简式MPQ疼痛问卷

简式MPQ疼痛问卷

A.疼痛分级指数（PRI）
Ⅰ.得分数
无痛轻痛中等极痛
1.跳痛(throbbing)0____1____2____3____
2.射穿样痛(shooting)0____1____2____3____
3.戳穿样痛(stabbing)0____1____2____3____
4.锐痛(sharp)0____1____2____3____
5.箍紧样痛(cramping)0____1____2____3____
6.咬痛(gnawing)0____1____2____3____
7.烧灼痛(hot-burning)0____1____2____3____
8.酸痛(aching)0____1____2____3____
9.沉重痛(heavy)0____1____2____3____
10.触痛(tender)0____1____2____3____
11.劈开样痛(splitting)0____1____2____3____
以上11项相加,得疼痛感觉方面总分(S)______
12.耗竭样(tiring-exhausting)0____1____2____3____
13.受病困样(sicking)0____1____2____3____
14.害怕样(fearful)0____1____2____3____
15.受惩罚样(punishing-cruel)0____1____2____3____
以上4项相加,得疼痛情感方面总分(A)______
以上两项相加(S+A)=疼痛总分(T)______
Ⅱ选词总数NWC:
选词数(NWC)_____
B.目测疼痛评分法(VAS)
长100mm,定某一点得1~100中的某一分值
http://file:///C:/DOCUME%7E1/Owner/LOCALS%7E1/Temp/ksohtml/wps_clip_image1.png
无痛0→→→→→→→→→→→→极痛100
C.现在疼痛状况(PPI)
0 无痛(no pain)____
1 轻痛(mild)____
2 难受(discomforting)____
3 苦难(distressing)____
4 可怕(horrible)____
5 极痛(excruciating)____
从ABC三项总计分:
S____A____T____VAS____PPI____