CAJ | 학술논문

【目的】评价疼痛评估工具的信效度，研究其在小儿骨科术后患儿中的应用价值。【方法】随机选取本院收治的骨科术后患儿100例，患儿年龄在6个月至7岁之间，患儿术后清醒6 h、10 h时借助中文版儿童疼痛行为量表对其进行疼痛评分，记录疼痛评分，并对评分数≥4分的患者进行疼痛干预，30 min后再次应用儿童疼痛行为量表评估，记录分值。【结果】患儿术后清醒6 h、10 h时评价疼痛评分分别为（6．12±1．51）分、（3．52±0．56）分，两者比较差异显著（ P ＜0．05）；有50例患儿评分≥4分，其术后10 h疼痛评分为（5．02±1．01）分，给予疼痛干预，30 min后疼痛评分为（1．55±0．64）分，干预前后其疼痛评分差异有统计意义（ P＜0．05）。【结论】儿童疼痛行为量表信效度较好，可在小儿骨科术后患儿中应用。
【목적】평개동통평고공구적신효도，연구기재소인골과술후환인중적응용개치。【방법】수궤선취본원수치적골과술후환인100례，환인년령재6개월지7세지간，환인술후청성6 h、10 h시차조중문판인동동통행위량표대기진행동통평분，기록동통평분，병대평분수≥4분적환자진행동통간예，30 min후재차응용인동동통행위량표평고，기록분치。【결과】환인술후청성6 h、10 h시평개동통평분분별위（6．12±1．51）분、（3．52±0．56）분，량자비교차이현저（ P ＜0．05）；유50례환인평분≥4분，기술후10 h동통평분위（5．02±1．01）분，급여동통간예，30 min후동통평분위（1．55±0．64）분，간예전후기동통평분차이유통계의의（ P＜0．05）。【결론】인동동통행위량표신효도교호，가재소인골과술후환인중응용。
[Objective]To evaluate the reliability and validity of pain assessment tool and its application value in pedi-atric patients after orthopedic surgery .[Methods] Totally 100 pediatric patients after orthopedic surgery in our hospital were randomly selected .The age of patients was 6 months to 7 years old .When awake at 6h and 10h after operation , Chinese children'pain behavior scale was used for pain score in pediatric patients .Pain score was recorded .Patients with pain score≥4 points received pain intervention .Children's pain behavior scale was used for the evaluation after 30min a-gain ,and the score was also recorded .[Results]The pain scores of pediatric patients at 6h and 10h after awake for surgery were (6 .12 ± 1 .51) points and (3 .52 ± 0 .56) points respectively ,and there was significant difference ( P<0 .05) .Pain scores of 50 pediatric patients with pain score≥4 points were (5 .02 ± 1 .01) points .After pain intervention for 30min , pain scores of these pediatric patients were (1 .55 ± 0 .64) points .There was significant difference in pain score between before and after intervention ( P<0 .05) .[Conclusion]Children's pain behavior scale has good reliability and validity ,and can be used in pediatric patients after orthopedic surgery .