Assessment of patient pain at colonoscopy: are nurses better than endoscopists?
| Autor: | W R Ellis, S Ramakrishnan, I M Bain, J Y Yiannakou |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
medicine.medical_specialty Multivariate analysis Adolescent National Health Service Nurses Pain Colonoscopy Perceived pain 03 medical and health sciences 0302 clinical medicine Ambulatory care Ambulatory Care Medical Staff Hospital medicine Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Aged Pain Measurement Aged 80 and over medicine.diagnostic_test business.industry General Medicine Middle Aged Predictive value 030227 psychiatry Endoscopy England Multivariate Analysis Physical therapy Clinical Competence Clinical competence business |
| Zdroj: | JRSM. 97:432-433 |
| ISSN: | 0141-0768 |
| Popis: | The pain that patients recollect having experienced at colonoscopy is likely to influence uptake of the procedure. We used visual analogue scales to assess recollected pain shortly before discharge, and compared these scores with assessments by the endoscopist and the attending nurse. Data were complete for 426 procedures (90%). The mean perceived pain score for patients was 3.2, for endoscopists 2.8 and for nurses 3.1. On multivariate analysis, the endoscopists’ assessments of pain had little predictive value over and above those of nurses, whereas nurses’ assessments remained significant when adjusted for endoscopists’ assessments. Nurses were more accurate than endoscopists in gauging the pain of colonoscopy. This may be because endoscopists are focused on the video monitor while nurses are focused on the patient. More active use of nurses’ assessments might help keep pain to a minimum. |
| Databáze: | OpenAIRE |
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