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疼痛评估:癌症患者中防御与退伍军人疼痛评定量表的应用

Pain Assessment: Use of the Defense and Veterans Pain Rating Scale in Patients With Cancer.

作者信息

Blackburn Lisa M, Burns Kathy, DiGiannantoni Elizabeth, Meade Karen, O'Leary Colleen, Stiles Rita

机构信息

Ohio State University Comprehensive Cancer Center.

Arthur G. James Cancer Hospital and Richard J. Solove Research Institute.

出版信息

Clin J Oncol Nurs. 2018 Dec 1;22(6):643-648. doi: 10.1188/18.CJON.643-648.

Abstract

BACKGROUND

Thorough, consistent pain assessment and reassessment are critical to guide and evaluate interventions designed to improve pain.

OBJECTIVES

Based on a literature review about functional pain assessment, clinicians selected and then implemented the Defense and Veterans Pain Rating Scale (DVPRS) as a pain assessment instrument option in a comprehensive cancer center.

METHODS

The DVPRS was added as a pain assessment instrument in clinical oncology practice. From postimplementation chart review and clinician satisfaction surveys, the DVPRS was evaluated for the following.

FINDINGS

Seventy-eight percent of nurses surveyed (N = 64) preferred the DVPRS over any other pain assessment tool. Inpatient and ambulatory patients surveyed (N = 144) agreed that a Likert-type scale in the DVPRS was easier to understand, easier to use, and better in describing their pain than the numeric rating scale.

摘要

背景

全面、一致的疼痛评估和重新评估对于指导和评估旨在改善疼痛的干预措施至关重要。

目的

基于对功能性疼痛评估的文献综述,临床医生在一家综合癌症中心选择并实施了国防与退伍军人疼痛评定量表(DVPRS)作为疼痛评估工具选项。

方法

将DVPRS作为疼痛评估工具添加到临床肿瘤学实践中。通过实施后病历审查和临床医生满意度调查,对DVPRS进行了以下评估。

结果

接受调查的护士中有78%(N = 64)更喜欢DVPRS,而不是任何其他疼痛评估工具。接受调查的住院和门诊患者(N = 144)一致认为,DVPRS中的李克特量表比数字评定量表更容易理解、更容易使用,并且在描述他们的疼痛方面更好。

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