Relationships between nurses' observations and patients' self-reports of pain

Teske, Karen; Daut, Randall L.; Cleeland, Charles S.

doi:10.1016/0304-3959(83)90117-3

Cited by 242 publications

(78 citation statements)

References 7 publications

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“…[9,27] Most of the studies comparing nurses' pain assessments with patients' pain ratings confirm that there is underestimation. [8,11,[16][17][18][19][20][21][22][23][24][25] In the present study; it was found that the pain scores given by nurses were significantly lower than patients' pain scores. In addition; the second main purpose of this study was investigating the pain perception of the relatives in the hospital and was found no signifi- …”

Section: Discussionsupporting

confidence: 41%

“…[12] Previous studies show that nurses have tendency to underestimate their patients' pain. [8,11,[16][17][18][19][20][21][22][23][24][25] Underestimation of pain may result with inadequate nursing care and treatment, certain physical and psychological problems and also brings greater annual economic costs. [6,19,26,27] There are many reasons behind the underestimation of pain by nurses.…”

Section: ıNtroductionmentioning

confidence: 99%

“…Data Collecting Form is prepared by the researchers in accordance with the literature [8,11,[16][17][18][19][20][21][22][23][24][25] and includes questions related to demographic characteristics, past hospital experiences, pain beliefs and attitudes.…”

Section: Data Collectingmentioning

confidence: 99%

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Pain Levels of Orthopedic Surgery Patients and Pain Perceptions of Their Relatives and Nurses

Yildirim¹

2015

Agri

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ÖzetAmaç: Bu tanımlayıcı araştırma, ortopedik cerrahi hastalarında ağrının hasta yakını ile hemşire tarafından algılanışının incelenmesi amacıyla gerçekleştirildi. Gereç ve Yöntem: Araştırmanın örneklemini ortopedi kliniğinde yatan 150 hasta, hastaların yanındaki 150 hasta yakını ve hastanın bakımından sorumlu 50 hemşire oluşturdu. Her hemşire araştırmaya yalnızca üç kere katıldı. Ağrı düzeyi, Görsel Analog Skala ile değerlendirildi. Hasta yakını ve hemşirenin, hastanın ağrı skalasını görmemesi sağlandı. Verilerin değerlendiril-mesinde; yüzdelik, ortalama, standart sapma, Mann-Whitney-U, Eşleştirilmiş Örneklem t-Testi, Lineer Regresyon ve Spearman Korelasyon Analizi kullanıldı. Bulgular: Hemşirelerin puan ortalamasının, hastaların puan ortalamasından istatistiksel olarak anlamlı düzeyde düşük olduğu (t=9.136, p<0.001); hasta yakını ile hastanın verdikleri puanlar arasında istatistiksel olarak anlamlı bir fark olmadığı saptandı. Regresyon analizinde; hasta yakınlarının, hastanın verdiği ağrı puanının yaklaşık %40'ını verirken, hemşirelerin %60 kadarını tahmin edebildiği saptandı. Sonuç: Hemşirelerin; ağrının hastadaki fiziksel ve emosyonel yansımalarını yorumlayabilmeleri için, ağrının fizyolojisi hakkın-da bilgilendirilmelerinin yanı sıra empatik becerilerinin geliştirilmesine yönelik eğitimlerin planlanması gereklidir. Bununla birlikte hastayla çokça vakit geçiren hasta yakınının da; cerrahi girişim sonrası hastanın gösterebileceği ağrı davranışları konusunda bilgilendirilmesi önerilmektedir.Anahtar sözcükler: Hemşire; ortopedik cerrahi; ağrı şiddeti; ağrı algısı; hasta yakını. SummaryObjectives: This descriptive study investigated pain levels of orthopedic surgery patients, and how this pain is perceived by their relatives and nurses. Methods: The study was carried out with 150 patients, 150 relatives and 50 nurses to determine pain intensity levels of orthopedic surgery patients and perceptions of this among their relatives and nurses. Intensity of pain was measured on a 0 to 10 visual analogue scale. Relatives and nurses were not allowed to see the patient's pain intensity score, and each nurse was allowed to participate in pain measurement three times. The data were analyzed by descriptive statistics, the Mann Whitney-U test, Paired Sample t-Test, Linear Regression and Spearman Correlation Analysis. results: The pain intensity scores given by nurses (t=9.136, p<0.001) were significantly lower than patients' own scores. There was no significant difference between relatives' and patients' pain scores. In the regression analysis, pain intensity scores given by relatives were approximately 40% lower than those given by patients, while nurses' scores were approximately 60% lower. conclusion: Education on pain management and the physical and emotional reactions of patients to pain should be provided for nurses working in surgical clinics. Meanwhile, as those who spend most time with the patient, relatives should be informed about possible pain behaviors in the postoperative period in order to prepare them for the...

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Section: Discussionsupporting

confidence: 41%

Section: ıNtroductionmentioning

confidence: 99%

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Pain Levels of Orthopedic Surgery Patients and Pain Perceptions of Their Relatives and Nurses

Yildirim¹

2015

Agri

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“…To measure how far the nurses' and patients' judgements of pain intensity corresponded, pain intensity was divided into categories (0, no pain; 1-3, slight pain; 4-7, mild pain; 8-10, intense pain) and Cohen's K was calculated [20]. Descriptive statistics for age were expressed as median and interquartile range, as the variable was not normally distributed.…”

Section: Discussionmentioning

confidence: 99%

“…The belief that patients overestimate the intensity of pain [18], 3. The widespread notion that it is impossible to quantify pain intensity or the level of response to therapy [19,20] This study aimed to measure exactly how far pain is underestimated and inappropriately treated.…”

Section: Abstract Pain Prevalence • Pain Assessment • Pain Treatmentmentioning

confidence: 99%

Prevalence of pain in public hospital: correlation between patients and caregivers

et al. 2001

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The impact of pain on the patient with cancer

Cleeland

1984

Cancer

Self Cite

256

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Pain is one of the most feared consequences of cancer. Until recently, however, little has been known about its prevalence, severity, and impact on the patient with cancer. The presence of pain, despite efforts to treat it, represents a continued source of frustration for patients, their families, and the health care team. Although often one of the early indicators of the presence of disease, pain is not a significant problem for the majority of patients in the early stages of disease, with 5% to 10% of patients with solid tumors reporting pain at a level that interferes with mood and activity. But when meastatic disease is present, about one in three patients reports significant pain, and our data and those of others indicate that the majority of patients with end‐stage disease will report pain of a severity that interferes with several aspects of the patient's quality of life. Site of tumor is also significantly related to the progression of pain. The relationship between pain intensity and depression and anxiety is examined in detail, and the treatment implications of this relationship discussed. Whereas a modest relationship between pain intensity and depression has been found across several studies, the possibility that depression is a causative factor in the pain experienced by the cancer patient may have been overemphasized. Data on the relief of pain in cancer are reported from the perspective of patients as well as the physicians and nurses who treat them. The majority of physicians and nurses specializing in cancer treatment whom we have surveyed believe that cancer patients in general are undermedicated for pain. Patient survey data indicate that only 50% of cancer patients with pain report 70% or greater pain relief with analgesic medication. Although a number of nonsystemic treatments may be useful for cancer pain management (such as nerve blocks, neurosurgery, and behavioral treatments), they are not widely available and there are few controlled studies of their effectiveness. Teaching patients to report the level of their pain on simple pain intensity scales has proven useful in monitoring the effectiveness of pain management, as well as in helping establish pain control goals for the individual patient.

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Relationships between nurses' observations and patients' self-reports of pain

Cited by 242 publications

References 7 publications

Pain Levels of Orthopedic Surgery Patients and Pain Perceptions of Their Relatives and Nurses

Pain Levels of Orthopedic Surgery Patients and Pain Perceptions of Their Relatives and Nurses

Prevalence of pain in public hospital: correlation between patients and caregivers

The impact of pain on the patient with cancer

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