Faculty of Nursing, The University of Jordan-Aqaba Campus, Aqaba, Jordan.
Royal Medical Services, Prince Zaid Hospital, Tafilah, Jordan.
Pain Manag. 2022 Jul;12(5):635-643. doi: 10.2217/pmt-2021-0079. Epub 2022 Feb 9.
To examine the congruency between patient self-reporting and nurse assessment of pain in the emergency department (ED) through the use of the numerical rating scale (NRS) and visual analogue scale (VAS). Patient self-reporting of pain and nurse assessments were concurrently conducted using the NRS and VAS. Self-reported pain assessment was collected from 200 ED patients in parallel with their corresponding nurse-reported pain scores, conducted by 67 ED nurses. Although nurse-patient pain scoring was associated with a high congruency using both NRS and VAS (88.2 and 91.5%, respectively), nurses still underestimated patients' pain intensity using both tools (t = 2.37 and 2.60; p = 0.007 and 0.010 and CI: 0.17-1.1 and 0.06-0.46, respectively). Some nurse-patient characteristics showed relationships with a discrepancy in pain scoring.
通过使用数字评分量表（NRS）和视觉模拟量表（VAS），检查急诊科（ED）中患者自我报告和护士评估疼痛之间的一致性。同时使用 NRS 和 VAS 对患者的疼痛进行自我报告和护士评估。从 200 名 ED 患者中收集自我报告的疼痛评估结果，同时收集由 67 名 ED 护士报告的相应疼痛评分。尽管护士-患者疼痛评分在使用 NRS 和 VAS 时都具有高度一致性（分别为 88.2%和 91.5%），但护士仍使用这两种工具低估了患者的疼痛强度（t = 2.37 和 2.60；p = 0.007 和 0.010，CI：0.17-1.1 和 0.06-0.46，分别）。一些护士-患者特征与疼痛评分差异有关。
