低估儿童自我报告的疼痛:同意/不同意?
Şefika Başoğlu1, Özlem Selvi Can1, Volkan Baytaş1
1Ankara University Faculty of Medicine, Department of Anaesthesiology and Intensive Care, Ankara, Türkiye.
Turkish journal of anaesthesiology and reanimation
|October 14, 2025
概括
父母使用视觉模拟尺度 (VAS) 和数值评分尺度 (NRS) 准确评估孩子的手术后疼痛,而护士倾向于低估疼痛水平.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 疼痛管理 疼痛管理
- 外科手术的结果
背景情况:
- 对儿童进行准确的术后疼痛评估对于有效管理至关重要.
- 患者,家长和医疗保健提供者之间可能存在疼痛报告的差异.
- 视觉模拟尺度 (VAS) 和数值评分尺度 (NRS) 是常用的疼痛评估工具.
研究的目的:
- 在不同类型和等级的手术中比较儿童的术后疼痛得分.
- 用VAS和NRS评估患者,家长和护士疼痛评估之间的一致性.
- 确定这些群体之间疼痛感知和报告的潜在差异.
主要方法:
- 一项前性随机研究包括172名年龄在7-18岁的儿童接受选择性手术.
- 术后2小时,患者,家长和护士使用VAS和NRS评估疼痛.
- 通过使用类内相关系数 (ICC) 分析数据以求一致性.
主要成果:
- 在儿童和家长的疼痛评级之间发现了很好的一致性 (VAS和NRS的ICC>0.90).
- 在儿童和护士疼痛评级之间观察到良好的一致性 (VAS和NRS的ICC>0.84).
- 与母亲相比,父亲表现出更好的预测孩子的疼痛的能力.
结论:
- 使用VAS和NRS进行的家长疼痛评估与儿童自我报告的疼痛非常相似.
- 在使用VAS和NRS时,护士倾向于低估儿童的手术后疼痛.
- 自我报告的疼痛仍然是黄金标准,父母的报告作为可靠的代理.
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