Assessment of pain during medical procedures: A comparison of three scales
Assessment of pain during medical procedures: A comparison of three scales
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DOI：
10.1097/00002508-199812000-00012
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发表时间：
1998-12-01
影响因子：
2.9
通讯作者：
Fisher, LD
中科院分区：
文献类型：
--
作者：
Jensen, MP;Miller, L;Fisher, LD
目的：疼痛评估是疼痛研究的关键。了解疼痛测量的优点和缺点对于我们对疼痛的理解的持续进步非常重要。本研究的目的是比较的有效性和实用性的三个措施的疼痛强度在医疗程序中已知产生疼痛：abnormality.Design：分配到三个疼痛强度评估仪器，随后被用来评估在堕胎过程中的疼痛之一。使用一系列重复测量方差分析比较评估疼痛变化的测量的相对灵敏度。的相对效用的措施进行了比较，通过检查的准确响应each. Subject：58名妇女提出的第一个三个月aborte.Measures：视觉模拟量表（VAS），口头11点箱规模（口头BS-11），和21点箱规模（BS-21）。结论：尽管BS-21的测试结果优于BS-11和VAS，但BS-11和VAS的测试结果均支持三种测试方法的有效性。患者在手术期间难以完成纸笔VAS。此外，与先前的研究一致，一些患者将Verbal BS-11视为21分量表，通过在0-10测量中使用两个整数之间的数字进行响应。总体而言，实际问题使我们得出结论，BS-21是评估实时流产疼痛的绝佳选择。
Objective: Pain assessment is crucial to pain research. Knowledge about the strengths and weaknesses of pain measures is important to the continued advancement of our understanding of pain. The purpose of the present study was to compare the validity and utility of three measures of pain intensity during a medical procedure known to produce pain: an abortion.Design: Assignment to one of three pain intensity assessment instruments, which were subsequently used to assess pain during an abortion procedure. Comparison of the relative sensitivity of the measures to assess changes in pain using a series of repeated measures analyses of variance. The relative utility of the measures was compared by examining the rates of accurate responses to each.Subjects: Fifty-eight women presenting for a first-trimester abortion.Measures: Visual analog scale (VAS), the verbal 11-point Box Scale (Verbal BS-11), and the 21-point Box Scale (BS-21).Results: All three pain intensity measures detected changes in pain during the abortion procedure. Rates of incorrect responses were higher for the Verbal BS-11 and the VAS than for the BS-21.Conclusions: The results supported the validity of each of the three measures used, although some superiority for the BS-21 over the Verbal BS-11 and VAS exists. Patients had some difficulty completing the paper-and-pencil VAS during the procedure. In addition and consistent with previous research, some patients treated the Verbal BS-11 as a 21-point scale by responding with numbers between two whole numbers on the 0-10 measure. Overall, practical issues led us to conclude that the BS-21 is an excellent choice for assessing real-time abortion pain.