门诊伤口换药与疼痛相关性分析

Correlation Analysis of Wound Dressing and Pain in Hospital

目的了解门诊伤口换药时所致疼痛的相关因素。方法用自制的调查表,对来四川大学华西医院门诊换药中心作清洁伤口换药的患者,在换药后作疼痛的自评分。结果共调查267例,疼痛评分高于3分占22.85%,其中拔管较拆线疼痛感明显,伤口部位在下肢较上肢或其他部位时疼痛更强,具有统计学意义(P<0.05)。结论应针对不同伤口类型制订减轻疼痛的换药程序。

Objective To understand the pain caused by related factors in outpatient wound dressing.Methods Using a self-made questionnaire,self-assessment scores of pain after dressing were collected from patients who received wound cleaning and dressing in the dressing center of the Outpatient Department of West China Hospital of Sichuan University.Results A total of 267 patients were surveyed.Patients with pain scores>3 accounted for 22.85%.The pain was more intense in catheter withdrawal than in stitch removal and more intense when the wound was located at lower limbs than at upper limbs or other parts;the difference was statistically significant(P<0.05).ConclusionDressing procedures for reducing pain should be developed for different wound types.