疼痛敏感度量表可用于预测经皮静脉穿刺的疼痛

Prediction of pain during percutaneous venipuncture using pain sensitivity

摘要:

目的：观察疼痛敏感度对经皮静脉穿刺疼痛的影响。方法：90例腰椎间盘突出症患者为慢性疼痛组，90例年龄、性别相匹配的非慢性疼痛患者为对照组。所有受试者均完成以下量表：疼痛敏感度量表 (pain sensitivity questionnaire, PSQ)、医院焦虑抑郁量表 (hospital anxiety and depression scale, HADS)和疼痛灾难化量表 (pain catastrophizing scale, PCS)。所有受试者分别在静脉采血和静脉输液过程中采用视觉模拟评分法（visual analogue scale，VAS）进行疼痛评估。结果：慢性疼痛组的HADS、PCS评分明显高于对照组。两组的PSQ评分及两次静脉穿刺疼痛评分之间的差别均无统计学意义。静脉穿刺疼痛评分与PSQ评分相关，但与HADS、PCS评分之间无明显相关。结论：疼痛敏感度或许可作为一种常规护理评估手段，用于预测静脉穿刺时的疼痛程度。

Abstract:

Abstract Obiective: To assess the influence of pain sensitivity on pain during percutaneous venipuncture. Methods: Ninety patients with lumbar disc herniation were in the chronic pain group, while 90 non-chronic pain patients with age and gender matching were in the control group. The following questionnaires were completed: Pain Sensitivity Questionnaire (PSQ), Hospital Anxiety and Depression Scale (HADS) and Pain Catastrophizing Scale (PCS). All patients were assessed by visual analogue scale (VAS) during venous blood collection and intravenous infusion. Results: The HADS and PCS scores of the chronic pain group were significantly higher than those of the control group. There was no significant difference in PSQ score and Venipuncture pain score between the two groups. Venipuncture pain score was correlated with PSQ score, but not with HADS and PCS score. Conclusions: Pain sensitivity may be used as a routine nursing assessment to predict the severity of pain at venipuncture.