COMPREHENSIVE AND MULTIDIMENSIONAL ASSESSMENT AND MEASUREMENT OF PAIN

被引：102

作者：

MCGUIRE, DB

机构：

[1] The Johns Hopkins University School of Nursing, Baltimore, MD

来源：

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | 1992年 / 7卷 / 05期

关键词：

PAIN ASSESSMENT; PAIN MEASUREMENT; EXPERIENCE OF PAIN; MULTIPLE DIMENSIONS OF PAIN;

D O I：

10.1016/0885-3924(92)90064-O

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Current theories of pain and clinical experience support a multidimensional framework for the experience of pain that has implications for assessment and management in any setting. Six major dimensions have been identified: physiologic, sensory, affective, cognitive, behavioral, and sociocultural Any clinical assessment process must address relevant dimensions of pain in the given setting. In acute care settings, for example, clinicians may focus on physiologic and sensory dimensions, whereas in chronic care settings, the affective, cognitive, and behavioral dimensions might assume priority. Various tools are available for multidimensional assessment of pain, spanning the dimensions of the experience from physyiologic to sociocultural. The clinician in any setting must use appropriate tools that provide useful information. Guidelines helpful in a selection process include identification of relevant dimensions of pain, type of pain, patient population and setting, psychometric properties of the tool, and issues of time, clinical relevance, and feasibility. When a careful selection process occurs, the resulting data should simultaneously meet clinicians' needs for information as well as provide the foundation for initiation of multidisciplinary interventions.

引用

页码：312 / 319

页数：8

共 61 条

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