Rundshagen I, Schnabel K, Standl T, Schulte am Esch J
Department of Anaesthesiology, University Hospital Eppendorf, Hamburg, Germany.
Br J Anaesth. 1999 Mar;82(3):374-8. doi: 10.1093/bja/82.3.374.
We have compared patients' and nurses' assessments of postoperative pain and anxiety after different analgesic treatments. Sixty orthopaedic patients were allocated randomly to receive i.v. piritramide (either nurse-controlled or patient-controlled) or subarachnoid bupivacaine (nurse-controlled or patient-controlled). Patients and nurses assessed pain and anxiety using a visual analogue scale (VAS; 1-100 mm). Pain and anxiety ratings of patients and nurses were significantly correlated (Spearman's r > or = 0.69; P < 0.001). In general, patients' pain scores were higher than nurses' scores (patients' median VAS = 34 (range 1-76) mm; nurses VAS 21 (1-59) mm) and for all groups except the patient-controlled subarachnoid bupivacaine group, where they were significantly higher (P < 0.01). Discrepancy in pain estimates between patients and nurses increased with the level of pain. The relationship between patients' and nurses' anxiety scores was less clearly defined and did not depend on the level of anxiety.
我们比较了不同镇痛治疗后患者和护士对术后疼痛及焦虑的评估。60名骨科患者被随机分配接受静脉注射匹利卡明（护士控制或患者自控）或蛛网膜下腔布比卡因（护士控制或患者自控）。患者和护士使用视觉模拟量表（VAS；1 - 100毫米）评估疼痛和焦虑。患者和护士的疼痛及焦虑评分显著相关（斯皮尔曼相关系数r≥0.69；P<0.001）。总体而言，患者的疼痛评分高于护士评分（患者VAS中位数 = 34（范围1 - 76）毫米；护士VAS为21（1 - 59）毫米），除患者自控蛛网膜下腔布比卡因组外，其他所有组患者评分均显著更高（P<0.01）。患者和护士之间疼痛估计的差异随疼痛程度增加。患者和护士焦虑评分之间的关系定义不太明确，且不取决于焦虑程度。
