Sittner B, Hudson D B, Grossman C C, Gaston-Johansson F
Saint Elizabeth Community Health Center, Lincoln, Nebraska, USA.
Clin Nurs Res. 1998 Feb;7(1):82-93. doi: 10.1177/105477389800700107.
This descriptive study systematically described the quality and intensity of adolescents' pain during the progression of labor. The Gaston-Johansson Pain-o-Meter was administered to 33 adolescents during the three labor phases (2-4 cm, 5-7 cm, and 8-10 cm) following a contraction. The most frequently selected sensory words were cramping in Phase I and pressing in Phases II and III. Miserable and killing were the most commonly chosen affective words during the three labor phases. Using the Gaston-Johansson Pain-O-Meter and the Gaston-Johansson Pain-O-Meter Visual Analogue Scale, the total pain intensity scores were highest during phase III of labor and delivery. At-test of independent samples found that quality and intensity pain scores for primiparous and multiparous adolescent participants were not significantly different during the progression of labor. The findings of the study illustrate the value of using objective measures, such as the Gaston-Johansson Pain-O-Meter and the Gaston-Johansson Pain-O-Meter Visual Analogue Scale, to assess pain during labor. The study also demonstrated that nurses can use these tools with minimal training.
这项描述性研究系统地描述了青少年分娩过程中的疼痛质量和强度。在宫缩后的三个产程阶段（2 - 4厘米、5 - 7厘米和8 - 10厘米），对33名青少年使用了加斯顿 - 约翰松疼痛量表。在第一阶段最常选择的感觉词汇是绞痛，在第二和第三阶段是挤压痛。在三个产程阶段中，“痛苦”和“要命”是最常选择的情感词汇。使用加斯顿 - 约翰松疼痛量表和加斯顿 - 约翰松疼痛量表视觉模拟评分法，分娩第三阶段的总疼痛强度得分最高。独立样本t检验发现，初产和经产青少年参与者在产程进展中的疼痛质量和强度得分没有显著差异。该研究结果说明了使用客观测量方法（如加斯顿 - 约翰松疼痛量表和加斯顿 - 约翰松疼痛量表视觉模拟评分法）来评估分娩期间疼痛的价值。该研究还表明，护士经过最少的培训就能使用这些工具。
