A RATING SYSTEM FOR USE WITH PATIENT PAIN DRAWINGS
A RATING SYSTEM FOR USE WITH PATIENT PAIN DRAWINGS
复制标题
DOI：
10.1016/0304-3959(86)90026-6
复制
发表时间：
1986-01-01
期刊：
影响因子：
7.4
通讯作者：
KRAUSE, SJ
中科院分区：
文献类型：
--
作者：
MARGOLIS, RB;TAIT, RC;KRAUSE, SJ
作为诊断过程的一部分，接受慢性良性疼痛治疗的患者通常被要求完成指示其疼痛强度和位置的图纸。虽然从疼痛图中推断出生理和心理因素对患者S疼痛体验的相对贡献，但以前的研究仅提供了对这种做法的模棱两可的支持。临床使用和评估这种解释的有效性都需要一种可靠的方法来评估疼痛描述图。虽然已经提出了一些使用这类图画的系统，但并不总是清楚地准确地量化了图画的哪个方面。在这项研究中，101名表现为慢性疼痛的患者被要求完成疼痛图纸，然后对45个身体区域的每一个有无疼痛进行评分。得分者在相对较少的培训情况下获得了较高的评分者之间的一致性。获得的体表分数与Ransford等人开发的罚分系统高度相关，这表明疼痛程度可能是该系统中差异的主要原因。本文还讨论了该系统在临床和实验中的应用。
Patients entering treatment for chronic benign pain often are asked to complete drawings indicating the intensity and location of their pain as part of the diagnostic process. While inferences have been made from pain drawings about the relative contributions of physiolgical and psychological factors to the patient''s experience of pain, previous research has provided only equivocal suppport fo this practice. A reliable method for assessing pain drawings is needed both for clinical use and to assess the validity of such interpretations. While a number of systems for using such drawings have been proposed, it is not always clear exactly what aspect of the drawing is being quantified. In this study, 101 patients who presented with chronic pain were asked to complete pain drawings which were then scored for the presence or absence of pain in each of 45 body areas. Scorers achieved a high rate of inter-rater agreement with relatively little training. The body surface scores obtained were shown to correlate highly with the penalty point system developed by Ransford et al., suggesting that extent of pain may account for much of the variance in this system. The results are discussed in relation to the clinical and experimental uses for such a system.