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Differences in Pain Assessments Between Inpatients and Nurses Leads to Considerable Misestimated Pain.
Shih-Chieh Yang1, Hui-Mei Huang2, Te-Feng Yeh3
1Department of Anesthesiology, Taichung Veterans General Hospital, Taichung, Taiwan.
Pain Physician
|February 15, 2023
Summary
Patient pain intensity is frequently underestimated by nurses compared to patient self-reports. Surgical interventions and prolonged pain increase the risk of this pain assessment gap.
Area of Science:
- Healthcare Quality
- Pain Management
- Nursing Practice
Background:
- High prevalence of inpatient pain can lead to complications.
- Existing research indicates a discrepancy between nurse-assessed pain (PEN) and patient-assessed pain (PEP).
Purpose of the Study:
- Analyze the correlation and agreement between nurse and patient pain assessments.
- Identify patient risk factors for misestimated pain intensity.
Main Methods:
- Retrospective study at a medical center in Taichung, Taiwan.
- Compared pain intensity from questionnaires (additional assessors) with electronic nursing records.
- Utilized kappa statistics and Spearman rank correlation for analysis.
Main Results:
- Final analysis included 686 patients.
- Patients' median pain intensity was 5 (PEP) vs. 1 (PEN).
- Pain was underestimated in 78.6% of patients, matched in 18.3%, and overestimated in 3.1%.
Conclusions:
- A significant gap exists in pain assessment between inpatients and nurses.
- Underestimation of pain is more prevalent than overestimation.
- Surgical interventions and pain lasting over 24 hours are key risk factors for pain underestimation.
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