[急]醫學英文文獻翻譯

Much attention has been focused on pain as the fifthvital sign. This routinely collected numeric rating scale is well validated in research settings as a tool for assessing

pain both cross-sectionally and longitudinally. The usefulness of screening for pain as a quality measure has become an area of considerable interest because of increasing evidence that this 0 to 10 scale, as implemented in American hospitals, has major limitations both as a

screening and follow-up tool. These limitations include deficiencies in documentation and adherence to guidelines, as well as wide interobserver variability in pain ratings. The Quality Oncology Practice Initiative of the American Society of Clinical Oncology evaluated

answers in 15 practices to questions derived from previous surveys such as whether pain was assessed in either of the last two visits (95% confidence interval [CI], 81%–88%) prior to death, and whether pain was rated numerically(95% CI, 37%–46%). Variation was found in these parameters suggesting room for improvement. Further studies are needed to evaluate the usefulness of the fifth vital sign approach as a component of quality pain

assessment and management and to show how routine pain screening can better influence clinical care.

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    Lv 6
    10 years ago
    Best Answer

    大部分注意力都集中在疼痛的fifthvital跡象。 這個數字評定量表定期收集和驗證是在研究環境評估作為一種工具

    疼痛既交叉分段投和縱向。篩選的用處疼痛作為質量已成為衡量一個地區相當大的興趣,因為越來越多的證據,這 0至10分,在美國實施,醫院,具有重大的限制,以此作為

    篩選和後續工具。這些限制包括缺陷文件和遵守的準則,以及廣泛的觀察者變異性疼痛評分。質量腫瘤實踐倡議的美國臨床腫瘤學會評價

    答案在15個實踐的問題來自前調查,如疼痛評估是否在任的最後兩次訪問(95%信心區間 [CI]為 81%〜88%)死亡前,是否疼痛被評為數值(95 %CI為 37%-46%)。變異被發現在這些參數的建議改善的餘地。需要進一步研究,以評估是否有用的第五生命體徵方法作為一個組件的質量疼痛

    評估和管理,並展示了如何能夠更好地例行檢查疼痛影響的臨床護理。

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