疼痛,是由组织损伤引起的不愉快的感觉和情感体验[1],疼痛在重症监护室(intensive care unit,ICU)患者中十分常见并可能得不到充分治疗[2]。镇痛治疗是ICU治疗的重要组成部分[3],合理有效地评估疼痛是镇痛治疗的首要步骤,临床通过收集...疼痛,是由组织损伤引起的不愉快的感觉和情感体验[1],疼痛在重症监护室(intensive care unit,ICU)患者中十分常见并可能得不到充分治疗[2]。镇痛治疗是ICU治疗的重要组成部分[3],合理有效地评估疼痛是镇痛治疗的首要步骤,临床通过收集金标准即患者的自我报告或使用评估工具对患者进行疼痛评估[4]。展开更多
新生儿重症监护病房（neonatal intensive care unit,NICU）是监护、治疗和护理危重新生儿的场所,集中了较多的早产儿、极低出生体重儿、病情不稳定需要生命支持和抢救的危重新生儿。这些新生儿在住院期间接受大量致痛性的操作,由于不...新生儿重症监护病房（neonatal intensive care unit,NICU）是监护、治疗和护理危重新生儿的场所,集中了较多的早产儿、极低出生体重儿、病情不稳定需要生命支持和抢救的危重新生儿。这些新生儿在住院期间接受大量致痛性的操作,由于不会自述疼痛,对其疼痛的评估只能通过观察行为表现和测量生理指标。展开更多
Objectives. -To compare pain and sedation assessments by nurses undertaken wi th the Objective Pain Scale (OPS) and a Visual Analogue Scale (VAS) to the curre nt reference scale for paediatric intensive care that is t...Objectives. -To compare pain and sedation assessments by nurses undertaken wi th the Objective Pain Scale (OPS) and a Visual Analogue Scale (VAS) to the curre nt reference scale for paediatric intensive care that is the COMFORT scale. To c ompare the unmodified COMFORT scale to a COMFORT “behaviour”scale which does n ot include physiologic items. To evaluate the ease of use of these scales. Methods. -This prospective observational comparative study was carried out in childr en aged 1 year or older who were admitted in an intensive care unit. At 2 to 3 time points within 24 hours, a pain sedation assessment was carried out by the nu rse in charge of the child with COMFORT scale, OPS and VAS. Correlation tests we re used to compare the scores of each scale. Results. -Nurses recorded 55 asses sments in 20 children. Correlation studies showed a poor correlation between OPS , VAS and the COMFORT scale (Spearman’s r = 0.54 and 0.53 respectively)-and a strong correlation between the COMFORT scale and the COMFORT “behaviour”scale (Spearman’s r = 0.96). The C OMFORT behaviour scale was the most frequently fully completed scale. Conclusion . -Among the 3 scales compared to the COMFORT scale in this study, the COMFORT “behaviour”scale was the only one to show a strong correlation and it also see med to be the easiest to use.展开更多
文摘疼痛,是由组织损伤引起的不愉快的感觉和情感体验[1],疼痛在重症监护室(intensive care unit,ICU)患者中十分常见并可能得不到充分治疗[2]。镇痛治疗是ICU治疗的重要组成部分[3],合理有效地评估疼痛是镇痛治疗的首要步骤,临床通过收集金标准即患者的自我报告或使用评估工具对患者进行疼痛评估[4]。
文摘新生儿重症监护病房（neonatal intensive care unit,NICU）是监护、治疗和护理危重新生儿的场所,集中了较多的早产儿、极低出生体重儿、病情不稳定需要生命支持和抢救的危重新生儿。这些新生儿在住院期间接受大量致痛性的操作,由于不会自述疼痛,对其疼痛的评估只能通过观察行为表现和测量生理指标。
文摘Objectives. -To compare pain and sedation assessments by nurses undertaken wi th the Objective Pain Scale (OPS) and a Visual Analogue Scale (VAS) to the curre nt reference scale for paediatric intensive care that is the COMFORT scale. To c ompare the unmodified COMFORT scale to a COMFORT “behaviour”scale which does n ot include physiologic items. To evaluate the ease of use of these scales. Methods. -This prospective observational comparative study was carried out in childr en aged 1 year or older who were admitted in an intensive care unit. At 2 to 3 time points within 24 hours, a pain sedation assessment was carried out by the nu rse in charge of the child with COMFORT scale, OPS and VAS. Correlation tests we re used to compare the scores of each scale. Results. -Nurses recorded 55 asses sments in 20 children. Correlation studies showed a poor correlation between OPS , VAS and the COMFORT scale (Spearman’s r = 0.54 and 0.53 respectively)-and a strong correlation between the COMFORT scale and the COMFORT “behaviour”scale (Spearman’s r = 0.96). The C OMFORT behaviour scale was the most frequently fully completed scale. Conclusion . -Among the 3 scales compared to the COMFORT scale in this study, the COMFORT “behaviour”scale was the only one to show a strong correlation and it also see med to be the easiest to use.
