Studies Comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for Assessment of Pain Intensity in Adults: A Systematic Literature Review

被引：2023

作者：

Hjermstad, Marianne Jensen ^{[1
,2
]}

Fayers, Peter M. ^{[2
,3
]}

Haugen, Dagny F. ^{[2
,4
]}

Caraceni, Augusto ^{[5
]}

Hanks, Geoffrey W. ^{[6
]}

Loge, Jon H. ^{[2
,7
]}

Fainsinger, Robin ^{[8
]}

Aass, Nina ^{[1
,9
]}

Kaasa, Stein ^{[2
,10
]}

机构：

[1] Oslo Univ Hosp Ulleval, Dept Oncol, Reg Ctr Excellence Palliat Care, Oslo, Norway

[2] Norwegian Univ Sci & Technol, European Palliat Care Res Ctr, Dept Canc Res & Mol Med, Fac Med, N-7034 Trondheim, Norway

[3] Univ Aberdeen, Dept Publ Hlth, Aberdeen AB9 1FX, Scotland

[4] Haukeland Hosp, Reg Ctr Excellence Palliat Care, N-5021 Bergen, Norway

[5] Fdn IRCCS, Natl Canc Inst, Palliat Care Pain Therapy & Rehabil Unit, Milan, Italy

[6] Bristol Haematol & Oncol Ctr, Dept Palliat Med, Bristol, Avon, England

[7] Oslo Univ Hosp, Natl Resource Ctr Late Effects Canc Treatment, Oslo, Norway

[8] Univ Alberta, Div Palliat Care Med, Edmonton, AB, Canada

[9] Univ Oslo, Fac Med, Oslo, Norway

[10] St Olavs Univ Hosp, Dept Oncol, Palliat Med Unit, Trondheim, Norway

来源：

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | 2011年 / 41卷 / 06期

关键词：

Pain assessment; pain intensity; Numerical Rating Scale; Visual Analogue Scale; Verbal Rating Scale; review; EXPERT WORKING GROUP; POSTOPERATIVE PAIN; PALLIATIVE-CARE; CANCER-PATIENTS; BREAKTHROUGH PAIN; OLDER-ADULTS; PSYCHOMETRIC PROPERTIES; EUROPEAN-ASSOCIATION; RESPONSE CATEGORIES; PATIENT PREFERENCE;

D O I：

10.1016/j.jpainsymman.2010.08.016

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

100404 [儿少卫生与妇幼保健学];

摘要：

Context. The use of unidimensional pain scales such as the Numerical Rating Scale (NRS), Verbal Rating Scale (VRS), or Visual Analogue Scale (VAS) is recommended for assessment of pain intensity (PI). A literature review of studies specifically comparing the NRS, VRS, and/or VAS for unidimensional self-report of PI was performed as part of the work of the European Palliative Care Research Collaborative on pain assessment. Objectives. To investigate the use and performance of unidimensional pain scales, with specific emphasis on the NRSs. Methods. A systematic search was performed, including citations through April 2010. All abstracts were evaluated by two persons according to specified criteria. Results. Fifty-four of 239 papers were included. Postoperative PI was most frequently studied; six studies were in cancer. Eight versions of the NRS (NRS-6 to NRS-101) were used in 37 studies; a total of 41 NRSs were tested. Twenty-four different descriptors (15 for the NRSs) were used to anchor the extremes. When compared with the VAS and VRS, NRSs had better compliance in 15 of 19 studies reporting this, and were the recommended tool in 11 studies on the basis of higher compliance rates, better responsiveness and ease of use, and good applicability relative to VAS/VRS. Twenty-nine studies gave no preference. Many studies showed wide distributions of NRS scores within each category of the VRSs. Overall, NRS and VAS scores corresponded, with a few exceptions of systematically higher VAS scores. Conclusion. NRSs are applicable for unidimensional assessment of PI in most settings. Whether the variability in anchors and response options directly influences the numerical scores needs to be empirically tested. This will aid in the work toward a consensus-based, standardized measure. J Pain Symptom Manage 2011; 41: 1073-1093. (C) 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

引用

页码：1073 / 1093

页数：21

共 85 条

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