开胸术后患者疼痛自我评估与护理评估的差异比较

Comparison of self-evaluation and evaluation by nurse in pain assessment after thoracotomy

目的比较开胸手术后患者对于术后疼痛的自我评估与护理人员的评估之间的差异。方法选取开胸手术患者189例,在术后停用止痛泵6 h后根据数字评定量表法对疼痛进行评估。分别进行患者自我评估与护理评估。结果患者对术后疼痛程度的自我评估与护理人员评估结果间存在差异(P<0.05)。患者自我评估疼痛评分为(6.73±1.52)分,高于护理评估的(4.55±1.29)分,差异有统计学意义(P<0.05),其中154例(81.48%)的患者疼痛被护理人员低估。结论开胸术后患者自我疼痛评估可能被忽视,需加强患者和医护人员的疼痛评估教育。

Objective To compare the difference between self-evaluation and evaluation by nurse in pain assessment after thoracotomy. Methods A total of 189 patients undergoing thoracotomy were included in this study. The pain degree at 6 hour after analgesia pump application was assessed by using numeric rating scale （NRS） in ways of self-evaluation and evaluation by nurse respectively. Results There was a significant difference in pain degree assessed in ways between self-evaluation and evaluation by nurse （ P 〈 0. 05 ） . The overall NRS score was （6.73 ±1.52） in way of self- evalua-tion and was （4. 55 ± 1 ？ 29 ） in way of evaluation by nurse, with significant difference （ P 〈 0. 05 ）. The pain degree in 81.4 8 % of patients was underestimated by nurses. Conclusion The pain degree after thoracotomy could be underestimated by nursing staff. It is necessary to enhance the pain educa-tion in both patients and nurses.