التفاصيل البيبلوغرافية
| العنوان: |
Pain Intensity Monitoring by Nurses as Current Clinical Practice in a Medical Oncology Unit is Feasible but requires Continuous Educational Training. |
| المؤلفون: |
Barbara, Melotti, Sara, Cassani, Giorgia, Zucchini, Daniela, Rubino, Anna, Paioli, Giuseppina, Rocchi, Antonia, Cricca, Angelo, Martoni Andrea |
| المصدر: |
European Journal of Clinical & Medical Oncology; 2009, Vol. 1 Issue 1, p1-6, 6p, 4 Charts |
| مصطلحات موضوعية: |
CANCER pain, CANCER patients, CANCER complications, NURSING care facilities, MEDICAL care, HEALTH care intervention (Social services), SICK people, HEALTH facilities, HOSPITAL care, INCURABLE diseases |
| مستخلص: |
Aims To confirm the reliability of systematic visual analogue scale (VAS) monitoring in all the patients admitted to a medical oncology inpatient ward 3 years after the start of the "Pain-Free Hospital Program" and to compare VAS and numerical rating scales (NRS) to improve adherence and compliance of the systematic monitoring to cancer pain intensity. Methods In two non-consecutive weeks in the period July-September 2006, an oncologist repeated the pain evaluation by VAS and by NRS 1 h after the VAS evaluation performed at 08.00 by the nurses on all admitted patients. VAS evaluation was obtained by the same plastic tool used by nurses. Pain intensity by NRS was obtained after a brief oral explanation. The doctor's survey of pain intensity by VAS was compared with that of the nurse and, within the doctor's survey, the pain intensity rating by VAS was compared with that recorded by NRS. Results Ninety-nine patients were enrolled, and 167 evaluations were carried out. Only 146 evaluations were evaluable for doctor/ nurse comparison because 21 (12.5%) out of 167 evaluations lacked a nurse rating in the pain chart. A concordant rating resulted in 57%. The majority of the differences (67%) consisted of a higher rating by the doctor with a median of 2 points (range 1-7). In the comparison between VAS and NRS scales, concordant ratings were observed only in two-thirds of cases. The difference consisted of 1 or at most 2 points, and NRS expressed a higher rating in 64% of cases. Conclusion The feasibility of twice-daily pain intensity monitoring as a standard nursing practice in the medical oncology inpatient ward is confirmed. However, the present audit suggests the need for a continuous training program for nurses and the substitution of the VAS scale with the NRS scale in order to minimize adherence and compliance failure. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
