不同因素对视觉模拟量表评分法和数字量表评分法结果相同率的影响

发布时间：2018-01-06 10:20

本文关键词：不同因素对视觉模拟量表评分法和数字量表评分法结果相同率的影响　出处：《河北医科大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:研究不同因素对视觉模拟量表评分法和数字量表评分法的结果相同率的影响,即不同患者在同一时间进行两种方法的评估所得结果的相同率。以便为临床工作中疼痛评估方法的选择提供依据和参考。方法:本次研究通过对2014年8月至2015年1月在邢台市人民医院疼痛科、肿瘤科、骨科、胸外科、妇产科的门诊及住院患者中伴有疼痛症状的患者采用疼痛评估调查问卷进行调查,共发放问卷400份,回收有效问卷348份。问卷由一般资料调查表和两种疼痛评估方法调查表组成,采用双盲的方法,即实验者和患者均不知道调查的目的。实验设计者对实验实施者进行统一培训,确保实验实施者用统一的语言准确表达调查问卷的各项内容,患者在调查实施者的准确表述下自行完成调查问卷的各项内容。资料收集完毕后对其进行整理,采用SPSS19.0对资料进行统计学分析。结果:多种因素对视觉模拟量表评分法和数字量表评分法结果的总体相同度有影响年龄的影响。实验结果显示在不同的年龄(P0.05)、性别(P0.05)、居住地(P0.05)、人格类型(P0.01)、文化程度(P0.01)、既往有无疼痛史(P0.05)以及对疼痛评估的了解情况(P0.01)等因素下视觉模拟量表评分法和数字量表评分法的所得结果的相同率有显著性差异。研究结果显示,不同性别的患者同时采用视觉模拟量表评分法和数字量表评分法进行疼痛评估,所得的结果相同率有统计学意义(P0.05)。女性患者的两种疼痛评估方法结果相同率较男性患者高。不同年龄段的患者,所得结果相同率经统计分析有显著性差异(P0.01)。进而三组年龄段的患者再进行两两比较后发现,年龄越大的患者两种评估方法的结果相同概率较低,18-35岁组的患者和36-60岁组的患者两种疼痛评估结果相同率无显著性差异。不同文化程度的患者在同一时间采用视觉模拟量表评分法和数字量表评分法进行评估,所得结果相同率有显著性差异(P0.01)。文化程度越高两种疼痛评估方法所得结果相同率越高。不同居住地的患者采用两种疼痛评估方法进行评估,所得结果相同率有显著性差异(P0.05)。来自于农村的患者用两种方法进行评估所得的结果的相同率低于来自城市和乡镇的患者,而城市患者和乡镇患者的所得结果的相同率无显著性差异。不同的性格心理的患者采用视觉模拟量表评分法和数字量表评分法进行评估,所得结果相同率有显著性差异(P0.01),其结果相同率由高到底的顺序依次为:内向且稳定型、外向且稳定型、外向且不稳定型、内向且不稳定型。经济状况不同的患者采用视觉模拟量表评分法和数字量表评分法进行疼痛评估,所得总体结果相同率有统计学意义(P0.05)。随着月经济收入的提高两种疼痛评估方法所得结果相同率升高。医疗支付方式不同的患者的视觉模拟量表评分法和数字量表评分结果的相同率有显著差异(P0.05)。两种评估方法的结果相同率城镇医保高于新农合医保支付方式。既往有过疼痛史的患者较无疼痛史的患者在进行视觉模拟量表评分法和数字量表评分法进行疼痛评估时,所得结果相同率经统计学分析有显著性意义(P0.05)。有疼痛史的患者两种疼痛评估方法所得的疼痛评估结果总体相同率较没有疼痛史的患者高。既往对疼痛评估了解与否对视觉模拟量表评分法和数字量表评分法的结果总体相同率的影响有显著性差异(P0.01)。对疼痛评估有了解的患者的两种疼痛评估方法的结果总体相同率高于对疼痛评估没有影响的患者。结论:1多种因素包括性别、年龄、受教育程度、居住地、性格分型、月经济收入、医疗费用支付方式、既往有无疼痛史,对疼痛评估是否有了解,对视觉模拟量表评分法和数字量表评分法的结果相同率均有影响。尤其以文化程度、性格心理、疼痛知识的了解程度影响显著。2临床上,应用疼痛评估量表时,应当重视性格心理因素对疼痛评估的影响,以及心理行为对疼痛评估和治疗的关系,在疼痛评估工作中避免使用暗示行的语言。3重视疼痛评估的宣教工作,让患者更全面的了解疼痛评估的方法、目的和意义,有助于临床中疼痛性疾病的患者能更好地配合医务人员的诊疗工作。
[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.

【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R402

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