首页|4种疼痛评估量表在房颤射频消融术患者中的应用比较

4种疼痛评估量表在房颤射频消融术患者中的应用比较

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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.
Comparison of different pain scales in pain assessment of patients receiving radio-frequency ablation for atrial fibrillation
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.

atrial fibrillationradiofrequency ablationpain assessmentNumeric Rating ScaleVisual Analogue ScaleFaces Pain Scale-Revised of Wong-BakerVerbal Description Scaleseverity of pain

潘亚娟、薛明、王柯娜、刘卫卫

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阜外华中心血管病医院介入手术室(河南郑州,451450)

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

河南省科学发展计划项目

172102410011

2024

10.3870/j.issn.1001-4152.2024.04.029

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子：2.062
ISSN：1001-4152
年,卷(期)：2024.39(4)
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