ISSN:0749-8047    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0749-8047    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Objective:Many studies have shown indirectly that children are undermedicated for postoperative pain. In this study, we used a pain self-report scale to examine this more directly.Methods:We performed a survey with 63 children who were postoperative from minor, uncomplicated surgery. Using the self-report scale, we determined the pain intensity at time of interview, the worst pain experienced postoperatively, and the intensity of pain that the subject felt to warrant pharmacologic intervention (the "treatment threshold"). A subgroup of 48 children was asked to indicate on the scale the intensities that represented mild, moderate, and severe pain.Results:Mean (SD) pain at time of interview was 1.9 (1.7) on the 0-6 scale. Mean worst postoperative pain was 3.8 (1.8). The mean for treatment threshold was 3.2 (1.8). We found gender differences in regard to the judgments about the intensities representing mild, moderate, and severe pain, with girls rating these lower than did boys. Twenty-five percent of subjects reported pain that was mild, 29% reported moderate pain, and 46% reported severe pain.Conclusions:We found that 51% of subjects were undermedicated for postoperative pain, being required to suffer pain that was above their treatment threshold. By determining each subject's treatment threshold and estimate of moderate pain, we have better defined the intensity at which pain becomes clinically significant.

ISSN:0749-8047    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Objective:Transcutaneous electrical nerve stimulation (TENS) is a widely used therapeutic approach in acute and chronic pain syndromes. The aim of this study was to investigate the influence of patient management as well as other factors on the outcome of TENS treatment.Design:The study was carried out as a retrospective analysis of the course of treatment and the therapeutic results of transcutaneous electric nerve stimulation (TENS) in 482 patients with chronic pain of various origins. The follow-up period was up to 48 months. Two groups with differing patient management were compared.Results:Competent patient evaluation and education (i.e., a long testing and learning phase as well as regular comprehensive after-care) was found to be important. Our analysis of the reasons for the discontinuation of long-term TENS therapy showed that the most important feature was the discrepancy between effort and therapeutic result. Other causes were intermittent depressive states and progression of the underlying disease followed by an aggravation of pain. In addition, numerous factors were identified that adversely affected the outcome of TENS treatment. These factors were listed in order of importance and were included in a prognostic score.Conclusions:The prognostic score permits an efficient selection of patients. Moreover, a comprehensive documentation of pain syndromes and their organic, psychogenic, and social features is presented. On the basis of this documentation, an appropriate therapeutic concept may be established. The prognostic score was validated in a subsequent study including 99 patients with chronic pain treated with TENS.

ISSN:0749-8047    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0749-8047    

出版商:OVID    

年代:1998

数据来源: OVID