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A comparison of patients' and nurses' assessments of pain intensity in patients with coronary artery disease
Author(s) -
Davoudi Nayyereh,
Afsharzadeh Pooran,
Mohammadalizadeh Sakineh,
Haghdoost Ali Akbar
Publication year - 2008
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/j.1440-172x.2008.00712.x
Subject(s) - medicine , intensity (physics) , physical therapy , coronary artery disease , rating scale , psychology , developmental psychology , physics , quantum mechanics
Self‐report of pain is the single most reliable indicator of pain intensity. The purpose of this study was to compare patients' and nurses' ratings of patients' pain. The sample comprised 76 patients and 65 nurses in coronary care units that rated the patient's pain intensity on a 0–10 numeric rating scale. Results showed that the mean scores of nurses were lower than their patients significantly ( P < 0.01). Also, nurses assessed patients' pain intensity accurately 60% of the time. Overestimations and underestimations were 12.4% and 27.6% respectively. In addition, there were positive, moderate and significant correlations between patients' and nurses' ratings ( r = 0.41, P < 0.001). Underestimation of patient's pain can have negative effects if appropriate treatment is withheld. This emphasizes the importance of a systematic assessment and acceptance of the patient's self‐reported of pain.