急诊手外伤患者疼痛状况的调查

目的 了解急诊手外伤患者术前的疼痛状况,分析影响疼痛的相关因素.方法 应用短式McGill疼痛问卷、状态焦虑量表对210例急诊就诊的手外伤患者进行问卷调查.结果 210例急诊手外伤患者受伤当时和就诊时的VAS评分分别为（4.87±2.42）和（4.70±2.31）分.就诊时PRI评分为（3.34±2.35）分,其中感觉PRI为（3.17±2.26）,情感PRI为（0.17±0.67）,PPI评分为（2.80±0.26）分.既往外伤严重程度不同的患者其本次就诊时VAS评分差异有统计学意义（F=2.29,P＜0.05）.相关分析发现本次手外伤的严重程度及就诊时S-AI得分与本次就诊时的VAS评分成正相关（P＜0.01）,文化程度与本次就诊时的VAS得分成负相关（P＜0.05）.结论 急诊手外伤患者就诊时的疼痛程度,通过分析为中等程度,而缓解患者就诊时的焦虑能够减轻患者当时的疼痛,利于接受手术治疗,促进病情痊愈.

Survey and analysis of the pain status in the patients of emergent hand injury

Objective To learn the pain status in the patients of emergent hand injury and analyze the relative factors which influenced the pain. Methods A total of 210 patients of emergent hand injury were investigated with short McGill pain questionnaire and anxious status scale. Results The VAS at the injury happened and at the visit in 210 emergent hand injury patients were (4.87±2.42 ) and (4.70±2.31 ). During the visit, the PRI was ( 3.34±2.35 ), feeling PRI was ( 3.17±2.26 ), emotional PRI was (0. 17±0.67 ),PPI was (2.80±0.26) ,The variance analysis found the VAS of patients had different degree injury in the past had different VAS of this visit ( F=2. 29, P < 0. 05 ). Relative analysis found the severity of this hand injury ( r = 0. 262, P < 0. 01 ) and the S-AI of this visit ( r = 0.390, P < 0.01 ) had positive correlation with the VAS of this visit. The education ( r = - 0. 172, P < 0. 05 ) had negative correlation with the VAS. Conclusions The pain in the patients of emergent hand injury was medium, releasing the anxiety of the patients at the visit could reduce the pain at that time.