McKinley S, Botti M
Aust J Adv Nurs. 1991 Sep-Nov;9(1):8-14.
This study compared the incidence of pain reported by hospitalised patients with that recorded by nurses, correlated patients' and nurses' ratings of pain intensity and explored the relative importance nurses placed on various criteria in pain assessment. Patients (n = 115) in a university teaching hospital rated pain intensity on a visual analogue scale (VAS) and indicated its source and duration. Nurses (n = 115) caring for them rated their pain intensity on a VAS and ranked the importance of 12 factors in their assessments. Seventy-two patients (63%) reported pain and 97 nurses (84%) indicated that their patients had pain (X2 = 13.94, p less than 0.001). Patients' and nurses' VAS ratings were poorly correlated (rs = 0.35, p less than 0.001). The highest ranked factors in nurses' assessments were: what the patient said; the patient's report of the severity of pain; the patient's facial expression and the patient's posture. It was concluded that the prevalence of pain was high and that nurses' judgements were poor.
本研究比较了住院患者报告的疼痛发生率与护士记录的疼痛发生率，关联了患者和护士对疼痛强度的评分，并探讨了护士在疼痛评估中对各种标准所赋予的相对重要性。一所大学教学医院的患者（n = 115）通过视觉模拟量表（VAS）对疼痛强度进行评分，并指出疼痛的来源和持续时间。护理这些患者的护士（n = 115）通过VAS对患者的疼痛强度进行评分，并对评估中12个因素的重要性进行排序。72名患者（63%）报告有疼痛，97名护士（84%）表示他们的患者有疼痛（X2 = 13.94，p < 0.001）。患者和护士的VAS评分相关性较差（rs = 0.35，p < 0.001）。护士评估中排名最高的因素是：患者所说的话；患者对疼痛严重程度的报告；患者的面部表情和患者的姿势。研究得出结论，疼痛的患病率很高，且护士的判断不佳。
