摘要
目的:探讨患者术后拒绝使用疼痛量表进行疼痛评分的影响因素。方法:选择普外科择期手术的患者,术前向患者介绍视觉模拟量表(VAS)、数字评分法(NRS)、语言评分法(VRS)及修订的脸谱疼痛量表(FPS-R)的使用方法,术后分别使用该四种方法进行疼痛评分(术后患者一般情况不佳,不能与麻醉医生正常交流者则放弃疼痛评分),观察患者使用各量表的情况,采用logistic回归分析法研究拒绝使用疼痛量表的影响因素。结果:术后324例患者完成了疼痛评分,其中54例拒绝VAS评分,24例拒绝FPS-R评分,13例拒绝NRS评分,无一例拒绝VRS评分。依据拒绝VAS构建的logistic回归方程,可见其影响因素是手术方式(OR=2.539)和文化程度(OR=1.482),依据拒绝NRS构建的logistic回归方程,其影响因素是手术方式(OR=14.218)和性别(OR=4.305),依据拒绝FPS-R构建的logistic回归方程,其影响因素是术前定性诊断(OR=1.830)。结论:术后VRS评分不存在拒绝,VAS、NRS和FPS-R等均存在一定的拒绝率,但该三种评分法拒绝的影响因素各不相同。
Objective:To investigate the influence factors of rejection for pain scales after surgery.Methods:404patients who were to receive selected surgery with general anesthesia and ASA class≤3during April^May,2013in this hospital were included in the study.On the day before surgery,we introduced the methods of visual analogue scale(VAS),numerical rating scale(NRS),verbal rating scale(VRS)and faces pain scale–revised(FPS-R)to the patients.After surgery,these patients were asked to assess their pain intensity with the four pain scales when they were awake without disorientation.Logistic regression analysis was carried out to study the influence factors.Results:Postoperative pain scores showed that 324patients completed the assessment of pain,and among them 54patients refused to use the VAS,24patients refused the FPSR,13patients refused the NRS,and no one refused the VRS.The influence factors for the rejection of VAS were the type of surgery(OR=2.539)and educational level(OR=1.482).The influence factors for the rejection of NRS were the type of surgery(OR=14.218)and gender(OR=4.305).The influence factor for the rejection of FPS-R was preoperative qualitative diagnosis.Conclusions:The influence factors for the rejection of VAS、NRS and FPS-R were different.There was no rejection for VRS in this study.
出处
《数理医药学杂志》
2014年第3期331-333,共3页
Journal of Mathematical Medicine