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Postoperative patients' perspectives on rating pain: A qualitative study
Jacqueline F M van Dijk1, Sigrid C J M Vervoort2, Albert J M van Wijck1
1Pain Clinic, Department of Anesthesiology, University Medical Center Utrecht, The Netherlands.
International Journal of Nursing Studies
|September 5, 2015
Summary
Patients interpret pain scores differently due to personal factors and anticipated consequences, impacting postoperative pain treatment quality. Understanding these influences is key for tailored pain management.
Area of Science:
- Pain Management
- Patient Reported Outcomes
- Qualitative Research
Background:
- Postoperative pain treatment relies on patient-reported pain scales, often the Numeric Rating Scale (NRS).
- The quality of pain management is frequently assessed using these NRS scores.
- Patient interpretation of NRS scores can vary significantly.
Purpose of the Study:
- To investigate how patients assign numerical values to their postoperative pain.
- To identify factors influencing patients' pain rating process.
Main Methods:
- Qualitative approach utilizing grounded theory.
- Interviews conducted with 27 patients one day after surgery.
Main Results:
- Three themes influenced reported NRS scores: score-related factors, intrapersonal factors, and anticipated consequences.
- Anticipated consequences included desired/undesired analgesic administration and professional judgment.
- A conceptual model was developed illustrating factors influencing the pain rating process.
Conclusions:
- Provides insight into how patients translate pain into NRS scores.
- The proposed model aids professionals in understanding NRS score influences.
- Facilitates shared understanding for tailored pain treatment, especially opioid management.
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