THE PAIN OF BURNS - CHARACTERISTICS AND CORRELATES
THE PAIN OF BURNS - CHARACTERISTICS AND CORRELATES
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DOI：
10.1097/00005373-198911000-00013
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发表时间：
1989-11-01
影响因子：
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通讯作者：
PAQUIN, MJ
中科院分区：
文献类型：
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作者：
CHOINIERE, M;MELZACK, R;PAQUIN, MJ
本研究探讨烧伤病人疼痛的特点。个体间差异的来源也进行了研究，焦虑，抑郁和疼痛之间的相互关系进行了调查。42名因烧伤住院的成年患者参加了这项研究。采用麦吉尔疼痛问卷和视觉模拟量表测量静息时和治疗过程中的疼痛。采用Spielberger状态焦虑量表、Beck抑郁量表和视觉模拟量表评估焦虑和抑郁水平。结果表明，不同患者的疼痛差异很大，并且每个患者的疼痛随着时间的推移而波动很大。最大的疼痛通常是在治疗过程中经历的，患者在这些情况下报告的疼痛比休息时明显更多。疼痛严重程度的变化与患者的社会人口统计学特征、受伤后的时间长度或给予的镇痛药数量无关。烧伤的程度是疼痛的重要预测因素，但仅在受伤后的第一周。在治疗过程中，高水平的焦虑或抑郁不一定与较高的疼痛评分相关，但焦虑或抑郁程度更高的患者在休息时往往会报告更多的疼痛。这些结果进行了讨论有关疼痛管理策略，特别强调镇痛治疗的需要高度个性化和经常调整。
This study examined the characteristics of pain experienced by burned patients. Sources of inter-individual variations were also studied and the interrelationships between anxiety, depression, and pain were investigated. Forty-two adult patietns hospitalized for burn injuries participated in the study. The McGill Pain Questionnaire and a visual analogue scale were employed to measure the pain experienced at rest and during therapeutic procedures. Anxiety and depression levels were assessed with the Spielberger State Anxiety Inventory, the Beck Depression Inventory, and visual analogue scales. The results showed that the pain varies greatly from patient to patient and undergrass wide fluctuations over time in each patient. The greatest pain is usually experienced during therapeutic procedures, the patients reporting significantly more pain on these occasions than at rest. Variations in pain severity were not related to socio-demographic characteristics of the patients, the length of time elapsed since the injury, or the quantity of analgesics administered. The extent of the burns was a significant predictor of pain but only in the first week after the injury. High levels of anxiety or depression were not necessarily associated with higher pain scores during therapeutic procedures but the patients who were more anxious or depressed tended to report more pain when at rest. These results are discussed in relation to pain management strategies, with particular emphasis on the need for the analgesic therapy to be hghly individualized and frequently adjusted.