中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2013年
4期
53-55
,共3页
李作菊%贾真%王晓霞%李婷
李作菊%賈真%王曉霞%李婷
리작국%가진%왕효하%리정
疼痛评估%护理%术后管理
疼痛評估%護理%術後管理
동통평고%호리%술후관리
Pain measurement%Nursing%Post-operative management
目的 比较护士、家长,患儿三者使用数字疼痛评分法(NRS)对儿童术后疼痛评估的准确度,并评估其相关性.方法 选择年龄5～12岁,拟行手术治疗的患儿为研究对象.在患儿手术后进入麻醉恢复室(PACU)时,由患儿、家长及护士分别对术后疼痛情况进行评估,患儿、家长、护士互相之前均不了解他方的评估结果.然后,在患儿离开PACU返回病房之前,再进行1次同样的评估.结果 回收有效数据31份,手术类型包括腹部手术、泌尿外科手术、矫形手术、腔镜手术等.患儿转入PACU及转出PACU时,家长评估与患儿自身评估之间的组内相关系数(ICC)分别为0.948(95％CI,0.897～0.975)和0.938(95％CI,0.877-0.970)；护士评估与患儿自身评估之间的组内相关系数为0.961(95％CI,0.922～0.981),0.972(95％CI,0.944～0.986)；家长评估与护士评估的组内相关系数则为0.924(95％CI,0.850～0.963),0.921(95％CI,0.844～0.961).结论 数字疼痛评分法(NRS)的年龄适用范围较为宽广,患儿、家长和护士使用NRS对患儿术后疼痛进行评估时,具有良好的相关性.
目的 比較護士、傢長,患兒三者使用數字疼痛評分法(NRS)對兒童術後疼痛評估的準確度,併評估其相關性.方法 選擇年齡5～12歲,擬行手術治療的患兒為研究對象.在患兒手術後進入痳醉恢複室(PACU)時,由患兒、傢長及護士分彆對術後疼痛情況進行評估,患兒、傢長、護士互相之前均不瞭解他方的評估結果.然後,在患兒離開PACU返迴病房之前,再進行1次同樣的評估.結果 迴收有效數據31份,手術類型包括腹部手術、泌尿外科手術、矯形手術、腔鏡手術等.患兒轉入PACU及轉齣PACU時,傢長評估與患兒自身評估之間的組內相關繫數(ICC)分彆為0.948(95％CI,0.897～0.975)和0.938(95％CI,0.877-0.970)；護士評估與患兒自身評估之間的組內相關繫數為0.961(95％CI,0.922～0.981),0.972(95％CI,0.944～0.986)；傢長評估與護士評估的組內相關繫數則為0.924(95％CI,0.850～0.963),0.921(95％CI,0.844～0.961).結論 數字疼痛評分法(NRS)的年齡適用範圍較為寬廣,患兒、傢長和護士使用NRS對患兒術後疼痛進行評估時,具有良好的相關性.
목적 비교호사、가장,환인삼자사용수자동통평분법(NRS)대인동술후동통평고적준학도,병평고기상관성.방법 선택년령5～12세,의행수술치료적환인위연구대상.재환인수술후진입마취회복실(PACU)시,유환인、가장급호사분별대술후동통정황진행평고,환인、가장、호사호상지전균불료해타방적평고결과.연후,재환인리개PACU반회병방지전,재진행1차동양적평고.결과 회수유효수거31빈,수술류형포괄복부수술、비뇨외과수술、교형수술、강경수술등.환인전입PACU급전출PACU시,가장평고여환인자신평고지간적조내상관계수(ICC)분별위0.948(95％CI,0.897～0.975)화0.938(95％CI,0.877-0.970)；호사평고여환인자신평고지간적조내상관계수위0.961(95％CI,0.922～0.981),0.972(95％CI,0.944～0.986)；가장평고여호사평고적조내상관계수칙위0.924(95％CI,0.850～0.963),0.921(95％CI,0.844～0.961).결론 수자동통평분법(NRS)적년령괄용범위교위관엄,환인、가장화호사사용NRS대환인술후동통진행평고시,구유량호적상관성.
Objective To compare the accuracy of post-operative pain score ratings using three numerical rating scales(NRS) between the children,nurses and parents.Methods Cognitively intact children aged five to twelve undergoing all surgical procedures were studied.Thirty-one children were included in the study.The numerical rating scale was used to rate the children's pain by the children,nirses and parents on arrival to the PACU and prior to discharge.Results We found strong correlations between children's,parent's and nurses' pain scores on admission and discharge from PACU.The intraclass correlation coefficient of pain scores reported by children and parents was 0.948(95％CI,0.897～0.975) and 0.938(95％CI,0.877～0.970).The intraclass correlation coefficient of pain scores reported by children and nurses was 0.961 (95％CI,0.922～0.981),0.972(95％CI,0.944～0.986).The intraclaas correlation coefficient of pain scores reported by parents and nurses was 0.924 (95％CI,0.850～0.963),0.921 (95％CI,0.844～0.961).Conclusions The numerical rating scale appeared to be suitable for younger children.We found strong correlations between pain scores reported by children,nurses and parents using a numerical rating scale.
