Observed and Perceived Pain: Findings of a Cross-Sectional Study in Hospitalized Subjects.

Autor: Rapetti R; Local Healthcare Unit, Savona, Italy., Franchino EC; Local Healthcare Unit, Savona, Italy., Visca S; Local Healthcare Unit, Savona, Italy., Riccomagno E; Department of Mathematics, University of Genoa, Genova, Italy., Porro F; Department of Mathematics, University of Genoa, Genova, Italy., Vittonetto D; Local Healthcare Unit, Savona, Italy., Piacenza A; Local Healthcare Unit, Savona, Italy; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genova, Italy. Electronic address: a.piacenza@asl2.liguria.it.
Jazyk: angličtina
Zdroj: Pain management nursing : official journal of the American Society of Pain Management Nurses [Pain Manag Nurs] 2024 Apr; Vol. 25 (2), pp. 131-136. Date of Electronic Publication: 2023 Nov 01.
DOI: 10.1016/j.pmn.2023.09.011
Abstrakt: Background: Pain constitutes a serious problem of a health, economic, ethical, and social equity nature affecting negatively quality of life. Its assessment is often subjected to overestimation or underestimation.
Aim: The aim of this study is threefold: (1) to estimate the prevalence of pain in hospitalized patients; (2) to assess the grade of correlation between the level of pain observed by the nurses and the pain perceived by the patients; and (3) to examine the level of scientific knowledge among the healthcare professionals.
Design: Cross-sectional study.
Methods: The intensity level of observed and perceived pain has been evaluated in 401 patients with validated scales. Analyzed data have been extracted from the electronic medical record and integrated into the data-collection sheet. A questionnaire has been submitted to nurses to investigate their level of knowledge on pain assessment and management.
Results: The study included 350 patients out of 401; for 51 patients the "pain" data was missing. Prevalence of perceived pain was 40.15%. Nurses overestimated pain in 7.43% of cases and underestimated it in 24.9%. The majority of the nursing staff claimed to be aware of the pain topic, however, they showed some uncertainties in clinical practice.
Conclusions: The differential variation between the observed pain and the perceived one resulted in 43.71% of cases, highlighting the dependence on the two variables: "area of hospitalization" and "intensity level". The observation and monitoring of pain did not appear to be a consolidated practice, thus representing an important area for investments in the nursing profession.
Competing Interests: Declaration of Competing Interest The authors declare they have no conflict of interest. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
(Copyright © 2023 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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