测量儿科肿瘤重症监护病房患者的疼痛程度。

Measuring pain in pediatric oncology ICU patients.

作者信息

West N, Oakes L, Hinds P S, Sanders L, Holden R, Williams S, Fairclough D, Bozeman P

机构信息

Department of Nursing, St. Jude Children's Research Hospital, Memphis, TN 38105.

出版信息

J Pediatr Oncol Nurs. 1994 Apr;11(2):64-8; discussion 69-70. doi: 10.1177/104345429401100205.

DOI:10.1177/104345429401100205

PMID:8003263

Abstract

Thirty patients (ages 5 to 13) hospitalized in a pediatric oncology intensive care unit (ICU) rated the presence and severity of their pain on the Faces Pain Scale (FPS) and the Poker Chip Tool (PCT). Parents independently rated the child's pain on these scales and each patient's nurse completed the Objective Pain Scale (OPS). Patients' ratings on the FPS correlated significantly with parents' ratings on this scale (tau = .48, P = .002) but not on the PCT (tau = .23, P = .16). Nurses' ratings on the OPS were moderately correlated with patients' FPS ratings (tau = .37, P = .02) but were only weakly associated with PCT ratings (tau = .27, P = .09). The majority of patients, parents, and nurses expressed a preference for the FPS over the PCT. The FPS appears to be a clinically useful and accurate approach for measuring the pain of pediatric oncology patients in an ICU but is limited to those who can participate in a self-report measurement.

摘要

在一家儿科肿瘤重症监护病房（ICU）住院的30名患者（年龄5至13岁），使用面部疼痛量表（FPS）和扑克筹码工具（PCT）对其疼痛的存在和严重程度进行了评分。家长们独立使用这些量表对孩子的疼痛进行评分，并且每位患者的护士完成了客观疼痛量表（OPS）。患者在FPS上的评分与家长在该量表上的评分显著相关（tau = 0.48，P = 0.002），但与PCT评分不相关（tau = 0.23，P = 0.16）。护士在OPS上的评分与患者的FPS评分中度相关（tau = 0.37，P = 0.02），但与PCT评分仅弱相关（tau = 0.27，P = 0.09）。大多数患者、家长和护士表示比起PCT更喜欢FPS。FPS似乎是一种在临床上有用且准确的方法，用于测量ICU中儿科肿瘤患者的疼痛，但仅限于那些能够参与自我报告测量的患者。