Gaston-Johansson F, Hofgren C, Watson P, Herlitz J
Intensive Care Nurs. 1991 Mar;7(1):3-10. doi: 10.1016/0266-612x(91)90028-p.
The aim of the study was to describe various components of pain in suspected acute myocardial infarction (MI). Ninety-four patients admitted to a Coronary Care Unit (CCU) complaining of chest pain with the preliminary diagnosis suspect MI were included in the study. Thirty-eight subjects were eventually diagnosed as having MI and 56 subjects as non-MI. A comparison of chest pain description was performed between MI and non-MI subjects. The Pain-o-meter (POM) and the Visual Analogue Scale (VAS) were used to assess pain intensity. MI patients reported more intense sensory and affective pain than non-MI patients. MI patients also reported more intense affective pain than sensory pain, whereas non-MI patients reported just the opposite. The number of affective words chosen by MI patients differentiated them more clearly from non-MI patients than any other factor in the pain description. Pain intensity was significantly correlated to the estimated size of the infarct.
该研究的目的是描述疑似急性心肌梗死（MI）疼痛的各个组成部分。纳入了94名入住冠心病监护病房（CCU）、主诉胸痛且初步诊断为疑似MI的患者。最终，38名受试者被诊断为患有MI，56名受试者被诊断为非MI。对MI组和非MI组受试者的胸痛描述进行了比较。使用疼痛计（POM）和视觉模拟量表（VAS）评估疼痛强度。MI患者报告的感觉性疼痛和情感性疼痛比非MI患者更强烈。MI患者报告的情感性疼痛也比感觉性疼痛更强烈，而非MI患者则相反。在疼痛描述中，MI患者选择的情感性词汇数量使其与非MI患者的区别比任何其他因素都更明显。疼痛强度与梗死估计大小显著相关。
