Ylinen Eeva-Riitta, Vehviläinen-Julkunen Katri, Pietilä Anna-Maija
University of Eastern Finland, Department of Nursing Science, Kuopio, Finland.
Gastroenterol Nurs. 2011 Mar-Apr;34(2):136-43. doi: 10.1097/SGA.0b013e318211dda3.
Pain scales have been tested in clinical settings, but rarely with colonoscopy. The aim of this study was to evaluate the Colorado Behavioral Numerical Pain Scale (CBNPS) when assessing medication-free colonoscopy patients' pain intensity. During the first phase in 2005, the expert panelists (n = 17) described medication-free colonoscopy patients' behavior on a scale ranging from 0 to 5 scale. The descriptions were analyzed by quantitative and qualitative content analysis and compared with those of CBNPS. During the second phase in 2006, data from 138 medication- free colonoscopy patients and 11 nurses were collected using questionnaires (CBNPS, visual analogue scale [VAS], and verbal rating scale [VRS]) and analyzed statistically. The descriptions made by expert nurses were found similar to those of the CBNPS. Nurses' estimations with the CBNPS, VAS, and VRS of patients' pain were correlated with each other. According to our results, the CBNPS is an adequate instrument when assessing patients' pain intensity during medication-free colonoscopy. It provides an opportunity to evaluate the total pain intensity and the pain during the phases of the procedure. It is also a proper tool for improving nursing documentation. Results from this study highlight the need for further research to examine the pain scales.
疼痛量表已在临床环境中进行过测试，但在结肠镜检查中很少使用。本研究的目的是评估科罗拉多行为数字疼痛量表（CBNPS）在评估未使用药物的结肠镜检查患者疼痛强度时的效果。在2005年的第一阶段，专家小组成员（n = 17）对未使用药物的结肠镜检查患者的行为进行了0至5级的评分。通过定量和定性内容分析对这些描述进行了分析，并与CBNPS的描述进行了比较。在2006年的第二阶段，使用问卷（CBNPS、视觉模拟量表[VAS]和语言评定量表[VRS]）收集了138名未使用药物的结肠镜检查患者和11名护士的数据，并进行了统计分析。发现专家护士的描述与CBNPS的描述相似。护士使用CBNPS、VAS和VRS对患者疼痛的评估相互关联。根据我们的结果，CBNPS是评估未使用药物的结肠镜检查患者疼痛强度时的一种合适工具。它提供了一个评估整个疼痛强度以及检查过程各阶段疼痛的机会。它也是改善护理记录的一个合适工具。本研究结果突出了进一步研究疼痛量表的必要性。
