ICU患者疼痛评估工具研究进展

疼痛是ICU患者的常见问题,有效的评估是疼痛管理的基础。由于镇静或其他原因,ICU患者的疼痛评估往往比较复杂。能获得患者主诉时可以使用主观疼痛评估工具,不能获得患者主诉时宜使用客观疼痛评估工具。本文就ICU患者常用的主观和客观疼痛评估工具进行综述,为完善ICU患者的疼痛评估和疼痛管理流程提供科学的依据。

Research progress of pain assessment tools for Intensive Care Unit patients

Appropriate pain management in critically ill patients greatly depends on a clinician＇s ability to perform reliable and valid pain assessment. Subjective pain assessment tools are available to clinicians when patients are able to complete selfreport tools, the ＂gold standard＂ of pain assessment; however, objective pain assessment tools may be appropriate when patients are not capable of adequate communication because of sedation or mechanical ventilation. The pain assessment tools for critically ill patients were elaborated in this article to provide reference for improving the process of pain assessment and management.