开胸病人疼痛及情绪与护理评估差异的比较

目的：了解开胸病人疼痛程度及情绪与护理人员对病人的评估差异，以提高评估质量，减少病人痛苦，改善其情绪状态。方法：采用疼痛视觉模拟评分表（VAS）及视觉模拟评分法应用于情绪变化的评估表（DVAS），分别由110例胸部手术后病人（A组）、工作3年以内的护士（B组）及工作5年以上的护师（C组）对病人疼痛程度及情绪进行评估。结果：B、C组VAS评分均显著低于A组（P＜0．05或P＜0．01），B组评分又低于C组（均P＜0．05）；B、C组DVAS评分均显著高于A组（均P＜0．05）。结论：护理人员有低估病人疼痛程度、高估病人疼痛时情绪感受的倾向。应注重病人的个体差异，准确判断其疼痛程度和情绪变化。

Comparison of Difference between Pain and Emotion Following Thoracotomy and Nursing Assessment

Objective To know the pain and emotion of the patients receiving thoracotomy and the difference of nursing assessment.Methods VAS and DVAS were applied. The pain and emotion were assessed by 110 patients receiving thoracotomy (group A), nurses working for less than 3 years (group B) and nurses working for more than 5 years (group C) respectively.Results The scores of VAS in the group B and C were significantly less than in group A ( P<0 05 or P <0 01), while those in the group B were less than in group C ( P <0 05). The scores of DVAS in the groups B and C were markedly higher than in group A (all P <0 05). Conclusion The nursing staff usually underestimates the pain severity of the patients, but overestimates the emotion of pain. Attention should be paid to the individual difference and accurate assessment of the pain and emotion.