节点文献
成人术后急性疼痛评估工具的范围综述
A scoping review of assessment tools for postoperative acute pain in adults
【摘要】 目的 总结国内外术后急性疼痛评估工具,以期为今后相关研究提供参考。方法 系统检索中英文数据库、相关指南、协会网站,检索时限为建库至2022年8月1日。筛选符合纳入标准的术后疼痛评估工具,提取文献(标题、作者、国家、时间)及评估工具(名称、适用人群、评估内容、优缺点、信效度)的基本信息,进行分类汇总分析。结果 共纳入632篇文献,选取每个工具被引频次最高或最具代表性的文献进行分析,最后纳入31篇。筛选出31个术后疼痛评估相关工具,其中量表类18个、问卷类7个、客观生理监测指标类6个。按主题划分,评估术后疼痛程度相关工具共22个,评估术后镇痛效果及质量工具共9个。结论 术后疼痛评估工具种类繁多,各有其不同的适用范围及优缺点,建议医护人员合理权衡利弊,选取适宜的最优评估工具以获得客观的评估结果。同时,术后疼痛预测及超前干预研究国内尚处于起步阶段,未来还需进一步探索。
【Abstract】 Objective To summarize the domestic and overseas assessment tools of postoperative acute pain, and to provide references for future research in this field.Methods We systematically searched several Chinese and foreign databases, and websites of guidelines collections and organizations to retrieve publications published from the inception of databases or websites to August 1, 2022.The tools that met the inclusion criteria were picked.The basic information of the literature(title, author, country, time) and the assessment tools(name, intended population, assessment contents, advantages and disadvantages, reliability and validity) was extracted and analyzed.Results A total of 632 publications were included, and combed through for the most frequently cited tool or most representative publications.Finally, 31 articles and 31 postoperative pain assessment tools were selected for analysis.Of the 31 tools, 18 were scales, 7 were questionnaires and 6 measuring physiological indicators.Classified by theme, 22 tools were inten-ded to evaluate the degree of postoperative pain and 9 tools to check the effect and quality of postoperative analgesia.Conclusion There are many kinds of post-operative pain assessment tools, each with its different scope of application, advantages and disadvantages.Medical workers are suggested to reasonably weigh the advantages and disadvantages of each tool and select the optimal one to achieve objective assessment results.Meanwhile, the research on postoperative pain prediction and preemptive intervention is in its infancy and needs further exploration.
【Key words】 postoperative pain; pain management; pain; assessment; tools; scoping review;
- 【文献出处】 护理学杂志 ,Journal of Nursing Science , 编辑部邮箱 ,2023年07期
- 【分类号】R473.6
- 【下载频次】1034