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Using mode and maximum values from the Numeric Rating Scale when evaluating postoperative pain management and recovery
Ryhov County Hospital, Jönköping, Sweden.
Ryhov County Hospital, Jönköping, Sweden.
Jönköping University, Sweden .
Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Sinnescentrum, Department of Neurophysiology UHL.
2013 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, no 5-6, 638-647 p.Article in journal (Refereed) Published
Abstract [en]

Aims and objectives. To (1) examine the clinical applicability of compiled mode and maximum values from the Numeric Rating Scale (NRS) by comparing the correspondence between patient perceptions of pain and pain values from monitoring records, as well as (2) to study the relationship between mode and maximum values and self-assessed ability for early postoperative recovery. Background. Documentation of pain remains a problem despite recommendations of quality improvements. To examine the correlation between patient perceptions and documented pain therefore becomes important. Few have studied how pain affects recovery. Design. A quantitative cross-sectional design was used in which 157 postoperative patients answered a questionnaire on pain intensity and recovery. A parallel examination of pain in monitoring records was conducted. Results. A total of 57% had a mode value calculated from records between 0 and 3 on postoperative day 1 and 69% on day 2. A maximum value between 4 and 10 was found in monitoring records for 73% on day 1 and for 67% on day 2. The correspondence between mode value from monitoring records and the patients retrospective perceptions was 88% for NRS 03 and 92% between maximum value and NRS 410. The correlation between documented pain and retrospectively identified pain for mode value of the NRS in all (010) was rather weak (r=0 center dot 37), while maximum value had a stronger correlation (r=0 center dot 53). Conclusion. Mode and maximum values could be used as outcome measures when evaluating postoperative pain. Pain affects recovery negatively, but more research is needed to strengthen the evidence for the use and clarify the link between pain and recovery. Relevance to clinical practice. International organisations emphasise the importance of improving pain assessment. Mode and maximum values are easy to compile for nurses and can, together with assessments of how experienced pain levels affect postoperative recovery, improve treatment of postoperative pain.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2013. Vol. 22, no 5-6, 638-647 p.
Keyword [en]
average pain, maximum pain, pain assessment, postoperative pain, postoperative recovery
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-90063DOI: 10.1111/j.1365-2702.2012.04225.xISI: 000314922400005OAI: diva2:613154

Funding Agencies|Academy for Health and Care||County Council of Jonkoping, Sweden||Operating and Intensive Care Clinic at Ryhov County Hospital||

Available from: 2013-03-26 Created: 2013-03-19 Last updated: 2013-04-05

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Broström, Anders
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Nursing ScienceFaculty of Health SciencesDepartment of Neurophysiology UHL
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