以五種疼痛評估量表探討手術後病童之疼痛程度

Comparison of Scales Assessing Post-Operative Pain in Children

吳幸娟(Hsin-Chuan Wu) ； 陳秀蓉(Hsiu-Jung Chen)

《慈濟醫學雜誌》 14卷5期 (2002/10) Pp. 311-315

https://doi.org/10.6440/TZUCMJ.200210.0311

摘要

Objective: The purpose of this study is to assess post-operative pain in children with several assessment scales. Patients and Methods: Twenty-five patients between 6 and 13 years old were evaluated in one hospital in Taichung. The pain assessment scales included the Visual Analogue Scal (VAS), Numerical Scale, Face Rating Scale, Glasses Scale and Words Descriptive Scale. Results: Using SPSS for Window 8.0, we analyzed the collected data four times post-operatively. The results showed : (1) The mean VAS data ranged from 35.1 mm to 59.2 mm; The Numerical Scale data ranged from 3.5 cm to 5.9 cm ; the Face Rating Scale data: the 1st, 2nd and 3rd times were the 3rd face and the 4th time was the 2nd face; the Glasses Scale data; the 1st, 2nd times were the 3rd glass while the 3rd and the 4th time were the 2nd glass; the Words descriptive Scale data were a little pain. (2) The children liked the Face Rating Scale the best followed by the Visual Analogue Scale and Glasses Scale. (3) As to reflex their pain intensity, which the children could easily use was Face Rating Scale and then Glasses Scale. (4) there was significant relationship between the data collected from the VAS and Numerical Scale ( p＜0.001); also, there was a significant relationship between the Face Rating Scale and Glasses Scale ( p＜0.001). Conclusion: This study proved that using multiple methods helped to assess post-operative children’s pain correctly. For pain evaluation in the pediatric patient, the “face rating scale” may be the best. The results of this study could be used to help the medical staff understand more about children’s perception of the post-operative pain and improve the application of pain assessment scales.

關鍵字

手術後疼痛 ； 疼痛評估量表 ； 兒童疼痛

並列摘要

Objective: The purpose of this study is to assess post-operative pain in children with several assessment scales. Patients and Methods: Twenty-five patients between 6 and 13 years old were evaluated in one hospital in Taichung. The pain assessment scales included the Visual Analogue Scal (VAS), Numerical Scale, Face Rating Scale, Glasses Scale and Words Descriptive Scale. Results: Using SPSS for Window 8.0, we analyzed the collected data four times post-operatively. The results showed : (1) The mean VAS data ranged from 35.1 mm to 59.2 mm; The Numerical Scale data ranged from 3.5 cm to 5.9 cm ; the Face Rating Scale data: the 1st, 2nd and 3rd times were the 3rd face and the 4th time was the 2nd face; the Glasses Scale data; the 1st, 2nd times were the 3rd glass while the 3rd and the 4th time were the 2nd glass; the Words descriptive Scale data were a little pain. (2) The children liked the Face Rating Scale the best followed by the Visual Analogue Scale and Glasses Scale. (3) As to reflex their pain intensity, which the children could easily use was Face Rating Scale and then Glasses Scale. (4) there was significant relationship between the data collected from the VAS and Numerical Scale ( p＜0.001); also, there was a significant relationship between the Face Rating Scale and Glasses Scale ( p＜0.001). Conclusion: This study proved that using multiple methods helped to assess post-operative children’s pain correctly. For pain evaluation in the pediatric patient, the “face rating scale” may be the best. The results of this study could be used to help the medical staff understand more about children’s perception of the post-operative pain and improve the application of pain assessment scales.

並列關鍵字

Post-operative pain ； pain assessment scales ； child's pain