妇科腹腔镜术后患者主诉疼痛与护理评估结果的比较

目的比较妇科手术后患者主诉疼痛情况与护理人员评估的差异,以期为临床护理中疼痛照顾提供参考依据。方法采用便利抽样法选取2010年6-10月在宁波市妇儿医院妇科行腹腔镜手术治疗的200例患者为研究对象,所有患者于术后第1天采用数字疼痛评估量表(numeric rating scale,NRS)测量其疼痛情况,并与护理人员评估结果相比较。结果患者主诉疼痛强度分布于0～10分,而护士评估介于0～6分之间;差值为1～8分。护士低估患者疼痛者占54%,高估者占34%。结论与患者主诉相比,护理人员低估了患者的术后疼痛,应加强临床护理工作中疼痛评估及疼痛沟通的训练。

Comparative Differences between Pain Reported by Patients following Gynecologic Surgery and That Assessed by Nurses

Objective To compare the differences in pain intensity reported by patients following gynecologic surgery and that assessed by nurses, so as to provide the evidence for pain care in clinical nursing. Methods A convenience sampling method was adopted to select 200 patients who were in the first day after gynecologic surgery between June and October 2010. The numeric rating scale （NRS） was used as a tool for pain assessment. The pain intensity reported by the patients and that assessed by the nurses was compared. Results The patient complained of pain intensity distributed in a range of 0 to 10 points,while the nurses＇ assessment ranged from 0 to 6 points. The gap between the two groups ranged from 1 to 8 points. The intensity of the pain reported in the patients＇ complaints was significantly higher than those assessed by nurses（P〈0.01）. The nurses who underestimated the patients＇ pain accounted for 54%, and those overestimated for 34 %. Conclusion Compared with patients＇ self-reported pain, nurses significantly underestimate it. This study recommends that pain assessment and communication of pain intensity should be added to the on-the-job training curriculum.