Do we really know if they are in pain? A cross‐sectional study in hospitalised adult patients in Spain
Abstract Aims To describe the prevalence and characteristics of pain in adult hospitalised patients, as well as to analyse the concordance between patient‐reported and recorded pain and its impact on analgesic management. Design A cross sectional study. Methods The study was performed on a sample of...
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| Format: | Article |
| Language: | English |
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Wiley
2023-12-01
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| Series: | Nursing Open |
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| Online Access: | https://doi.org/10.1002/nop2.2007 |
| _version_ | 1797628867807019008 |
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| author | Laura Lorenzo Allegue Leonor Laredo Velasco Ana María Recio Vivas José Miguel Mansilla Domínguez Pedro Moñino Ruiz Luz Bueno Rey Isabel Font‐Jiménez Emilio Vargas Castrillón |
| author_facet | Laura Lorenzo Allegue Leonor Laredo Velasco Ana María Recio Vivas José Miguel Mansilla Domínguez Pedro Moñino Ruiz Luz Bueno Rey Isabel Font‐Jiménez Emilio Vargas Castrillón |
| author_sort | Laura Lorenzo Allegue |
| collection | DOAJ |
| description | Abstract Aims To describe the prevalence and characteristics of pain in adult hospitalised patients, as well as to analyse the concordance between patient‐reported and recorded pain and its impact on analgesic management. Design A cross sectional study. Methods The study was performed on a sample of 611 patients, from October to December 2017. Data were obtained from patient interviews, review of medical and nursing records and review of electronic prescribing. Results The prevalence of pain at the time of the interview was 36.7%. The median VAS score was 4. 90% of the patients had their pain assessed within the last 24 h; however, concordance between patient‐reported pain and recorded pain in the nursing record was slight. Conclusion Pain is still often documented inadequately. Despite the wide use of analgesics, half of the patients with moderate to severe pain do not have adequate pain management. A systematic assessment and recording of pain promotes appropriate analgesic prescription. Implications for the profession and patient care The findings of our study provide insight into the main gaps in the correct management of pain in hospitalised patients. A systematic assessment and recording of the pain suffered by the patient facilitates its control and allows a better management of the analgesic prescription by the physician. This information could help hospital managers to develop training programmes on pain assessment and on the importance of doctor–nurse collaboration to improve pain management, increasing the quality of care and reducing hospital costs. Reporting method The study has adhered to the relevant EQUATOR guidelines, according to The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. |
| first_indexed | 2024-03-11T10:45:16Z |
| format | Article |
| id | doaj.art-bababe8009294c5d970ea8d3530b0c06 |
| institution | Directory Open Access Journal |
| issn | 2054-1058 |
| language | English |
| last_indexed | 2024-03-11T10:45:16Z |
| publishDate | 2023-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Open |
| spelling | doaj.art-bababe8009294c5d970ea8d3530b0c062023-11-14T05:59:20ZengWileyNursing Open2054-10582023-12-0110127668767510.1002/nop2.2007Do we really know if they are in pain? A cross‐sectional study in hospitalised adult patients in SpainLaura Lorenzo Allegue0Leonor Laredo Velasco1Ana María Recio Vivas2José Miguel Mansilla Domínguez3Pedro Moñino Ruiz4Luz Bueno Rey5Isabel Font‐Jiménez6Emilio Vargas Castrillón7Faculty of Biomedical and Health Science, Nursing Department Universidad Europea de Madrid Madrid SpainClinical Pharmacologist in the Department of Clinical Pharmacology Hospital Universitario Clínico San Carlos Madrid SpainFaculty of Biomedical and Health Science, Nursing Department Universidad Europea de Madrid Madrid SpainFaculty of Biomedical and Health Science, Nursing Department Universidad Europea de Madrid Madrid SpainAnaesthesiologist at the Anaesthesia Department Hospital Universitario Clínico San Carlos Madrid SpainHead of Clinical Clinical Pharmacology Department Hospital Universitario Clínico San Carlos Madrid SpainFaculty of Biomedical and Health Science, Nursing Department Universidad Europea de Madrid Madrid SpainHead of Clinical Clinical Pharmacology Department Hospital Universitario Clínico San Carlos Madrid SpainAbstract Aims To describe the prevalence and characteristics of pain in adult hospitalised patients, as well as to analyse the concordance between patient‐reported and recorded pain and its impact on analgesic management. Design A cross sectional study. Methods The study was performed on a sample of 611 patients, from October to December 2017. Data were obtained from patient interviews, review of medical and nursing records and review of electronic prescribing. Results The prevalence of pain at the time of the interview was 36.7%. The median VAS score was 4. 90% of the patients had their pain assessed within the last 24 h; however, concordance between patient‐reported pain and recorded pain in the nursing record was slight. Conclusion Pain is still often documented inadequately. Despite the wide use of analgesics, half of the patients with moderate to severe pain do not have adequate pain management. A systematic assessment and recording of pain promotes appropriate analgesic prescription. Implications for the profession and patient care The findings of our study provide insight into the main gaps in the correct management of pain in hospitalised patients. A systematic assessment and recording of the pain suffered by the patient facilitates its control and allows a better management of the analgesic prescription by the physician. This information could help hospital managers to develop training programmes on pain assessment and on the importance of doctor–nurse collaboration to improve pain management, increasing the quality of care and reducing hospital costs. Reporting method The study has adhered to the relevant EQUATOR guidelines, according to The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.https://doi.org/10.1002/nop2.2007analgesicsinpatientspain managementpain measurementprevalence |
| spellingShingle | Laura Lorenzo Allegue Leonor Laredo Velasco Ana María Recio Vivas José Miguel Mansilla Domínguez Pedro Moñino Ruiz Luz Bueno Rey Isabel Font‐Jiménez Emilio Vargas Castrillón Do we really know if they are in pain? A cross‐sectional study in hospitalised adult patients in Spain Nursing Open analgesics inpatients pain management pain measurement prevalence |
| title | Do we really know if they are in pain? A cross‐sectional study in hospitalised adult patients in Spain |
| title_full | Do we really know if they are in pain? A cross‐sectional study in hospitalised adult patients in Spain |
| title_fullStr | Do we really know if they are in pain? A cross‐sectional study in hospitalised adult patients in Spain |
| title_full_unstemmed | Do we really know if they are in pain? A cross‐sectional study in hospitalised adult patients in Spain |
| title_short | Do we really know if they are in pain? A cross‐sectional study in hospitalised adult patients in Spain |
| title_sort | do we really know if they are in pain a cross sectional study in hospitalised adult patients in spain |
| topic | analgesics inpatients pain management pain measurement prevalence |
| url | https://doi.org/10.1002/nop2.2007 |
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