Zalon Margarete Lieb
Department of Nursing, University of Scranton, Scranton, PA 18510 USA.
Pain. 1993 Sep;54(3):329-334. doi: 10.1016/0304-3959(93)90033-L.
This study examined nurses' assessments of pain in postoperative patients. Subjects were 119 registered nurses and 119 abdominal surgery patients at two community and two university hospitals. Patients completed a visual analogue scale (VAS) when they indicated the presence of pain. Simultaneously, the nurse with the primary responsibility for the patient's care completed a VAS to indicate an assessment of the patient's pain. The results indicated nurses' assessments were modestly, but significantly, correlated with their patients' pain. The majority of the nurses underassessed their patients' pain. Further inspection of the data, however, revealed that nurses' assessments were related to the degree of pain experienced by patients. Nurses underassessed more severe pain and overassessed mild pain. Nurses' accuracy in assessments were related neither to patients' age nor to the length of time since surgery. Implications for clinical practice and suggestions for further research are discussed.
本研究考察了护士对术后患者疼痛的评估情况。研究对象为两家社区医院和两家大学医院的119名注册护士及119名腹部手术患者。患者在表示存在疼痛时完成视觉模拟量表（VAS）。同时，负责该患者护理的护士完成一份VAS以表明对患者疼痛的评估。结果表明，护士的评估与患者的疼痛存在适度但显著的相关性。大多数护士对患者的疼痛评估不足。然而，对数据的进一步检查发现，护士的评估与患者所经历的疼痛程度有关。护士对更严重的疼痛评估不足，而对轻度疼痛评估过度。护士评估的准确性既与患者年龄无关，也与术后时间长短无关。文中讨论了对临床实践的启示以及进一步研究的建议。
