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护士对术后疼痛的评估与患者自评:有效疼痛管理中护士的知识和技能。

Nurses' Assessments Versus Patients' Self-Assessments of Postoperative Pain: Knowledge and Skills of Nurses for Effective Pain Management.

机构信息

Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.

Spinal Surgery Division, Department of Traumatology, University Hospital Centre Sestre Milosrdnice, 10000 Zagreb, Croatia.

出版信息

Int J Environ Res Public Health. 2023 Apr 28;20(9):5678. doi: 10.3390/ijerph20095678.

Abstract

Postoperative pain is the most common form of acute pain. Nurses contribute to effective pain management with their knowledge and skills. The aims of this research were to examine differences between nurses' assessments and patients' self-assessments of postoperative pain, differences in the mentioned (self) assessments with respect to characteristics of both groups of respondents, and the correlation between the NRS and the VRS scale. The study included 103 nurses employed at a hospital and 103 patients treated in the surgical departments after the surgical procedures. Data were collected using the standardized Numerical rating scale (NRS) and Verbal rating score (VRS). The median of patients' self-assessments of pain intensity on the NRS scale was 4, while the nursing assessment of patients' pain was 3, with no significant difference ( = 0.083). No significant differences were found on the VRS scale between nurse assessments and patient self-assessments of current pain intensity. The pain was described as moderate by 35% of participants, including 35.9% nurses and 35% patients. Significant positive correlations were recorded between values on the VRS and NRS scales for nurses (Rho = 0.812; < 0.001) and patients (Rho = 0.830; < 0.001). The results of this study may have implications for the improvement of postoperative pain management protocols, with regular use of pain assessment scales and individualization of analgesic prescriptions.

摘要

术后疼痛是最常见的急性疼痛形式。护士以其知识和技能为有效疼痛管理做出贡献。本研究的目的是检查护士评估与患者术后疼痛自我评估之间的差异、两组受访者的特征对(自我)评估的差异以及 NRS 和 VRS 量表之间的相关性。该研究包括在医院工作的 103 名护士和在外科手术后接受治疗的 103 名患者。使用标准化的数字评定量表(NRS)和言语评定量表(VRS)收集数据。患者对 NRS 量表上疼痛强度的自我评估中位数为 4,而护士对患者疼痛的评估为 3,无显著差异( = 0.083)。在 VRS 量表上,护士评估与患者当前疼痛强度的自我评估之间没有发现显著差异。35%的参与者将疼痛描述为中度,其中包括 35.9%的护士和 35%的患者。记录到护士(Rho = 0.812; < 0.001)和患者(Rho = 0.830; < 0.001)的 VRS 和 NRS 量表上的值之间存在显著正相关。本研究的结果可能对改善术后疼痛管理方案有意义,包括定期使用疼痛评估量表和个体化镇痛处方。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27f3/10178430/3eaaf677df6c/ijerph-20-05678-g001.jpg

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