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长海疼痛评估尺及面部表情和肢体语言综合评估法在骨科的应用 被引量:8

Application of comprehensive assessment of Changhai pain rating scale combined with facial expression and body language observation in orthopedics
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摘要 目的应用长海疼痛评估尺的同时观测患者面部表情和肢体语言,本研究探讨此疼痛综合评估在骨科的应用效果。方法回顾我院2016年1月至2017年1月收治的80例骨科患者临床资料,根据疼痛评估方法不同分为对照组与观察组,其中39例患者接受长海疼痛评估尺法,纳入对照组;另41例患者接受长海疼痛评估尺及面部表情和肢体语言综合评估法,纳入观察组,比较两组患者疼痛认可度及生活质量评分。结果观察组疼痛评估准确度、敏感度、便捷度评分低于对照组(P <0. 05);观察组患者生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能和精神健康评分显著高于对照组(P <0. 05)。结论应用长海疼痛评估尺的同时观测患者面部表情和肢体语言进行综合评估,能显著提高疼痛评估敏感度、便捷度,改善患者生活质量,值得临床推广使用。 Objective To investigate the application effect of such comprehensive assessment of pain in orthopedics by observing the facial expression and body language of patients while applying the Changhai pain rating scale. Methods Reviewed the clinical data of 80 cases of orthopedic patients admitted to our hospital from January 2016 to January 2017, and divided into control group and observation group according to different pain assessment methods. In particular, 39 cases of patients sampled as control group adopted the Changhai pain rating scale method, while the remaining 41 cases of orthopedic patients, of which were sampled as the study group, adopted the comprehensive assessment of Changhai pain rating scale combined with facial expression and body language observation. Results The pain assessment accuracy, sensitivity, and convenience score in the study group were lower than those in the control group( P <0.05). The scores of physiological function, role physiologica, body pain, general health, vitality, social function, role emotional and mental health in the study group were significantly higher than those in the control group( P <0.05). Conclusion Observing the facial expression and body language of the patients while applying Changhai pain rating scale as a means of comprehensive assessment could effectively promote the sensitivity and convenience of pain assessment, and improve patients’ quality of life,which was worthy of clinical promotion and application.
作者 丁爱萍 DING Ai-ping
出处 《护理实践与研究》 2018年第22期68-69,共2页 Nursing Practice and Research
关键词 长海疼痛评估尺 疼痛 面部表情 肢体语言 效果 Changhai pain rating scale Pain Facial expression Body language Effect
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