Pozehl B, Barnason S, Zimmerman L, Nieveen J, Crutchfield J
Clin Nurs Res. 1995 May;4(2):208-22. doi: 10.1177/105477389500400207.
The purpose of this study was to assess and describe the multidimensional postoperative pain experience of patients (N = 194) undergoing coronary artery bypass graft surgery (CABG) using the McGill Pain Questionnaire. Postoperative pain significantly decreased from postoperative day 2 to postoperative day 3 for all components of the McGill Pain Questionnaire. Sensory words chosen from the McGill Pain Questionnaire on postoperative day 2 included sharp, sore, aching, and tender. Affective words chosen included exhausting on postoperative day 2 and tiring on postoperative days 2 and 3. The evaluative word annoying was chosen for both postoperative days 2 and 3. The present pain intensity (PPI) rating completed on a scale from no pain = 0 to excruciating pain = 5, showed a mean intensity rating of 1.08 for postoperative day 2 and 0.67 for postoperative day 3. These findings describing the typical pattern of postoperative pain are clinically significant in the differentiation of "normal" postoperative pain from pain experienced with postoperative complications from CABG surgery.
本研究的目的是使用麦吉尔疼痛问卷评估并描述接受冠状动脉旁路移植术（CABG）的患者（N = 194）术后多维疼痛体验。对于麦吉尔疼痛问卷的所有项目，术后疼痛从术后第2天到术后第3天显著减轻。术后第2天从麦吉尔疼痛问卷中选出的感觉类词汇包括尖锐的、酸痛的、疼痛的和压痛的。选出的情感类词汇包括术后第2天的疲惫不堪以及术后第2天和第3天的累。术后第2天和第3天均选出了评价类词汇烦人。当前疼痛强度（PPI）评分采用从无痛=0到剧痛=5的量表，术后第2天的平均强度评分为1.08，术后第3天为0.67。这些描述术后疼痛典型模式的发现，对于区分CABG手术“正常”术后疼痛与术后并发症所经历的疼痛具有临床意义。
