关键护理疼痛观察工具与密集护理病房患者的数值评分尺度的相关性
Joanna L Stollings1,2, Kelli A Rumbaugh1, Li Wang3
1Department of Pharmaceutical Services, Vanderbilt University Medical Center, Nashville, TN, USA.
Journal of intensive care medicine
|July 17, 2023
概括
数值评分表 (NRS) 和关键护理疼痛观察工具 (CPOT) 在ICU患者中显示出中度相关性. 妄想和镇静水平会影响疼痛评估的准确性,这意味着这些工具不能互换使用.
科学领域:
- 关键护理医学 关键护理医学
- 疼痛评估 疼痛评估 疼痛评估
- 临床研究临床研究
背景情况:
- 对重症患者来说,准确的疼痛评估至关重要.
- 数值评分表 (NRS) 依赖于自我报告,而关键护理疼痛观察工具 (CPOT) 使用行为指标.
- 了解这些工具之间的相关性对于有效的疼痛管理至关重要.
研究的目的:
- 为了确定NRS和CPOT疼痛评估在重症监护室 (ICU) 患者之间的相关性.
- 调查临床因素是否会改变NRS和CPOT分数之间的关系.
主要方法:
- 一项前性研究,涉及1302名非通风成人ICU患者.
- 收集了61,142个配对的NRS和CPOT评估,每4小时进行一次.
- 使用了斯皮尔曼相关性和比例赔率逻辑回归分析.
主要成果:
- 在NRS和CPOT之间发现了0.56的温和的斯皮尔曼相关系数.
- 课内相关系数为0.32.
- 妄想和较低的里士满兴奋镇静量表得分显著改变了NRS-CPOT关系.
结论:
- NRS和CPOT之间的相关性是温和的,表明它们不能互换.
- 临床因素,如妄想和镇静水平影响疼痛评估的有效性.
- 需要仔细考虑评估工具和患者状态,以准确管理重症监护中的疼痛.
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