Gu X, Belgrade M J
J Pain Symptom Manage. 1993 Jan;8(1):17-21. doi: 10.1016/0885-3924(93)90115-c.
To evaluate the prevalence of pain in hospitalized patients with medical illness, we retrospectively reviewed the records of 313 consecutive admissions to the medical service of the Hennepin County Medical Center. Of the 224 eligible patients, 157 (70.1%) experienced nonprocedural pain on presentation or in the hospital, and pain was the chief complaint of 34.8%. In order of frequency, the most common types of pain were headache, cardiac pain, abdominal pain, noncardiac chest pain, joint pain, and hepatic pain. Female patients were more likely to have pain complaints, especially headache and joint pain. Patients with pain tended to be older, but this did not reach statistical significance. Among patients with pain, no quantitative assessments of pain intensity were documented in the medical record by any caregiver. This study underscores both the high prevalence of pain and the lack of pain assessment among patients hospitalized for acute medical illnesses. Adequate evaluation and management of pain should be considered as an important part of quality care.
为评估内科疾病住院患者的疼痛发生率，我们回顾性查阅了亨内平县医疗中心内科连续313例住院患者的病历。在224例符合条件的患者中，157例（70.1%）在入院时或住院期间经历了非手术性疼痛，且疼痛是34.8%患者的主要主诉。按发生频率排序，最常见的疼痛类型为头痛、心痛、腹痛、非心源性胸痛、关节痛和肝区疼痛。女性患者更易有疼痛主诉，尤其是头痛和关节痛。有疼痛的患者往往年龄较大，但这未达到统计学显著性。在有疼痛的患者中，病历中没有任何护理人员对疼痛强度进行定量评估的记录。本研究强调了急性内科疾病住院患者中疼痛的高发生率以及疼痛评估的缺失。疼痛的充分评估和管理应被视为优质护理的重要组成部分。
