Hofgren C, Karlson B W, Gaston-Johansson F, Herlitz J
Division of Cardiology, Sahlgrenska Hospital, Goteborg, Sweden.
Heart Lung. 1994 Sep-Oct;23(5):397-403.
Acute myocardial infarction (AMI) will not develop in a large proportion of patients admitted to the coronary care unit because of suspected AMI.
To evaluate whether patients with confirmed AMI use different words to describe their pain than patients in whom AMI was not confirmed.
A retrospective descriptive design.
The Pain-O-Meter, a verbal pain scale composed of 12 sensory and 10 emotional word descriptors, was used to assess pain.
Coronary care unit in Sahlgrenska Hospital in Goteborg, Sweden.
A convenience sample of 889 consecutive patients admitted to the coronary care unit because of suspected AMI.
SENSORY COMPONENT--patients with confirmed AMI differed from those without AMI in the use of the words "pricking" (12% vs 17%; p < 0.05) and "tearing" (11% vs 6%; p < 0.05). No difference was found in the remaining 10 words. Affective components--Patients with confirmed AMI differed from those without AMI in the use of "terrifying" (29% vs 18%; p < 0.001), "intolerable" (16% vs 10%; p < 0.01), and "worrying" (48% vs 59%; p < 0.01). Women used stronger word descriptors more frequently than men.
The use of specific or more word descriptors to separate patients with AMI from those without AMI was not supported by the study data. Although patients with AMI more frequently used the sensory word tearing as well as the affective words terrifying and intolerable and less frequently used the sensory word pricking and the affective word worrying than patients without AMI, the differences do not suggest a clinical profile that can be used to differentiate these clinical entities.
因疑似急性心肌梗死（AMI）而入住冠心病监护病房的患者中，很大一部分不会发生急性心肌梗死。
评估确诊AMI的患者与未确诊AMI的患者在描述疼痛时是否使用不同的词汇。
回顾性描述性设计。
使用由12个感觉性和10个情感性词汇描述符组成的言语疼痛量表“疼痛计”来评估疼痛。
瑞典哥德堡萨尔格伦斯卡医院的冠心病监护病房。
因疑似AMI连续入住冠心病监护病房的889例患者的便利样本。
感觉成分——确诊AMI的患者与未患AMI的患者在使用“刺痛”（12%对17%；p<0.05）和“撕裂样”（11%对6%；p<0.05）这两个词上存在差异。其余10个词未发现差异。情感成分——确诊AMI的患者与未患AMI的患者在使用“可怕的”（29%对18%；p<0.001）、“无法忍受的”（16%对10%；p<0.01）和“令人担忧的”（48%对59%；p<0.01）这些词上存在差异。女性比男性更频繁地使用更强的词汇描述符。
研究数据不支持使用特定或更多的词汇描述符来区分AMI患者和非AMI患者。尽管与未患AMI的患者相比，AMI患者更频繁地使用感觉性词汇“撕裂样”以及情感性词汇“可怕的”和“无法忍受的”，而较少使用感觉性词汇“刺痛”和情感性词汇“令人担忧的”，但这些差异并未提示可用于区分这些临床实体的临床特征。
