4种疼痛评估量表在房颤射频消融术患者中的应用比较  

Comparison of different pain scales in pain assessment of patients receiving radiofrequency ablation for atrial fibrillation

作　　者：潘亚娟 薛明 王柯娜 刘卫卫 Pan Yajuan;Xue Ming;Wang Kena;Liu Weiwei(Interventional Operating Room,Fuwai Central China Cardiovascular Hospital,Zhengzhou 451450,China)

机构地区：[1]阜外华中心血管病医院介入手术室,河南郑州451450

出　　处：《护理学杂志》2024年第4期29-32,共4页Journal of Nursing Science

基　　金：河南省科学发展计划项目(172102410011)。

摘　　要：目的比较4种疼痛评估量表在房颤患者射频消融术中的应用效果。方法选取160例接受射频消融术的房颤患者为研究对象,术中分别采用数字评定量表、视觉模拟评分、Wong-Baker面部表情疼痛量表、词语描述量表评估疼痛,比较不同疼痛评估量表在患者首选率、作答时间及效标效度方面的差异。结果4种疼痛评估量表在患者首选率、作答时间方面差异具有统计学意义(均P<0.05),Wong-Baker面部表情疼痛量表及词语描述量表患者首选率较高,而作答时间最短。不同性别、年龄及文化程度患者对4种疼痛量表首选率比较,差异无统计学意义(均P>0.05)。消融术中不同时间点词语描述量表、Wong-Baker面部表情疼痛量表、视觉模拟评分分别与数字评定量表(作为效标)评分存在高度相关(r=0.774~0.886,均P<0.05)。结论4种疼痛评估量表在房颤射频消融术中具有较好的疼痛评估作用,且Wong-Baker面部表情疼痛量表、词语描述量表的临床应用效果最佳。Objective To compare the application effect of different pain scales in the assessment of pain in patients undergoing radiofrequency ablation(RFA)for atrial fibrillation.Methods A total of 160 patients to receive RFA for atrial fibrillation were selected as the research subjects.The intraoperative pain assessment was performed using Numeric Rating Scale,Visual Analogue Scale,the Faces Pain Scale-Revised of Wong-Baker and Verbal Description Scale.The differences in patient preference,response time,and criterion validity of different pain scales were compared.Results The four pain scales showed significant differences in patient preference,and response time(all P<0.05),with the Faces Pain Scale-Revised of Wong-Baker and the Verbal Description Scale enjoying the highest preferred rate,and registering the shortest response time.There were no significant differences in the preferred rates of the four pain scales among patients of different genders,ages,and educational levels(all P>0.05).At different time points during ablation,the scores of the Verbal Description Scale,Faces Pain Scale-Revised of Wong-Baker,and Visual Analogue Scale were highly correlated with the Numeric Rating Scale(as the criterion)scores(r=0.774-0.886,all P<0.05).Conclusion The 4 scales have good pain assessment effects in RFA for atrial fibrillation,and the Faces Pain Scale-revised of Wong-Baker and the Verbal Description Scale have the best clinical effect.

关 键 词：房颤 射频消融术 疼痛评估 数字评定量表 视觉模拟评分 Wong-Baker面部表情疼痛量表 词语描述量表 疼痛程度 

分 类 号：R473.5[医药卫生—护理学]