Messerer B, Gutmann A, Vittinghoff M, Weinberg A M, Meissner W, Sandner-Kiesling A
Univ. Klinik für Anästhesiologie und Intensivmedizin, Medizinische Universität Graz, Auenbruggerplatz 29, 8036, Graz, Österreich.
Schmerz. 2011 Jun;25(3):245-55. doi: 10.1007/s00482-011-1060-1.
The intensity of pain cannot be measured directly but can only be described subjectively. This obviously complicates the assessment especially in the younger age group. Pain evaluation and documentation are essential for good results in pain therapy. Pain can be measured by pain scales which should fulfill the requirements of practicability, reliability and validity. In neonates and children up to 4 years of age, standardized scales have been developed for observation of their activities. Children in the age group 4-6 years old are able to communicate about pain. At this age self-report scales can be used to assess pain sensations."Quality Improvement in Postoperative Pain Management in Infants" (QUIPSInfant) represents a new tool for pediatric outcome evaluation, consisting of standardized data acquisition of outcome and process quality indicators.
疼痛强度无法直接测量，只能进行主观描述。这显然使评估变得复杂，尤其是在较年轻的年龄组中。疼痛评估和记录对于疼痛治疗取得良好效果至关重要。疼痛可以通过应满足实用性、可靠性和有效性要求的疼痛量表来测量。对于新生儿和4岁以下儿童，已经开发出标准化量表用于观察他们的活动。4至6岁年龄组的儿童能够交流疼痛情况。在这个年龄段，可以使用自我报告量表来评估疼痛感受。“婴儿术后疼痛管理质量改进”（QUIPSInfant）是一种用于儿科结局评估的新工具，由结局和过程质量指标的标准化数据采集组成。
