Düzel Vecihe, Aytaç Necdet, Öztunç Gürsel
Adana Numune Hospital, Adana, Turkey.
Pain Manag Nurs. 2013 Sep;14(3):126-32. doi: 10.1016/j.pmn.2010.07.009. Epub 2012 Oct 24.
In this research, the correlation of assessment of postoperative pain between nurses and their clients is investigated. The aim of the research was to investigate whether or not the nurses can evaluate the pain that clients have in the postoperative process in the same sense as clients do and to examine personal factors that affect this evaluation. The descriptive and comparative research was undertaken between January 2008 and April 2008 in the clinics of Çukurova University Balcalı Hospital. The study group consisted of 47 nurses and 94 patients aged 18-65 years evaluated in the 48 hours' postoperative period. After review of the literature regarding McGill-Melzack pain assessment, a questionnaire for patients and another for nurses were used. The data gathered from the surveys were analyzed by the SPSS program. For intermittent variables chi-square test, for denomination variables kappa, and for sequent variables congruity gamma factors were used. At the end of the research, the correlation between the patient scores and the nurse scores that were gathered from first, second, third, and fourth parts of the pain evaluation documents were observed: part 1, Γ = 290, p = .063; part 3/1-2, Γ = 380, p = .008, 3/1; part 3, Γ = 357, p = .007; part 3/2, Γ = 209, p = .031; part 4, Γ = 346, p < .001. The congruity points obtained from the statistical data contrast with the literature, showing that the nurses and the patients evaluated the postoperative pain in the same sense. Pain evaluation investigations are recommended to be done with the attendance of more nurses and patients, and their results should be shared with all nurses.
在本研究中,调查了护士与其患者对术后疼痛评估的相关性。该研究的目的是调查护士是否能够与患者以相同的方式评估患者在术后过程中的疼痛,并检查影响该评估的个人因素。描述性和比较性研究于2008年1月至2008年4月在Çukurova大学Balcalı医院的诊所进行。研究组由47名护士和94名年龄在18 - 65岁之间、在术后48小时内接受评估的患者组成。在查阅了关于麦吉尔-梅尔扎克疼痛评估的文献后,使用了一份针对患者的问卷和另一份针对护士的问卷。从调查中收集的数据通过SPSS程序进行分析。对于间断变量使用卡方检验,对于名义变量使用kappa检验,对于顺序变量使用一致性伽马因子。在研究结束时,观察了从疼痛评估文件的第一、第二、第三和第四部分收集的患者得分与护士得分之间的相关性:第1部分,Γ = 290,p = 0.063;第3/1 - 2部分,Γ = 380,p = 0.008,3/1;第3部分,Γ = 357,p = 0.007;第3/2部分,Γ = 209,p = 0.031;第4部分,Γ = 346,p < 0.001。从统计数据中获得的一致性点与文献形成对比,表明护士和患者以相同的方式评估术后疼痛。建议在更多护士和患者在场的情况下进行疼痛评估调查,并且应将结果与所有护士分享。