药卫生—骨科学]