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Pain Scale:When the Training Influences Its Use
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作者 Zaira Moura da Paixao Freitas Carlos Umberto Pereira Débora Moura da Paixao Oliveira 《Open Journal of Nursing》 2018年第2期130-138,共9页
The aim of this study was to determine the level of knowledge that nurses in the neonatal intensive care units (NICU) of a public birth center had about the use of the Neonatal Infant Pain Scale (NIPS) and to test how... The aim of this study was to determine the level of knowledge that nurses in the neonatal intensive care units (NICU) of a public birth center had about the use of the Neonatal Infant Pain Scale (NIPS) and to test how their scoring for NIPS changed before and after training. Thirty nurses applied the NIPS scale to newborns that were procedures considered painful. During the first and second evaluations, nurses diagnosed 30% infants as having pain and 70% infants as having an absence of pain. In the third and fourth evaluations, after the NIPS parameters had been explained, we observed an increase in the number of infants diagnosed with the presence of pain (65%). The results indicate the importance of formal training for the systemic evaluation of pain in newborns. 展开更多
关键词 pain pain scale NURSE
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Assessment of neonatal pain:uni-and multidimensional evaluation scales
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作者 Zi Zeng 《Frontiers of Nursing》 2022年第3期247-254,共8页
Neonatal pain is a problem that is easily overlooked.According to the status quo of neonatal pain management,commonly 9 scales are used for evaluation of neonatal pain;details of the specific indicators,such as the ap... Neonatal pain is a problem that is easily overlooked.According to the status quo of neonatal pain management,commonly 9 scales are used for evaluation of neonatal pain;details of the specific indicators,such as the applicable neonatal gestational age range,score,and the type of pain,for the domestic references are provided so as to provide reference for the proper evaluation and standardized management of neonatal pain,as well as to promote the management level of neonatal pain. 展开更多
关键词 neonatal care neonatal pain neonatal pain assessment scales pain assessment tools pain management REVIEW
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Effect of cryotherapy on pain management at the puncture site of arteriovenous fistula among children undergoing hemodialysis 被引量:3
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作者 Azza Abdel Moghny Attia Asmaa Mahfouz Hassan 《International Journal of Nursing Sciences》 2017年第1期46-51,共6页
Objective: To evaluate the effectiveness of cryotherapy in managing the pain at the puncture site of Arterio-Venous Fistula (AVF) among children undergoing maintenance hemodialysis (HD).Methods: A one-group pre-post q... Objective: To evaluate the effectiveness of cryotherapy in managing the pain at the puncture site of Arterio-Venous Fistula (AVF) among children undergoing maintenance hemodialysis (HD).Methods: A one-group pre-post quasi-experiment was performed in two HD centers affiliated with Cairo University.The experiment involved 40 children with AVF undergoing HD.Before puncturing,cryotherapy was applied using 2 cm-3 cm pieces of frozen distilled water in a plastic bag.Pain was assessed subjectively and objectively in two dialysis sessions before and after cryotherapy.A part from a physiological assessment of vital signs,pain was assessed using the Wong-Baker Faces Pain and the Observed Pain Behavior rating scales.All research ethics were applied.Results: HD had a median duration of four years,while cryotherapy had a median application time of 8.8 min.The Wong-Baker Faces Pain score and almost all observed pain behaviors significantly decreased after cryotherapy.Significant improvements were observed in respiratory rate before and after needle puncture and in oxygen saturation after needle puncture.A lower skin dryness was observed after cryotherapy (12.5%) than before cryotherapy (52.5%;p < 0.001).Conclusions: Cryotherapy can effectively reduce the venipuncture pain among children with AVF undergoing maintenance HD.However,the confounding effects of distraction and the non-randomized design used must be both considered when interpreting the findings.This study recommends the use of cryotherapy in managing needle puncture pain.Further research must adopt a randomized trial design with a placebo to support further the benefits of this procedure. 展开更多
关键词 Arteriovenous fistula CHILDREN CRYOTHERAPY HEMODIALYSIS pain assessment scales
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Comparison of perceived pain and patients’ satisfaction with traditional local anesthesia and single tooth anesthesia: A randomized clinical trial 被引量:8
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作者 Mohammad I Al-Obaida Mehdiya Haider +4 位作者 Rawan Hashim Wafa AlGheriri Sree Lalita Celur Samar A Al-Saleh Ebtissam M Al-Madi 《World Journal of Clinical Cases》 SCIE 2019年第19期2986-2994,共9页
BACKGROUND Contemporary innovations in the area of local anesthesia have attempted to provide an absolutely pain free experience for patients.Since the introduction of Computer-Controlled Local Anesthetic Delivery Sys... BACKGROUND Contemporary innovations in the area of local anesthesia have attempted to provide an absolutely pain free experience for patients.Since the introduction of Computer-Controlled Local Anesthetic Delivery Systems to dentistry,many studies have compared its efficacy and safety to conventional anesthesia.However,very few studies have compared single tooth anesthesia(STA)and traditional local anesthesia.AIM To compare pain rating,changes in blood pressure,and heart rate during the local anesthetic injection.The secondary objectives were to measure the patients’level of satisfaction and the differences in anesthetic efficiency between the STA system and traditional local infiltration.METHODS A randomized controlled trial was conducted and a total of 80 patients with dental restorative needs were enrolled for the study.The patients were evaluated for their general physical status and oral clinical findings before enrollment.Information regarding perceived pain,changes in heart rate and blood pressure,and patients’satisfaction was collected using an electronic data form and was analyzed using paired and unpaired t-tests.RESULTS No significant difference was noted in perceived pain(P=0.59)and systolic blood pressure(P=0.09)during anesthetic injection using both traditional and STA techniques.STA patients had a significantly higher heart rate during anesthesia,although a statistically significant difference was noted among the traditional anesthesia and the STA groups even before anesthesia.During the restorative procedure,less pain was perceived by STA patients on the Wong-Baker FACES pain scale,which was statistically significant(P<0.001).Analyses of post-procedure patient responses showed that STA patients had a significantly better treatment experience and preferred to have the same method of injection in the future(P=0.04).CONCLUSION STA system can provide less painful and more comfortable restorative treatment procedures in comparison to the traditional infiltration technique. 展开更多
关键词 Local ANESTHESIA Single tooth ANESTHESIA pain experience Patient SATISFACTION Pulse rate Heart BEAT Wong-Baker FACES pain scale
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Therapeutic efficacy of acupuncture combined with neuromuscular joint facilitation in treatment of hemiplegic shoulder pain 被引量:12
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作者 Yan-Hui Wei De-Chao Du Ke Jiang 《World Journal of Clinical Cases》 SCIE 2019年第23期3964-3970,共7页
BACKGROUND Stroke is a type of cerebrovascular disease with high prevalence,mortality,and onset of disability.As a neurodevelopmental therapy,neuromuscular joint facilitation(NJF)is widely used in the treatment of ort... BACKGROUND Stroke is a type of cerebrovascular disease with high prevalence,mortality,and onset of disability.As a neurodevelopmental therapy,neuromuscular joint facilitation(NJF)is widely used in the treatment of orthopedic and neurological disorders in the clinical practice.It is mainly used for central nervous system diseases or orthopedic diseases,movement disorders,and pain rehabilitation.According to related studies,NJF can also be used as a rehabilitation treatment in patients with hemiplegic shoulder pain(HSP).AIM To investigate the clinical efficacy of acupuncture combined with NJF in patients with HSP.METHODS Forty patients with HSP were randomly divided into a treatment group and a control group.The treatment group was treated with acupuncture combined with NJF and the control group was treated with acupuncture alone.All patients were assessed by using the visual analogue scale(VAS),Fugl-Meyer assessment(FMA),Barthel index(BI),and passive range of motion(PROM)before and after the training.All the clinical data were analyzed using SPSS 20.0 statistical software.RESULTS There was no statistical difference in the general characteristics between the two groups.In the terms of duration of treatment,age,and pre-treatment indicators,the two groups were comparable(P>0.05).After the treatment,VAS,PROM,BI,and FMA scores were significantly improved in the two groups of patients(P<0.05).The VAS,PROM and FMA scores were significantly higher in the treatment group than in the control group(P<0.05).However,there was no significant difference in BI scores between the two groups(P>0.05).CONCLUSION Both acupuncture alone and acupuncture combined with NJF in the treatment of HSP are effective,and can improve the clinical symptoms of patients.Acupuncture combined with NJF can improve the upper limb motor function,relieve pain,and increase joint mobility in patients with HSP.The combination therapy is better than acupuncture alone.However,there is no significant difference in improving the score of patients’self-care ability. 展开更多
关键词 ACUPUNCTURE NEUROMUSCULAR JOINT FACILITATION HEMIPLEGIC shoulder pain Visual analogue scale FUGL-MEYER assessment Therapy
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运动疗法激活臀肌改善青年男性膝前痛患者的下肢肌力
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作者 吴悦 任爽 +3 位作者 黄红拾 代瑞兰 敖英芳 苟波 《中国组织工程研究》 CAS 北大核心 2025年第18期3798-3803,共6页
背景:目前发现膝前痛与下肢生物力学有关,但仍缺少臀肌训练对膝关节及下肢日常活动影响的研究。目的:探究臀肌激活运动疗法对青年男性膝前痛患者髋、膝关节肌群肌肉力量和疼痛的影响。方法:纳入25例男性青年膝前痛患者,随机分为2组,臀... 背景:目前发现膝前痛与下肢生物力学有关,但仍缺少臀肌训练对膝关节及下肢日常活动影响的研究。目的:探究臀肌激活运动疗法对青年男性膝前痛患者髋、膝关节肌群肌肉力量和疼痛的影响。方法:纳入25例男性青年膝前痛患者,随机分为2组,臀肌激活组12例和空白对照组13例。臀肌激活组进行40 min/次、3次/周、为期6周的臀肌激活运动;空白对照组不进行任何干预。入组和干预6周后评估患侧髋关节、膝关节在60(°)/s和180(°)/s下等速屈伸运动测试的相对峰力矩、总功、屈伸肌群比值、肌肉耐力值,爬楼运动测试中停止爬楼的楼层,以及目测类比评分。结果与结论:①等速屈伸运动测试:髋关节,干预后臀肌激活组在60(°)/s和180(°)/s的相对峰力矩较干预前显著提高29.74%和25.95%(P=0.022,P=0.024);空白对照组在180(°)/s时的肌耐力较干预前降低12.12%(P=0.000)。膝关节,干预后臀肌激活组在60(°)/s和180(°)/s的相对峰力矩较干预前显著提高18.69%和7.27%(P=0.006,P=0.033);空白对照组各指标干预前后无著性变化(P>0.05)。②爬楼运动测试:臀肌激活组爬楼运动停止时的楼层数较空白对照组高(6.41±6.1)层(P=0.024),干预后较干预前增高(P=0.016);空白对照组干预前后无显著改变(P>0.05)。③疼痛评估:干预后臀肌激活组目测类比评分显著低于空白对照组(P=0.036),干预后较干预前降低(P=0.000);空白对照组干预前后无显著性变化(P>0.05)。结果表明:6周臀肌激活运动疗法可改善下肢肌群的爆发力和耐力,减轻膝前痛程度,对于膝前痛患者有必要进行臀肌训练,以促进康复。 展开更多
关键词 臀肌激活 运动疗法 膝前痛 下肢 髋关节 膝关节 等速肌力 目测类比评分 工程化运动疗法
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Assessing an Educational Program to Improve Documentation and Reduce Pain in Hospitalized Patients 被引量:1
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作者 Nina Karlsen Ragnhild Haaland Kornmo Alfhild Dihle 《Open Journal of Nursing》 2015年第4期361-369,共9页
Few experimental studies have evaluated the efficacy of continuing educational programs aimed at the improvement of nurses’ pain-management skills. This study assessed whether a standardized educational program aimed... Few experimental studies have evaluated the efficacy of continuing educational programs aimed at the improvement of nurses’ pain-management skills. This study assessed whether a standardized educational program aimed at nurses could increase the use of the Numeric Rating Scale-11 in both documenting and reducing postoperative pain-intensity levels in hospitalized surgical patients. The study had a quasi-experimental pre- and post-intervention design. Data were collected from records of surgical patients prior to and after the standardized educational program was completed. There were no significant differences between pre- and post-intervention groups in terms of either pain-documentation frequency or pain-intensity level. The study showed no increase in the frequency of postoperative pain documentation and no reduction of surgical patients’ postoperative pain-intensity level. This finding indicates that the standardized educational program on postoperative pain management was insufficient to bring about changes in clinical practice. 展开更多
关键词 EDUCATIONAL Program DOCUMENTATION Numeric RATING scale pain Assessment POSTOPERATIVE pain
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Quantification of the Pain and Physical Burden Experienced during Positioning for Craniocaudal Imaging in Mammography, Evaluated by Measurement of Muscle Activity 被引量:3
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作者 Mieko Uchiyama Yongbum Lee +2 位作者 Kiyoko Kazama Yasuko Minagawa Masaki Tsurumaki 《Health》 2015年第1期23-34,共12页
Mammography is carried out in a special position, i.e. “an image is taken while the breast is compressed, stretched and kept in a fixed position”. The purpose of this study was to demonstrate quantitatively and qual... Mammography is carried out in a special position, i.e. “an image is taken while the breast is compressed, stretched and kept in a fixed position”. The purpose of this study was to demonstrate quantitatively and qualitatively the physical and psychological burden due to positioning and breast compression during mammography. Muscle activity of each part of the body during positioning for the standard imaging method, to obtain craniocaudal (CC) view images, was measured in 15 adult females using surface EMG. The associated pain was analyzed using visual analogue scale (VAS) scores. During positioning for the CC view, muscle activity was highest in the biceps (24.44 iEMG/s) followed by the trapezius (17.78 iEMG/s) on the imaging side. Muscle activity of the biceps and the sternocleidomastoid on the imaging side showed significant differences compared with pre-imaging activity (biceps P < 0.031, sternocleidomastoid P < 0.005). The pain during mammography was rated as moderate to severe pain (VAS = 3.3 - 6.7) for CC views. As a result, the activities of not only the muscles directly involved in mammography positioning but also those indirectly involved were high as compared with the normal state. Measurement of muscle activity during mammography is expected to be used effectively, such as in the care to reduce pain for the subjects. 展开更多
关键词 MAMMOGRAPHY Muscle Activity PHYSICAL pain Surface ELECTROMYOGRAPHY Visual ANALOGUE scale
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Efficacy and safety of thermobalancing therapy with Dr Allen’s Device for chronic low back pain:A randomised controlled trial
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作者 Simon Allen Abid Rashid +4 位作者 Ariana Adjani Muhammad Akram Fahad Said Khan Rehan Sherwani Muhammad Talha Khalil 《World Journal of Orthopedics》 2023年第12期878-888,共11页
BACKGROUND Lumbar disc herniation and non-specific low back pain are common conditions that seriously affect patients’health-related quality of life(HRQoL).Although empirical evidence has demonstrated that novel Ther... BACKGROUND Lumbar disc herniation and non-specific low back pain are common conditions that seriously affect patients’health-related quality of life(HRQoL).Although empirical evidence has demonstrated that novel Thermobalancing therapy and Dr Allen’s Device can relieve chronic low back pain,there have been no randomised controlled trials for these indications.AIM To evaluate the efficacy of Dr Allen’s Device in lumbar disc herniation(LDH)and non-specific low back pain(NSLBP).METHODS A randomised clinical trial was conducted investigating 55 patients with chronic low back pain due to LDH(n=28)or NSLBP(n=27),out of which 15 were randomly assigned to the control group and 40 were assigned to the treatment group.The intervention was treatment with Dr Allen’s Device for 3 mo.Changes in HRQoL were assessed using the Numerical Pain Rating Scale and the Japanese Orthopedic Association Back Pain Questionnaire.RESULTS Thermobalancing therapy with Dr Allen’s Device showed a significant reduction in pain in the treatment group(P<0.001),with no recorded adverse effects.Both pain assessment scales showed a significant improvement in patients’perception of pain indicating improvement in HRQoL.CONCLUSION The out-of-hospital use of Thermobalancing therapy with Dr Allen’s Device for Low Back Treatment relieves chronic low back pain significantly and without adverse effects,improves the level of activity and HRQoL among patients with LDH and NSLBP.This study demonstrates the importance of this safe first-line therapy that can be used for effective at-home management of chronic low back pain. 展开更多
关键词 Chronic low back pain Lumbar disc herniation Non-specific low back pain Thermobalancing therapy Dr Allen’s Device Numerical pain rating scale
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Diagnosis and Treatment of Attention-Deficit Hyperactivity Disorder in Patients with Chronic Pain 被引量:1
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作者 Satoshi Kasahara Yumiko Okamura +7 位作者 Ko Matsudaira Hiroyuki Oka Yoshie Suzuki Yasuko Murakami Toshiharu Tazawa Hayato Shimazaki Shin-ichi Niwa Yoshitsugu Yamada 《Open Journal of Psychiatry》 2017年第4期261-275,共15页
Aims: To investigate rates of attention-deficit hyperactivity disorder (ADHD) in patients with chronic pain attending a pain clinic, the effects of a screening measure for ADHD in patients with chronic pain, and the e... Aims: To investigate rates of attention-deficit hyperactivity disorder (ADHD) in patients with chronic pain attending a pain clinic, the effects of a screening measure for ADHD in patients with chronic pain, and the effects of ADHD drugs on both pain and ADHD symptoms. Methods: We retrospectively surveyed 110 patients with chronic pain visiting the Anesthesiology and Pain Relief Center at the University of Tokyo in Japan, who had also consulted a psychiatrist, between April 2012 and July 2015. Results: Of the total of 110 patients with chronic pain, 35 (31.8%) were also diagnosed with ADHD, and the average Wender Utah Rating Scale (WURS) score among the ADHD patients was 39.0 ± 22.1 (n = 25). Only 36.0% of these patients exceeded the cutoff value, suggesting that 64.0% of the patients with ADHD were not identified by screening with the WURS. Twenty-six patients initiated treatment with ADHD medication, with dosage adjustment completed in 21. Of these 21 patients 20 (95.0%) had improved ADHD symptoms. Improved pain symptoms were observed in 14 patients (66.6%), with a reduction in the pain numerical rating scale of 64.7% ± 30.1%. Conclusions: This is the first study investigating the comorbidity of ADHD and chronic pain at pain clinics showing a high level of comorbidity and amelioration of pain and ADHD symptoms with treatment. Careful interpretation is required when the WURS is used to screen patients with chronic pain. 展开更多
关键词 ATOMOXETINE Attention DEFICIT HYPERACTIVITY DISORDER Chronic pain METHYLPHENIDATE Wender UTAH Rating scale
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针刺核心肌群联合康复训练治疗慢性非特异性腰痛的临床观察
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作者 杨靖 王红梅 +3 位作者 袁萍 申娟 刘敏 郝蓬亮 《广州中医药大学学报》 CAS 2024年第8期2075-2081,共7页
【目的】观察针刺核心肌群联合康复训练治疗慢性非特异性腰痛的临床疗效。【方法】将96例慢性非特异性腰痛患者随机分为观察组和对照组,每组各48例,对照组给予康复训练,观察组在对照组治疗的基础上,给予针刺核心肌群训练。2组患者均连... 【目的】观察针刺核心肌群联合康复训练治疗慢性非特异性腰痛的临床疗效。【方法】将96例慢性非特异性腰痛患者随机分为观察组和对照组,每组各48例,对照组给予康复训练,观察组在对照组治疗的基础上,给予针刺核心肌群训练。2组患者均连续治疗2周。治疗2周后,评价2组临床疗效,观察2组患者治疗前后腹横肌与多裂肌均方根(RMS)值的变化情况,以及Oswestry功能障碍指数评分、Roland-Morris功能障碍调查表评分、魁北克腰痛障碍量表评分的情况。比较2组患者治疗前后血清β-内啡肽、血清P物质、血清前列腺素E2水平的变化情况。治疗后随访5个月,评价2组患者的复发情况。【结果】(1)观察组总有效率为93.75%(45/48),对照组为81.25%(39/48)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的Oswestry功能障碍指数评分、Roland-Morris功能障碍调查表评分、魁北克腰痛障碍量表评分明显改善(P<0.05),且观察组在改善Oswestry功能障碍指数评分、Roland-Morris功能障碍调查表评分、魁北克腰痛障碍量表评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的腹横肌、多裂肌RMS值明显改善(P<0.05),且观察组在改善腹横肌、多裂肌RMS值方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者β-内啡肽、P物质、前列腺素E2水平均明显改善(P<0.05),且观察组在改善β-内啡肽、P物质、前列腺素E2水平方面均明显优于对照组,差异均有统计学意义(P<0.05)。(5)治疗后观察组复发率为6.25%(3/48),对照组为20.83%(10/48),观察组复发率明显低于对照组,差异有统计学意义(P<0.05)。【结论】针刺核心肌群联合康复训练治疗慢性非特异性腰痛,能明显改善患者的临床症状,改善患者β-内啡肽、P物质、前列腺素E2水平,临床疗效显著。 展开更多
关键词 针刺 慢性非特异性腰痛 核心肌群 康复训练 腰痛量表 疼痛介质 临床观察
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基于需求理论的综合干预对CDAS围手术期新生儿康复质量及NIPS评分的影响
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作者 刘娟 杨延洁 +2 位作者 王晶 唐春 巴依尔才次克 《河北医药》 CAS 2024年第13期1960-1964,共5页
目的 探讨基于需求理论的综合干预对先天性十二指肠闭锁与狭窄(CDAS)围手术期新生儿康复质量及新生儿疼痛评估量表(NIPS)评分的影响。方法 选取2016年1月至2018年1月收治的新生儿CDAS患者137例进行回顾分析,按随机数字表法分为试验组(n=... 目的 探讨基于需求理论的综合干预对先天性十二指肠闭锁与狭窄(CDAS)围手术期新生儿康复质量及新生儿疼痛评估量表(NIPS)评分的影响。方法 选取2016年1月至2018年1月收治的新生儿CDAS患者137例进行回顾分析,按随机数字表法分为试验组(n=69)和对照组(n=68),其中试验组在围手术期均予以基于需求理论的综合干预,对照组则单纯予以常规干预,比较2组患儿康复质量及两种干预方法对NIPS评分的影响。结果 2组干预前D-乳酸、二胺氧化酶(DAO)、内毒素比较差异无统计学意义(P>0.05);干预后试验组上述3项指标均低于对照组(P<0.05)。CDAS严重程度与D-乳酸、DAO、内毒素水平高低呈正相关(P<0.05)。2组干预前白细胞(WBC)、血小板(PLT)、C反应蛋白(CRP)及降钙素原(PCT)比较差异无统计学意义(P>0.05);干预后试验组上述4项指标均低于对照组(P<0.05)。CDAS严重程度与PLT、CRP、PCT水平呈正相关(P<0.05)。试验组留置胃管时间、首次排气时间均短于对照组(P<0.05),试验组术后并发症发生率显著低于对照组(P<0.05)。2组干预前的面部表情、哭吵、呼吸形式、上肢形态、下肢形态及觉醒状态的单项分、总分比较差异无统计学意义(P>0.05);干预后试验组上述指标的单项分、总分均低于对照组(P<0.05),且CDAS严重程度与NIPS评分高低呈正相关(P<0.05)。结论 在CDAS患儿的围手术期干预中科学、合理的实施基于需求理论的综合干预能有效提升患儿康复质量,降低NIPS评分表达,有较好的临床应用价值。 展开更多
关键词 基于需求理论的综合干预 新生儿 先天性十二指肠闭锁与狭窄 康复质量 新生儿疼痛评估量表
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The Effect of Humorous Stimuli on Alleviating Pain during Mammography: A Preliminary Study
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作者 Yongbum Lee Mieko Uchiyama 《Health》 2015年第6期659-664,共6页
Mammography is widely performed as a standardized procedure for breast cancer screening;however, women often feel some degree of pain during this procedure. Currently, there are limited options available for alleviati... Mammography is widely performed as a standardized procedure for breast cancer screening;however, women often feel some degree of pain during this procedure. Currently, there are limited options available for alleviating pain related to mammography. A non-medicinal approach to the alleviation of pain involves the effects of laughter on physical and psychological wellbeing. We therefore examined the possibility that humorous stimuli would alleviate the physical burden on women undergoing mammography. We assessed 29 women, 15 women received only conventional mammography (neutral group), while 14 women (humor group) watched a funny video during the same examination. The intensity of pain experienced during mammography was assessed by visual analogue scale (VAS) and the VAS results showed a statistically significant difference (P = 0.007) between the two groups, with the humor group experiencing less pain. In an additional experiment, 14 women in the humor group also underwent conventional mammography without exposure to the funny video and pain was assessed by VAS. We found that the pain experienced during conventional mammography without the funny video was significantly greater than the pain experienced during the same mammography but with the funny video (P = 0.047). These findings suggested the possibility of alleviating pain during mammography by humorous stimuli. 展开更多
关键词 MAMMOGRAPHY pain Alleviation HUMOROUS Stimuli VISUAL ANALOGUE scale
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Quantitative Analysis of Pain during Mammography Using Electrical Stimulation
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作者 Mieko Uchiyama Yongbum Lee +1 位作者 Utako Shimizu Rika Saitoh 《Open Journal of Nursing》 2015年第9期784-789,共6页
In order to quantitatively measure the degree of pain during mammography, we used a visual analog scale (VAS) and a device for quantitative analysis of perception and pain and performed regression analysis of the rela... In order to quantitatively measure the degree of pain during mammography, we used a visual analog scale (VAS) and a device for quantitative analysis of perception and pain and performed regression analysis of the relationship between pain degree and VAS score. Twenty-four subjects underwent a typical mammogram and we found no correlation between pain degree using the device compared with VAS scoring. It is presumed that the system enables quantitative measurement and comparison more accurately than subjective markers such as VAS in quantitation of a pain produced in an examination with clearly defined physical size (such as mammography). 展开更多
关键词 MAMMOGRAPHY pain DEGREE Electrical STIMULATION Visual ANALOG scale
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关节镜下肩袖缝线桥缝合术后疼痛的原因分析
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作者 司丽娜 罗金伟 +3 位作者 吴迪 乔跃兵 吕永明 徐丛 《解剖学报》 CAS CSCD 2024年第2期210-214,共5页
目的探讨关节镜下肩袖缝线桥缝合术后患者疼痛的相关因素。方法收集112例接受关节镜下缝线桥缝合的单侧肩袖损伤患者资料,以电话随访的形式,通过数字评分法(NRS)调查患者术后3个月时疼痛情况;SPSS 23.0统计学软件录入数据并分析,采用单... 目的探讨关节镜下肩袖缝线桥缝合术后患者疼痛的相关因素。方法收集112例接受关节镜下缝线桥缝合的单侧肩袖损伤患者资料,以电话随访的形式,通过数字评分法(NRS)调查患者术后3个月时疼痛情况;SPSS 23.0统计学软件录入数据并分析,采用单因素分析及多重线性回归分析,评价上述影响因素与术后疼痛的相关性。结果单因素分析结果显示,病程、吸烟史、患者术前美国加利福尼亚大学洛杉矶分校(UCLA)评分、Constant评分、NRS、肩袖撕裂大小、是否为全层撕裂和肌腱回缩程度8个因素可能与术后疼痛有关(P<0.05)。而患者的年龄、性别、身体质量指数(BMI)、饮酒史、是否合并糖尿病及高血压则与术后疼痛无关(P>0.05)。多重线性回归分析表明,与术后疼痛相关的因素有4个,其相关程度依次是术前NRS、术前UCLA评分、撕裂大小和吸烟史。结论影响关节镜下肩袖缝线桥缝合术术后疼痛的复杂且多样,进行术后疼痛的原因分析,可有效减轻患者术后的疼痛,有助于促进肩着节功能恢复。 展开更多
关键词 肩袖损伤 术后疼痛 关节镜 数字评分法
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基于新生儿急性疼痛评估量表的新生儿疼痛影响因素分析
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作者 童丹 王宾 +4 位作者 童蕾 康星钰 唐慧 赵巧 王海霞 《妇儿健康导刊》 2024年第20期54-58,共5页
目的基于新生儿急性疼痛行为评分量表(NIAPAS)分析新生儿疼痛影响因素。方法选取2023年1月至12月于深圳市儿童医院住院的80例新生儿作为研究对象,使用NIAPAS进行评估,分析新生儿疼痛影响因素。结果单因素分析显示,NIAPAS>6分新生儿... 目的基于新生儿急性疼痛行为评分量表(NIAPAS)分析新生儿疼痛影响因素。方法选取2023年1月至12月于深圳市儿童医院住院的80例新生儿作为研究对象,使用NIAPAS进行评估,分析新生儿疼痛影响因素。结果单因素分析显示,NIAPAS>6分新生儿日龄≤7d、穿刺、辅助呼吸、有创检查、静脉标本采集部位占比均高于NIAPAS≤6分新生儿,经阴道分娩率低于NIAPAS≤6分新生儿(P<0.05);NIAPAS>6分与NIAPAS≤6分新生儿性别、胎龄、出生体重比较,差异无统计学意义(P>0.05)。logistic回归分析显示,分娩方式、日龄、穿刺、辅助呼吸、有创检查、标本采集部位均属于新生儿疼痛的影响因素(P<0.05)。结论使用NIAPAS对新生儿疼痛影响因素进行分析,发现分娩方式、日龄、穿刺、辅助呼吸、有创检查、标本采集部位均与新生儿疼痛密切相关,临床可针对上述因素制订合理的干预措施。 展开更多
关键词 新生儿急性疼痛行为评分量表 新生儿 疼痛 影响因素
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选择性功能动作评估在颈、腰痛患者中的应用及对治疗效果的评价
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作者 李峰 李嘉琪 +5 位作者 曹露露 成浩 靳思瑶 毛菲 陈娜 李娜 《临床医学研究与实践》 2024年第13期64-67,共4页
目的通过选择性功能动作评估(SFMA)方法精准评估颈、腰痛患者造成疼痛的主要功能障碍情况,为进一步个性化精准康复治疗提供指导和建议,并评价治疗效果。方法选择2022年6月至12月就诊于西安交通大学第一附属医院康复医学科门诊的30例颈... 目的通过选择性功能动作评估(SFMA)方法精准评估颈、腰痛患者造成疼痛的主要功能障碍情况,为进一步个性化精准康复治疗提供指导和建议,并评价治疗效果。方法选择2022年6月至12月就诊于西安交通大学第一附属医院康复医学科门诊的30例颈、腰痛患者为研究对象,均进行SFMA精准评估,并实施相同频次和治疗周期的针对性治疗,评价患者的治疗效果;比较患者治疗前、后的视觉模拟评分法(VAS)评分及主动呼吸模式。结果治疗后,显效11例(36.67%),有效18例(60.00%),无效1例(3.33%),治疗总有效率为96.67%(29/30)。治疗前的VAS评分为(4.47±1.04)分,治疗2周后的VAS评分为(2.03±1.29)分。治疗前、后的VAS评分比较,差异具有统计学意义(t=9.371,P<0.001);随访1个月后的VAS评分为(1.50±1.30)分,与治疗2周后的VAS评分比较,差异无统计学意义(t=1.585,P=0.118)。治疗前,15例为胸腹联动呼吸模式,15例为胸式呼吸模式;治疗后,30例为胸腹联动呼吸模式,0例为胸式呼吸模式。治疗前、后的呼吸模式比较,差异具有统计学意义(χ^(2)=17.422,P<0.001)。结论应用SFMA对颈、腰痛患者的治疗有指导意义,可有效减轻颈、腰痛,且治疗效果维持时间长,值得临床应用与推广。 展开更多
关键词 选择性功能动作评估 颈痛 腰痛 视觉模拟评分法
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穴位埋线治疗中重度乳腺增生病临床研究
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作者 卢仙球 孙健岚 +3 位作者 戴灵琳 周睿 王樟连 陈利芳 《新中医》 CAS 2024年第16期117-122,共6页
目的:观察穴位埋线治疗中重度乳腺增生病(MGH)的疗效。方法:选取72例中重度MGH患者,按随机数字表法分为对照组及观察组各36例。对照组采用小金丸口服,观察组采用聚对二氧环己酮(PPDO)对折旋转穴位埋线治疗。2组均连续治疗8周,随访3个月... 目的:观察穴位埋线治疗中重度乳腺增生病(MGH)的疗效。方法:选取72例中重度MGH患者,按随机数字表法分为对照组及观察组各36例。对照组采用小金丸口服,观察组采用聚对二氧环己酮(PPDO)对折旋转穴位埋线治疗。2组均连续治疗8周,随访3个月。比较2组临床疗效,比较2组治疗前后乳房疼痛评分、乳房肿块大小、情绪评分[汉密尔顿焦虑量表-14项(HAMA)、汉密尔顿抑郁量表-17项(HAMD)]的变化。结果:观察组总有效率为90.63%,对照组为63.64%,2组比较,差异有统计学意义(P<0.05)。2组不同时间点乳房疼痛评分在时间因素、时点交互因素方面比较,差异有统计学意义(P<0.05)。治疗后及随访期,2组乳房疼痛评分均较治疗前下降(P<0.05),观察组治疗后及随访期的乳房疼痛评分均低于同一时间段的对照组(P<0.05)。2组不同时间点乳房肿块大小在时间因素、组间因素、时点交互因素方面比较,差异有统计学意义(P<0.05)。治疗后及随访期,2组乳房肿块大小均较治疗前缩小(P<0.05),观察组治疗后及随访期乳房肿块均小于同一时间段的对照组(P<0.05)。2组不同时间点HAMA评分、HAMD评分在时间因素、组间因素、时点交互因素方面比较,差异有统计学意义(P<0.05)。治疗后及随访期,2组HAMA、HAMD评分均较治疗前下降(P<0.05);观察组治疗后及随访期HAMA评分、HAMD评分均低于同一时间段的对照组(P<0.05)。结论:穴位埋线治疗中重度MGH疗效较好,可减轻乳房疼痛程度,缩小肿块大小,改善患者情绪。 展开更多
关键词 乳腺增生病 中重度 穴位埋线 小金丸 乳房肿块 疼痛视觉模拟评分法
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Prince-Henry联合长海痛尺在肋骨骨折疼痛评分中的初步应用 被引量:1
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作者 王作培 丁一 +3 位作者 谢鑫杰 庄杨 盛波 陆熠 《同济大学学报(医学版)》 2024年第2期251-257,共7页
目的探讨Prince-Henry联合长海痛尺评分法:动静评分法(motional and restrictive rating scale,MAR)在评估肋骨骨折疼痛中的应用。方法回顾性分析上海市浦东新区人民医院胸外科2018年5月—2022年9月收治的肋骨骨折患者,其中手术组234例... 目的探讨Prince-Henry联合长海痛尺评分法:动静评分法(motional and restrictive rating scale,MAR)在评估肋骨骨折疼痛中的应用。方法回顾性分析上海市浦东新区人民医院胸外科2018年5月—2022年9月收治的肋骨骨折患者,其中手术组234例,非手术组558例,分别应用长海痛尺及本研究自行设计的动静评分法,收集两组患者伤后1-7 d的疼痛评分。结果非手术组:在评分方面,两种评分方法1-7 d总体均呈下降趋势,但长海痛尺评分第3天出现反弹。手术组:长海痛尺评分第4天开始下降,MAR评分第3天开始出现下降。两组比较:长海痛尺评分第1-3天手术组高于非手术组(P<0.05),第4-7天,手术组低于非手术组(P<0.05);MAR评分第1、2、7天,手术组评分高于非手术组(P<0.05);第3、4、5、6天,手术组低于非手术组(P<0.05)。疼痛评分改善方面,长海痛尺评分,第3-7天,手术组改善程度高于非手术组(P<0.05);MAR评分,第3-6天,手术组改善程度高于非手术组(P<0.05)。结论长海痛尺疼痛评分和MAR疼痛评分具有较好的一致性,MAR评分能更早识别活动性疼痛。 展开更多
关键词 肋骨骨折 疼痛评分 长海痛尺
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颈项功治疗颈型颈椎病60例的疗效观察
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作者 陈佳 费乐怡 +2 位作者 余谦 单婉青 吕立江 《中医临床研究》 2024年第3期82-85,共4页
目的:通过对颈型颈椎病患者进行锻炼干预,比较颈项功和常规米字操治疗颈型颈椎病的临床疗效及对颈痛、压痛阈(Pressure Pain Threshold,PPT)的影响。方法:选择2020年11―12月浙江中医药大学纳入的60例颈型颈椎病患者,应用随机数字表法... 目的:通过对颈型颈椎病患者进行锻炼干预,比较颈项功和常规米字操治疗颈型颈椎病的临床疗效及对颈痛、压痛阈(Pressure Pain Threshold,PPT)的影响。方法:选择2020年11―12月浙江中医药大学纳入的60例颈型颈椎病患者,应用随机数字表法将60例颈型颈椎病患者分为功法组和常规米字操组,每组各30例。功法组患者采用功法“仙鹤点水”锻炼,常规米字操组患者采用常规米字操锻炼,两组患者每天早晚各锻炼1次,以锻炼4周为一个疗程。锻炼前对两组患者进行压痛点筛查,结果得到两组患者压痛点多在肩井穴和C3夹脊穴,并以此作为PPT值的采集点。观察各组患者在锻炼前后的视觉模拟评分法(Visual Analogue Scale,VAS)评分、Northwick Park颈痛量表(Northwick Park Neck-pain Questionnaire,NPQ)评分及肩井穴和C3夹脊穴的PPT值,并综合评定各组的临床疗效。结果:锻炼4周后两组患者的VAS评分和NPQ评分均较锻炼前降低(P<0.05),两组患者肩井穴的PPT值均较锻炼前升高(P <0.05),功法组C3夹脊穴的PPT值较锻炼前升高(P <0.05),常规米字操组C3夹脊穴的PPT值与锻炼前差异无统计学意义(P> 0.05)。功法组的总有效率为86.67%(26/30),优于常规米字操组的63.33%(19/30)(P <0.05)。结论:功法和常规米字操均能改善颈型颈椎病患者的颈部疼痛和压痛,但功法的疗效更加显著。 展开更多
关键词 颈椎病 功法 颈痛量表评分 压痛阈 视觉模拟评分法评分
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