Hämäläinen Jenni, Kvist Tarja, Kankkunen Päivi
Department of Nursing Science, Finland University of Eastern Finland, Kuopio, Finland.
J Patient Exp. 2022 Jan 4;9:23743735211049677. doi: 10.1177/23743735211049677. eCollection 2022.
For many patients, acute pain is a common cause to seek treatment in an Emergency Department (ED). An inadequate assessment could cause inappropriate pain management. The aim of this study was to describe and explain patients' perceptions of acute pain assessment in the Emergency Department. The data were collected from ED patients (n = 114). Patients reported that nurses were asking about intensity of pain at rest, but only 52% during movement. According to the patients, the most common tools to assess acute pain were the verbal rating scale (VRS; 54% of patients), numerical rating scale (NRS; 28% of patients), and visual analogue scale (VAS; 9.7% of patients). Over twenty per cent of patients stated that ED nurses did not ask about the intensity of pain after analgesic administration. Twenty-four per cent of the patients were not pleased with nursing pain assessment in the ED. The assessment of acute pain is still inadequate in the ED. Therefore, ED nurses need to be more attentive to systematic acute pain management of patients in the ED.
对于许多患者来说，急性疼痛是他们前往急诊科（ED）寻求治疗的常见原因。评估不充分可能导致疼痛管理不当。本研究的目的是描述和解释患者对急诊科急性疼痛评估的看法。数据收集自急诊科患者（n = 114）。患者报告称，护士会询问静息时的疼痛强度，但运动时询问的仅占52%。据患者反映，评估急性疼痛最常用的工具是语言评定量表（VRS，54%的患者）、数字评定量表（NRS，28%的患者）和视觉模拟量表（VAS，9.7%的患者）。超过20%的患者表示，急诊科护士在给予镇痛药后未询问疼痛强度。24%的患者对急诊科护士的疼痛评估不满意。急诊科对急性疼痛的评估仍然不足。因此，急诊科护士需要更加关注对急诊科患者进行系统的急性疼痛管理。
