Department of Anesthesia, C450, University of California, San Francisco, 521 Parnassus Avenue, 94143-0648, San Francisco, CA, USA.
J Anesth. 1994 Sep;8(3):277-83. doi: 10.1007/BF02514650.
This study was undertaken to compare the assessment of pain intensity by 50 patients and by their doctors according to a visual analog scale 5 h and 20 h after major abdominal surgery, and to examine the relationships between the differences in rating of patients and doctors and the factors inherent in the patients which include preoperative expectation of pain, level of anxiety, and the surgical history of the patient. The ratings given by the patients were significantly higher than those given by the doctors at both time periods. However, the correlation between the ratings given by the two was low:r=0.31 andr s=0.27 at 5 h after the operations, andr=0.58 andr s=0.49 at 20 h. The results of analysis using Hayashi's quantification theory Type II indicated a moderate association between the rating difference and the patient's age, surgical history, preoperative state of anxiety, and expectation of pain. It is concluded that postoperative pain management, whether in clinical practice or in research, necessitates more consideration of the several above-mentioned individual factors and a preoperative interview in which the patient's level of anxiety and the amount of information the patient has concerning the surgery and post-operative pain is clearly assessed.
本研究旨在比较 50 名患者和他们的医生在主要腹部手术后 5 小时和 20 小时根据视觉模拟量表评估疼痛强度，并探讨患者和医生评分之间的差异与患者内在因素之间的关系，这些因素包括术前对疼痛的预期、焦虑程度和患者的手术史。患者的评分在两个时间段均明显高于医生的评分。然而，两者之间的相关性较低：术后 5 小时 r=0.31 和 rs=0.27，术后 20 小时 r=0.58 和 rs=0.49。使用 Hayashi 的量化理论 II 型进行的分析结果表明，评分差异与患者的年龄、手术史、术前焦虑状态和疼痛预期之间存在中度关联。结论是，无论是在临床实践还是在研究中，术后疼痛管理都需要更多地考虑上述几个个体因素，并在术前访谈中，明确评估患者的焦虑程度以及患者对手术和术后疼痛的信息量。
