在数值评分尺度上探索疼痛水平的确定的切断点:从文献概述中的见解
Aurora Monticelli1, Bastiaan Van Grootven2
1Public Health Department, Nursing Science, University of Basel, Basel, Switzerland.
概括
使用数值评分表 (NRS) 的疼痛评估缺乏对轻度,中度和严重疼痛的切断点的共识. 这种变化凸显了重新评估当前疼痛管理指南和质量监测实践的必要性.
科学领域:
- 医学研究 医学研究
- 疼痛管理 疼痛管理
- 临床评估 临床评估
背景情况:
- 数值评分尺度 (NRS) 是医疗机构测量疼痛的标准.
- 疼痛强度的确定的切断点在临床实践中用于管理和质量监测.
- 需要更清楚地了解这些疼痛值.
研究的目的:
- 从现有文献中识别和综合数字评分尺度上的不同疼痛强度的切断点.
- 分析这些已识别的值在研究中的变化和一致性.
主要方法:
- 进行了全面的文献审查.
- 在PubMed,Embase和谷歌学者中进行了搜索.
- 包括的研究使用Rayyan进行了选,数据被提取和合成.
主要成果:
- 包括21篇论文,揭示了NRS疼痛强度切断点的广泛变化.
- 轻度疼痛范围 (0-5,最多引用1-4),中度疼痛 (3-8,最多引用4-8),和严重疼痛 (5-10,最多引用7-10) 显示出很少的一致性.
- 关于单一与重叠的切线点,仍然缺乏共识.
结论:
- 建立最终的NRS疼痛切线值是具有挑战性的,因为文献不一致.
- 变性归因于人口,疼痛类型和方法学的差异.
- 重新评估基于NRS切断的疼痛评估指南和质量监测政策至关重要,同时探索替代工具.
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