本文關(guān)鍵詞：不同因素對視覺模擬量表評分法和數(shù)字量表評分法結(jié)果相同率的影響　出處：《河北醫(yī)科大學》2015年碩士論文　論文類型：學位論文

  更多相關(guān)文章： 疼痛評估 疼痛視覺模擬量表評分法 數(shù)字量表評分法 結(jié)果相同率 影響因素

【摘要】：目的:研究不同因素對視覺模擬量表評分法和數(shù)字量表評分法的結(jié)果相同率的影響,即不同患者在同一時間進行兩種方法的評估所得結(jié)果的相同率。以便為臨床工作中疼痛評估方法的選擇提供依據(jù)和參考。方法:本次研究通過對2014年8月至2015年1月在邢臺市人民醫(yī)院疼痛科、腫瘤科、骨科、胸外科、婦產(chǎn)科的門診及住院患者中伴有疼痛癥狀的患者采用疼痛評估調(diào)查問卷進行調(diào)查,共發(fā)放問卷400份,回收有效問卷348份。問卷由一般資料調(diào)查表和兩種疼痛評估方法調(diào)查表組成,采用雙盲的方法,即實驗者和患者均不知道調(diào)查的目的。實驗設(shè)計者對實驗實施者進行統(tǒng)一培訓,確保實驗實施者用統(tǒng)一的語言準確表達調(diào)查問卷的各項內(nèi)容,患者在調(diào)查實施者的準確表述下自行完成調(diào)查問卷的各項內(nèi)容。資料收集完畢后對其進行整理,采用SPSS19.0對資料進行統(tǒng)計學分析。結(jié)果:多種因素對視覺模擬量表評分法和數(shù)字量表評分法結(jié)果的總體相同度有影響年齡的影響。實驗結(jié)果顯示在不同的年齡(P0.05)、性別(P0.05)、居住地(P0.05)、人格類型(P0.01)、文化程度(P0.01)、既往有無疼痛史(P0.05)以及對疼痛評估的了解情況(P0.01)等因素下視覺模擬量表評分法和數(shù)字量表評分法的所得結(jié)果的相同率有顯著性差異。研究結(jié)果顯示,不同性別的患者同時采用視覺模擬量表評分法和數(shù)字量表評分法進行疼痛評估,所得的結(jié)果相同率有統(tǒng)計學意義(P0.05)。女性患者的兩種疼痛評估方法結(jié)果相同率較男性患者高。不同年齡段的患者,所得結(jié)果相同率經(jīng)統(tǒng)計分析有顯著性差異(P0.01)。進而三組年齡段的患者再進行兩兩比較后發(fā)現(xiàn),年齡越大的患者兩種評估方法的結(jié)果相同概率較低,18-35歲組的患者和36-60歲組的患者兩種疼痛評估結(jié)果相同率無顯著性差異。不同文化程度的患者在同一時間采用視覺模擬量表評分法和數(shù)字量表評分法進行評估,所得結(jié)果相同率有顯著性差異(P0.01)。文化程度越高兩種疼痛評估方法所得結(jié)果相同率越高。不同居住地的患者采用兩種疼痛評估方法進行評估,所得結(jié)果相同率有顯著性差異(P0.05)。來自于農(nóng)村的患者用兩種方法進行評估所得的結(jié)果的相同率低于來自城市和鄉(xiāng)鎮(zhèn)的患者,而城市患者和鄉(xiāng)鎮(zhèn)患者的所得結(jié)果的相同率無顯著性差異。不同的性格心理的患者采用視覺模擬量表評分法和數(shù)字量表評分法進行評估,所得結(jié)果相同率有顯著性差異(P0.01),其結(jié)果相同率由高到底的順序依次為:內(nèi)向且穩(wěn)定型、外向且穩(wěn)定型、外向且不穩(wěn)定型、內(nèi)向且不穩(wěn)定型。經(jīng)濟狀況不同的患者采用視覺模擬量表評分法和數(shù)字量表評分法進行疼痛評估,所得總體結(jié)果相同率有統(tǒng)計學意義(P0.05)。隨著月經(jīng)濟收入的提高兩種疼痛評估方法所得結(jié)果相同率升高。醫(yī)療支付方式不同的患者的視覺模擬量表評分法和數(shù)字量表評分結(jié)果的相同率有顯著差異(P0.05)。兩種評估方法的結(jié)果相同率城鎮(zhèn)醫(yī)保高于新農(nóng)合醫(yī)保支付方式。既往有過疼痛史的患者較無疼痛史的患者在進行視覺模擬量表評分法和數(shù)字量表評分法進行疼痛評估時,所得結(jié)果相同率經(jīng)統(tǒng)計學分析有顯著性意義(P0.05)。有疼痛史的患者兩種疼痛評估方法所得的疼痛評估結(jié)果總體相同率較沒有疼痛史的患者高。既往對疼痛評估了解與否對視覺模擬量表評分法和數(shù)字量表評分法的結(jié)果總體相同率的影響有顯著性差異(P0.01)。對疼痛評估有了解的患者的兩種疼痛評估方法的結(jié)果總體相同率高于對疼痛評估沒有影響的患者。結(jié)論:1多種因素包括性別、年齡、受教育程度、居住地、性格分型、月經(jīng)濟收入、醫(yī)療費用支付方式、既往有無疼痛史,對疼痛評估是否有了解,對視覺模擬量表評分法和數(shù)字量表評分法的結(jié)果相同率均有影響。尤其以文化程度、性格心理、疼痛知識的了解程度影響顯著。2臨床上,應用疼痛評估量表時,應當重視性格心理因素對疼痛評估的影響,以及心理行為對疼痛評估和治療的關(guān)系,在疼痛評估工作中避免使用暗示行的語言。3重視疼痛評估的宣教工作,讓患者更全面的了解疼痛評估的方法、目的和意義,有助于臨床中疼痛性疾病的患者能更好地配合醫(yī)務人員的診療工作。
[Abstract]:Objective: To study the effects of different factors on the same scale score results rate method and digital scale method of visual simulation, the same rate of assessment results is different with the two methods at the same time. In order for the pain in the clinical work of the choice of assessment methods provide a basis and reference. Methods: the through the study on August 2014 to January 2015 in Xingtai People's Hospital pain medicine, oncology, Department of orthopedics, Department of thoracic surgery, obstetrics and gynecology outpatient and inpatient patients with pain symptoms in patients with pain assessment questionnaire survey, 400 questionnaires, 348 valid questionnaires. The questionnaire by general information questionnaire and two kinds of methods of pain assessment questionnaire. Using the method, double blind, the experimenter and patients do not know the purpose of the investigation. The designers of the experimental implementation of unified training, to ensure the implementation of the use of The unified language accurately express the contents of the questionnaire, accurate representation of patients in the implementation of the survey to complete the content of the questionnaire. Data collected after finishing them, with SPSS19.0 of data for statistical analysis. Results: many factors on sleep analog scale method and digital scale overall score results the influence of age. Experimental results show that the influence of the same degree in different age (P0.05), gender (P0.05), place of residence (P0.05), personality type (P0.01), education (P0.01), who had no history of pain (P0.05) and to understand the situation of pain assessment (P0.01) and other factors under the vision the same rate of simulation scale and digital scale the results have significant difference. The results of the study showed that different gender patients with visual analog scale score and digital scale score method The results of the assessment of pain, the same rate was statistically significant (P0.05). Women with two kinds of methods of pain assessment results at the same rate higher than that of male patients. Patients of different ages, the same rate by statistical analysis showed significant difference (P0.01). Then the three age groups were 22 compared the results showed that two kinds of assessment methods of older patients with the same low probability, 18-35 groups of patients and 36-60 patients two pain assessment results at the same rate. No significant difference in different culture degree with mining scale and digital scale score was evaluated by visual analogue in the same for a time, the same rate had significant difference (P0.01). The higher the degree of culture of two kinds of pain assessment results from the same higher rates. Different areas were treated with two different pain assessment methods to evaluate the income The same rate had significant difference (P0.05). The same rate from rural patients were evaluated by the results of the two methods is less than from the city and township patients, while there was no significant difference between patients and patients with the same rate of City township. The results of patients with different personality psychology by visual analogue scale score method and digital scale method were evaluated. Results the same rate had significant difference (P0.01), the result is the same as the rate is high in the end the sequence is quiet and stable, outgoing and stable, outgoing and unstable, introverted and unstable. The visual analog scale score and digital scale pain assessment by the economic situation is different with the same overall results rate was statistically significant (P0.05). With the increase of income of the two kinds of pain assessment results from the same rate increased. Patients with visual analog medical payment of different scales to the same rate of score and digital scale score results have significant differences (P0.05). The two assessment methods at the same rate higher than that of the new rural cooperative medical insurance of urban medical insurance payment. They have had pain in patients with a history of less pain in patients with a history of visual analogue scale the digital scale score and pain assessment, the results of the same rate by statistical analysis significant (P0.05). The results obtained to assess pain assessment of pain in patients with a history of two kinds of pain the same overall rate is high. There is no pain in patients with a history of previous understanding and not to affect the overall rate of the same amount the scoring method and digital scale method of visual simulation has significant differences on pain assessment (P0.01). There are two kinds of pain assessment methods to understand the patients of pain assessment results The same was higher than that of patients had no effect on pain assessment. Conclusion: the 1 kinds of factors including gender, age, education level, personality type, residence, income, payment of medical expenses, with or without previous history of pain, whether to understand the pain assessment, the same rate have influence on the visual analog scale score results method and digital scale. Especially in education level, personality psychology, understand the influence degree of knowledge of the clinical application of.2 significant pain, pain assessment, should influence of psychological factors on the character of pain assessment, and psychological behavior of pain assessment and treatment, the use of hints for the assessment of pain in language.3 attention to the pain assessment mission to avoid work, for patients with a more comprehensive understanding of pain assessment, purpose and significance, contribute to pain disorders in clinical patients can better with medicine The doctor's diagnosis and treatment work.

【學位授予單位】：河北醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R402

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本文編號：1387444