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首页> 外文期刊>Journal of Clinical Medicine Research >A Novel Quantitative Pain Assessment Instrument That Provides Means of Comparing Patient’s Pain Magnitude With a Measurement of Their Pain Tolerance
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A Novel Quantitative Pain Assessment Instrument That Provides Means of Comparing Patient’s Pain Magnitude With a Measurement of Their Pain Tolerance

机译：一种新颖的定量疼痛评估工具，可提供比较患者疼痛程度和测量其疼痛耐受性的方法

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Background: Traditional pain assessment instruments are subjective in nature. They are limited to subjective reporting of the presence and magnitude of pain. There is no means of validating their response or assessing their pain tolerance. The objective of this study was to determine the potential value of a novel addition to the traditional physical examination concerning a patient’s pain and more importantly their pain tolerance.Methods: Extensive preliminary data were collected on 359 consecutive private practice knee patients referable the subject’s pain, including the magnitude, the most pain ever experienced, and their opinion of personal pain tolerance. The novel evaluation included physical testing of a series of small ball drops through a vertical tube from various fixed levels on the index finger and patella. The patient’s response to this impact testing provided quantitative information, from which a comparison was made to their pain opinion and also to that of other patients with similar demographics.Results: Nine percent of the patients rated their pain tolerance below the midpoint on the visual analog scale. Seventy-one percent thought they were above the midpoint on the scale in regards to pain tolerance. There were discrepancies in both directions between the subject’s opinion on pain tolerance and their rating of their pain experience to the ball drop testing. Twenty-eight percent of the entire patient group rated themselves above 5 on tolerance, but experienced above the average discomfort compared to other subjects reporting on the finger impact testing.Conclusions: This report introduces a novel method for collecting data concerning pain that can be subjected to quantification. The database included quantitative measures providing the opportunity to confirm, validate or refute the patient’s assertions concerning pain magnitude and tolerance. This method is best described as a patient pain profile. It has the potential to give both the patient and the physician quantified objective information rendering insight not otherwise available.J Clin Med Res. 2015;7(10):781-790doi: http://dx.doi.org/10.14740/jocmr2277e
机译：背景：传统的疼痛评估工具本质上是主观的。他们仅限于主观报告疼痛的存在和程度。没有任何方法可以验证他们的反应或评估他们的疼痛耐受性。这项研究的目的是确定在传统的体格检查中增加一种新颖的有关患者疼痛以及更重要的是其疼痛耐受性的潜在价值。方法：收集了359例连续的私人练习膝关节患者的大量初步数据，这些患者可参考受试者的疼痛，包括强度，经历过的最痛苦以及他们对个人疼痛耐受性的看法。新颖的评估包括从食指和骨上各种固定水平通过垂直管对一系列小球滴进行的物理测试。患者对这种冲击测试的反应提供了定量信息，从中可以比较他们的疼痛意见以及与其他具有相似人口统计学特征的患者的疼痛意见。结果：9％的患者对疼痛耐受性的评价低于视觉类似物的中点规模。百分之七十一的人认为他们在疼痛耐受性上超出量表的中点。受试者对疼痛耐受性的看法与他们对跌落球测试的疼痛经历评分之间在两个方向上都有差异。整个患者组中有28％的人将自己的耐受力评为5分以上，但与其他有关手指冲击测试的受试者相比，他们的不适感高于平均水平。结论：本报告介绍了一种新颖的方法来收集可承受的疼痛数据量化。该数据库包括定量措施，为确认，验证或驳斥患者有关疼痛程度和耐受性的主张提供了机会。最好将这种方法描述为患者的疼痛状况。它有可能为患者和医生提供量化的客观信息，从而提供其他方面无法获得的见解。 2015; 7（10）：781-790doi：http：//dx.doi.org/10.14740/jocmr2277e

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