Coll Anne Marie, Ameen Jamal R M, Moseley Laurence G
Research Unit, School of Care Sciences, University of Glamorgan, Pontypridd, Mid Glamorgan, UK.
J Adv Nurs. 2004 Apr;46(1):53-65. doi: 10.1111/j.1365-2648.2003.02965.x.
Despite technological advancements in anaesthesia and analgesia, reported pain levels after day surgery remains high. Whilst it is unrealistic to expect no pain, the level that constitutes 'acceptable' pain remains unclear because of inconsistencies in reporting. These inconsistencies have resulted from different interpretations of what pain is and the use of different measurement tools.
The aim of this paper is to report a study investigating any disparity in reported levels of pain following day surgery, within different specialties and in relation to specific operative procedures.
Nursing and health care papers published since 1983 were sought using the keywords: postoperative pain, postoperative complications, pain after day surgery, day surgery, ambulatory surgery, nursing, operation types, operative procedures, surgical procedures, descriptors of pain, pain intensity, verbal descriptor scale, numerical rating scale, visual analogue scale, validity, reliability, design, sample size, data collection methods and their various combinations. Databases searched were Medline, CINAHL, Nursing Collection, Embase, Healthstar, BMJ and several on-line Internet journals, specifically Ambulatory Surgery. The search was restricted to publications in the English language. Findings. Twenty-four papers were identified. Inconsistencies in the reported intensity of pain are highlighted, in relation to different operative procedures and specialties. Data in the papers are based on different descriptors, measurement tools and data collection methods. In many cases, sample size, and validity and reliability can also be questioned.
There is a disparity in reported levels of pain after day surgery. It is important that a unified day surgery pain measurement strategy is established, so that patients can be informed about the intensity of pain that they are likely to experience following specific procedures.
尽管麻醉和镇痛技术有所进步，但日间手术术后报告的疼痛程度仍然很高。虽然期望完全无痛是不现实的，但由于报告不一致，“可接受”疼痛的程度仍不明确。这些不一致源于对疼痛的不同理解以及使用不同的测量工具。
本文旨在报告一项研究，调查日间手术术后不同专科以及与特定手术操作相关的疼痛报告水平差异。
使用以下关键词搜索1983年以来发表的护理和医疗保健论文：术后疼痛、术后并发症、日间手术后疼痛、日间手术、门诊手术、护理、手术类型、手术操作、外科手术、疼痛描述词、疼痛强度、语言描述量表、数字评分量表、视觉模拟量表、效度、信度、设计、样本量、数据收集方法及其各种组合。检索的数据库有Medline、CINAHL、护理合集、Embase、Healthstar、BMJ以及几本在线互联网期刊，特别是《门诊手术》。搜索仅限于英文出版物。结果。共识别出24篇论文。突出显示了与不同手术操作和专科相关的疼痛报告强度不一致情况。论文中的数据基于不同的描述词、测量工具和数据收集方法。在许多情况下，样本量、效度和信度也可能受到质疑。
日间手术术后报告的疼痛水平存在差异。建立统一的日间手术疼痛测量策略很重要，这样患者就能了解特定手术后可能经历的疼痛强度。
