癌症住院患者疼痛强度描述语的对应量化研究  

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

作　　者：吕娇 王倩 王雅莉 孟英涛 Lü Jiao;Wang Qian;Wang Yali;Meng Yingtao(Nursing Department,Cancer Hospital of Shandong First Medical University,Jinan 250117,China)

机构地区：[1]山东第一医科大学附属肿瘤医院护理部,山东济南250117

出　　处：《护理学杂志》2024年第22期68-71,共4页Journal of Nursing Science

基　　金：山东省医务职工科技创新计划项目(SDYWZGKCJHLH202252)。

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1120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。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.

关 键 词：癌症 疼痛 癌痛 主诉 数字评分量表 疼痛强度 疼痛评估 疼痛描述 

分 类 号：R473.73[医药卫生—护理学]