inverted comfort scores啥意思？

ACCEPTABLE PAIN, COMFORT AND ANALGESICS USE: MOTHER’S DILEMMA AND HEALTHCARE PROVIDERS’ RESPONSIBILITY

As aforementioned, in clinical practice, post-cesarean section pain is much higher than previously reported, which calls into question the quality of postoperative pain management in this specific population [8 &]. Several audits have underlined that at least 14% of women would have wanted more analgesics [8 &]. Conversely, studies also pointed out that postpartum women have a tendency to underreport pain and are reluctant to take analgesics. For example, although women fear post-cesarean section pain, they would tolerate an average pain scores of 5.6 (SD 2.2) rather than expose their baby to any pain medication [3]. Such finding clearly illustrate the importance of patient education. Patient information and education are key steps in the implementation of ERAS programmes after cesarean section [11]. Therefore, the value of subjective pain intensity scores to adapt analgesics prescription should be questioned. Asking about pain and pain scores may adversely affect patient reports of their postoperative experience [21]. Post-cesarean section women were asked either to rate their level of pain or to rate their degree of comfort, both on numeric rating scales from 0 to 10. Median pain scores (6; IQR 4–7) were higher than inverted comfort scores (4; IQR 3–5) at rest and movement. Clearly, the way healthcare providers communicate with patients can affect anxiety and pain. In terms of quality of recovery after cesarean section, physical comfort and physical independence are two domains needing further study and exploration in contrast to the pain domain [14 &&].

可接受的疼痛，舒适和镇痛药的使用：母亲的困境和医疗服务者的责任

如上所述，在临床实践中，剖宫产后疼痛远高于之前报告的疼痛，这对该特殊人群的术后疼痛管理质量提出了质疑。几项报告强调，至少14%的女性希望使用更多的镇痛药。相反，研究还指出，产后妇女有低估疼痛的倾向，不愿意服用镇痛药。例如，尽管女性担心剖宫产后疼痛，但她们会耐受5.6(SD 2.2)的平均疼痛评分，而不是让她们的婴儿暴露于任何止痛药。这样的发现清楚地说明了患者教育的重要性。患者信息和教育是剖宫产后实施ERAS计划的关键步骤。因此，主观疼痛强度评分对镇痛药处方的价值应受到质疑。询问疼痛和疼痛评分可能会对患者报告的术后经历产生不利影响。静息和运动时的中位疼痛评分(6；IQR 4-7)高于倒置舒适度评分(4；IQR 3-5)。显然，医疗服务提供者与患者沟通的方式会影响焦虑和疼痛。与疼痛领域相比，在剖宫产术后恢复质量方面，身体舒适度和身体独立性是需要进一步研究和探索的两个领域。