GSRS量表

GastrointestinalSymptomRatingScale(GSRS)Name:__________________________________________________Aratingscaleforgastrointestinalsymptomsinpatientswithirritablebowelsyndromeandpepticulcerdisease.Circlethenumberwhichbestrepresentsthecurrentseverityofthesymptom.1.Abdominalpains.Representingsubjectivelyexperiencedbodilydiscomfort,achesandpains.Thetypeofpainmaybeclassifiedaccordingtothepatient'sdescriptionoftheappearanceandqualityofthepainasepigastric,onthebasisoftypicallocation,associationwithacid-relatedsymptoms,andreliefofpainbyfoodorantacids;ascolickywhenoccurringinbouts,usuallywithahighintensity,andlocatedinthelowerabdomen;andasdullwhencontinuous,oftenforseveralhours,withmoderateintensity.Rateaccordingtointensity,frequency,duration,requestforrelief,andimpactonsocialperformance.0Noortransientpain1Occasionalachesandpainsinterferingwithsomesocialactivities2Prolongedandtroublesomeachesandpainscausingrequestsforreliefandinterferingwithmanysocialactivities3Severeorcripplingpainswithimpactonallsocialactivities2.Heartburn.Representingretrosternaldiscomfortorburningsensations.Rateaccordingtointensity,frequency,duration,andrequestforrelief.0Noortransientheartburn1Occasionaldiscomfortofshortduration2Frequentepisodesofprolongeddiscomfort;requestsforrelief3Continuousdiscomfortwithonlytransientreliefbyantacids3.Acidregurgitation.Representingsuddenregurgitationofacidgastriccontent.Rateaccordingtointensity,frequency,andrequestforrelief.0Noortransientregurgitation1Occasionaltroublesomeregurgitation2Regurgitationonceortwiceaday;requestsforrelief3Regurgitationseveraltimesaday;onlytransientandinsignificantreliefbyantacids4.Suckingsensationsintheepigastrium.Representingasuckingsensationintheepigastriumwithreliefbyfoodorantacids.Iffoodorantacidsarenotavailable,thesuckingsensationsprogresstoache,andpains.Rateaccordingtointensity,frequency,duration,andrequestforrelief.0Noortransientsuckingsensation1Occasionaldiscomfortofshortduration;norequestsforfoodorantacidsbetweenmeals2Frequentepisodesofprolongeddiscomfort,requestsforfoodandantacidsbetweenmeals3Continuousdiscomfort;frequentrequestsforfoodorantacidsbetweenmeals5.Nauseaandvomiting.Representingnauseawhichmayincreasetovomiting.Rateaccordingtointensity,frequency,andduration.0Nonausea1Occasionalepisodesofshortduration2Frequentandprolongednausea;novomiting3Continuousnausea;frequentvomiting6.Borborygmus.Representingreportsofabdominalrumbling.Rateaccordingtointensity,frequency,duration,andimpactonsocialperformance0Noortransientborborygmus1Occasionaltroublesomeborborygmusofshortduration2Frequentandprolongedepisodeswhichcanbemasteredbymovingwithoutimpairingsocialperformance3Continuousborborygmusseverelyinterferingwithsocialperformance7.Abdominaldistension.Representingbloatingwithabdominalgas.Rateaccordingtointensity,frequency,duration,andimpactonsocialperformance.0Noortransientdistension1Occasionaldiscomfortofshortduration2Frequentandprolongedepisodeswhichcanbemasteredbyadjustingtheclothing3Continuousdiscomfortseriouslyinterferingwithsocialperformance8.Eructation.Representingreportsofbelching.Rateaccordingtointensity,frequency,andimpactonsocialperformance.0Noortransienteructation1Occasionaltroublesomeeructation2Frequentepisodesinterferingwithsomesocialactivities3Frequentepisodesseriouslyinterferingwithsocialperformance9.Increasedflatus.Representingreportsofexcessivewind.Rateaccordingtointensity,frequency,duration,andimpactonsocialperformance0Noincreasedflatus1Occasionaldiscomfortofshortduration2Frequentandprolongedepisodesinterferingwithsomesocialactivities3Frequentepisodesseriouslyinterferingwithsocialperformance10.Decreasedpassageofstools.Representingreportedreduceddefecation.Rateaccordingtofrequency.Distinguishfromconsistency.0Onceaday1Everythirdday2Everyfifthday3Everyseventhdayorlessfrequently11.Increasedpassageofstools.Representingreportedincreaseddefecation.Rateaccordingtofrequency.Distinguishfromconsistency.0Onceaday1Threetimesaday2Fivetimesaday3Seventimesadayormorefrequently12.Loosestools.Representingreportedloosestools.Rateaccordingtoconsistencyindependentoffrequencyandfeelingsofincompleteevacuation.0Normalconsistency1Somewhatloose2Runny3Watery13.HardStools.Representingreportedhardstools.Rateaccordingtoconsistencyindependentoffrequencyandfeelingsofincompleteevacuation.0Normalconsistency1Somewhathard2Hard3Hardandfragmented,sometimesincombinationwithdiarrhea14.Urgentneedfordefecation.Representingreportsofurgentneedfordefecation,feelingsofincompletecontrol,andinabilitytocontroldefecation.Rateaccordingtointensity,frequency,andimpactonsocialperformance.0Normalcontrol1Occasionalfeelingsofurgentneedfordefecation2Frequentfeelingsofurgentneedfordefecationwithsuddenneedforatoiletinterferingwithsocialperformance3Inabilitytocontroldefecation15.Feelingofincompleteevacuation.Representingreportsofdefecationwithstrainingandafeelingofincompleteevacuationofstools.Rateaccordingtointensityandfrequency.0Feelingofcompleteevacuationwithoutstraining1Defecationsomewhatdifficult;occasionalfeelingsofincompl