主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (10): 1468-1471.doi: 10.3969/j.issn.1672-1756.2025.10.006

• 特别策划·疼痛护理管理 • 上一篇    下一篇

患者疼痛综合评定方案的构建

许丽媛 李哲 王钰颖 熊伟宁 张玉静 金雨晴 樊碧发 沈意娜   

  1. 中日友好医院疼痛科,100029 北京市
  • 出版日期:2025-10-15 发布日期:2025-10-15
  • 通讯作者: 沈意娜,硕士,主管护师,E-mail:463052648@163.com
  • 作者简介:许丽媛,硕士,副主任护师,护士长
  • 基金资助:
    国家重点研发计划(2022YFC3602201)

Development of a comprehensive pain assessment scheme

XU Liyuan, LI Zhe, WANG Yuying, XIONG Weining, ZHANG Yujing, JIN Yuqing, FAN Bifa, SHEN Yina   

  1. Department of Pain Medicine, China-Japan Friendship Hospital, Beijing, 100029, China
  • Online:2025-10-15 Published:2025-10-15
  • Contact: E-mail:463052648@163.com

摘要: 目的:构建一个全面、科学的疼痛综合评定方案,为临床医护人员开展有效的疼痛评估提供支持。方法:通过文献研究法初步拟定患者疼痛综合评定方案,于2025年2月—3月邀请15名疼痛医学、疼痛护理、药学、心理学与管理专家对拟定的综合评估方案进行专家函询,通过函询确定最终的疼痛综合评定方案。结果:共进行两轮专家函询,问卷回收率分别为93.8%和100.0%,权威系数分别为0.957和0.971,肯德尔和谐系数分别为0.331和0.337(P<0.001);确定的疼痛综合评定方案包括一般资料、疼痛相关维度、生理/生物维度、心理维度、社会维度,共计31个条目。结论:本研究构建的疼痛综合评定方案具有实用性、科学性和专业性,有助于提高临床疼痛患者的评估效率,为疼痛患者的护理与诊疗效果的提升提供支持。

关键词: 疼痛管理;德尔菲法;疼痛综合评定

Abstract: Objective: To develop a comprehensive, scientific integrated pain assessment scheme, aiming to provide support for clinical healthcare professionals in conducting effective pain assessments. Methods: Through literature research, a preliminary comprehensive assessment scheme for pain was formulated. From February to March 2025, 15 experts in clinical medicine, nursing, pharmacy, psychology, and management were invited to conduct an expert letter consultation on the proposed comprehensive assessment scheme. Through this consultation, the final comprehensive pain assessment scheme was established. Results: Two rounds of expert letter consultations were conducted. The questionnaire recovery rates were 93.8% and 100.0% respectively; the authority coefficients were 0.957 and 0.971 respectively; the Kendall's concordance coefficients were 0.331 and 0.337 (P<0.001). The finalized comprehensive pain assessment scheme includes five aspects: general information, pain-related dimensions, physiological/biological dimensions, psychological dimensions, and social dimensions, with a total of 31 items. Conclusion: The comprehensive pain assessment scheme developed in this study is practical, scientific and professional. It contributes to improve the assessment efficiency for pain patients, and thus provide support for enhancing the nursing quality and treatment effects of pain patients.

Key words: pain management; Delphi method; comprehensive assessment of pain

中图分类号:  R47;R197