4种疼痛评估量表在房颤射频消融术患者中的应用比较
Comparison of different pain scales in pain assessment of patients receiving radio-frequency ablation for atrial fibrillation
潘亚娟 1薛明 1王柯娜 1刘卫卫1
作者信息
- 1. 阜外华中心血管病医院介入手术室(河南郑州,451450)
- 折叠
摘要
目的 比较4种疼痛评估量表在房颤患者射频消融术中的应用效果.方法 选取160例接受射频消融术的房颤患者为研究对象,术中分别采用数字评定量表、视觉模拟评分、Wong-Baker面部表情疼痛量表、词语描述量表评估疼痛,比较不同疼痛评估量表在患者首选率、作答时间及效标效度方面的差异.结果 4种疼痛评估量表在患者首选率、作答时间方面差异具有统计学意义(均P＜0.05),Wong-Baker面部表情疼痛量表及词语描述量表患者首选率较高,而作答时间最短.不同性别、年龄及文化程度患者对4种疼痛量表首选率比较,差异无统计学意义(均P＞0.05).消融术中不同时间点词语描述量表、Wong-Baker面部表情疼痛量表、视觉模拟评分分别与数字评定量表(作为效标)评分存在高度相关(r=0.774～0.886,均P＜0.05).结论 4种疼痛评估量表在房颤射频消融术中具有较好的疼痛评估作用,且Wong-Baker面部表情疼痛量表、词语描述量表的临床应用效果最佳.
Abstract
Objective To compare the application effect of different pain scales in the assessment of pain in patients undergoing radio-frequency ablation(RFA)for atrial fibrillation.Methods A total of 160 patients to receive RFA for atrial fibrillation were selected as the research subjects.The intraoperative pain assessment was performed using Numeric Rating Scale,Visual Analogue Scale,the Faces Pain Scale-Revised of Wong-Baker and Verbal Description Scale.The differences in patient preference,response time,and criterion validity of different pain scales were compared.Results The four pain scales showed significant differences in patient preference,and response time(all P＜0.05),with the Faces Pain Scale-Revised of Wong-Baker and the Verbal Description Scale enjoying the highest preferred rate,and registering the shortest response time.There were no significant differences in the pre-ferred rates of the four pain scales among patients of different genders,ages,and educational levels(all P＞0.05).At different time points during ablation,the scores of the Verbal Description Scale,Faces Pain Scale-Revised of Wong-Baker,and Visual Ana-logue Scale were highly correlated with the Numeric Rating Scale(as the criterion)scores(r=0.774-0.886,all P＜0.05).Con-clusion The 4 scales have good pain assessment effects in RFA for atrial fibrillation,and the Faces Pain Scale-revised of Wong-Bak-er and the Verbal Description Scale have the best clinical effect.
关键词
房颤/射频消融术/疼痛评估/数字评定量表/视觉模拟评分/Wong-Baker面部表情疼痛量表/词语描述量表/疼痛程度Key words
atrial fibrillation/radiofrequency ablation/pain assessment/Numeric Rating Scale/Visual Analogue Scale/Faces Pain Scale-Revised of Wong-Baker/Verbal Description Scale/severity of pain引用本文复制引用
基金项目
河南省科学发展计划项目(172102410011)
出版年
2024
NETL
NSTL
万方数据