Nemeth Kathleen A, Harrison Margaret B, Graham Ian D, Burke Sharon
Thrombosis Research Group, Ottawa Hospital - Civic Campus, Ottawa, Ontario, Canada .
Ostomy Wound Manage. 2004 Jan;50(1):34-46.
Venous leg ulcer pain experienced during compression bandaging is poorly understood. A prospective, pilot cohort study was initiated to determine the feasibility of conducting a large-scale, repeated measures cohort study of venous leg ulcer pain and to document and describe the venous leg ulcer pain experience during the first 5 weeks of treatment with compression bandages. Eligible individuals admitted to a nurse-led community leg ulcer service in one Canadian community were recruited for the 5-week study. Pain assessment tools (ie, numerical rating scale and short form McGill Pain Questionnaire) were evaluated by 20 venous ulcer patients (mean age = 73.7 years) and their nurses for ease of use during one baseline and five weekly follow-up visits. Health-related quality of life (HRQL) information was obtained. Nurses reported on ease of integrating pain data collection into regular clinical care. Each pain assessment tool was audited for completion. Most participants found the pain assessment tools easy to use, but nurses reported lengthened visit times with some participants as a result of tool administration difficulties, particularly the visual analogue scale (VAS). Overall completeness of pain assessment tools ranged from 85.0% (visual analogue scale) to 96.3% (present pain intensity and word descriptor list). The vast majority of patients (18) reported ulcer pain at baseline. Total mean scores for all pain assessment tools used decreased over time, but most patients reported pain throughout the study. The most common pain descriptors used were "aching," "stabbing," "sharp," "tender," and "tiring." Health-related quality of life was low and did not change during the 5-week study. The results of this study suggest that the vast majority of venous ulcer patients experience pain and that it is feasible to examine this pain in individuals receiving care in the community over time.
人们对加压包扎时腿部静脉溃疡疼痛的了解甚少。一项前瞻性试点队列研究启动，以确定对腿部静脉溃疡疼痛进行大规模重复测量队列研究的可行性，并记录和描述使用加压绷带治疗的前5周内腿部静脉溃疡疼痛的体验。在加拿大一个社区，招募了符合条件并入住由护士主导的社区腿部溃疡服务机构的个体参与这项为期5周的研究。20名静脉溃疡患者（平均年龄 = 73.7岁）及其护士对疼痛评估工具（即数字评分量表和麦吉尔疼痛问卷简表）在一次基线访视和五次每周随访访视期间的易用性进行了评估。获取了与健康相关的生活质量（HRQL）信息。护士报告了将疼痛数据收集纳入常规临床护理的难易程度。对每个疼痛评估工具的完成情况进行了审核。大多数参与者认为疼痛评估工具易于使用，但护士报告称，由于工具使用困难，一些参与者的访视时间延长，尤其是视觉模拟量表（VAS）。疼痛评估工具的总体完成率在85.0%（视觉模拟量表）至96.3%（当前疼痛强度和词语描述列表）之间。绝大多数患者（18名）在基线时报告有溃疡疼痛。所有使用的疼痛评估工具的总平均分随时间下降，但大多数患者在整个研究过程中都报告有疼痛。最常用的疼痛描述词是“酸痛”“刺痛”“尖锐”“ tender”和“疲倦”。与健康相关的生活质量较低，且在为期5周的研究期间没有变化。这项研究的结果表明，绝大多数静脉溃疡患者都经历疼痛，并且随着时间推移对接受社区护理的个体的这种疼痛进行检查是可行的。
