A comparison of nurse and patient perceptions of patient's postsurgical pain / by Nancy Nicks Stephenson.

Author/creator Stephenson, Nancy Lou Nicks author.
Other author Brown, Sylvia T., degree supervisor.
Other author East Carolina University. School of Nursing.
Format Theses and dissertations
Production1990.
Description58 leaves : forms ; 28 cm.
Supplemental ContentAccess via ScholarShip
Subjects

SeriesECU School of Nursing thesis
ECU School of Nursing thesis. UNAUTHORIZED
Summary A nonexperimental comparative study was conducted using a convenience sample of 31 post-surgical patients and their nurses (11 total) in a North Carolina southeastern county hospital. The following were the research questions answered in the study: 1) How does the nurse's perception of pain and pain relief compare with the patient's perception of pain and pain relief as measured by a visual analogue scale (VAS) (McGuire, 1988) and the McGill Pain Questionnaire, Present Pain Intensity (MPQ, PPI) (Melzack, 1975). 2) To what extent are the scores on the VAS and MPQ, PPI correlated? 3) Is there a pattern of postsurgical pain as described by the patient using the MPQ and the VAS? Data collected included patient and nurse responses to the MPQ and VAS at the time of the patients postsurgical pain and at a time when pain relief had had time to occur. Patient and nurse demographic data were also obtained. A paired t-test and a Pearson correlation and associated test for significance were used for the analyses of this research. Nurses ascribed a lower score on the average than patients scored themselves both before pain medication and after pain relief. There was a lower correlation than expected in determining the extent to which patients reporting low pain were having low pain scores attributed by their nurses or the reverse. The scores on the VAS and MPQ, PPI were highly correlated with the exception of the patients' scores on the VAS and PPI prior to medication. The MPQ and VAS provided a description of postsurgical pain. Patients used a few words from the categories of sensory, affective, evaluative and miscellaneous words. For most patients, their pain was continuous, internal and lessened by pain medication. The results of this study guide education, practice , and research. More education is needed in schools of nursing and in service education concerning pain. Continued research is needed to clarify concerns related to pain especially in the elderly.
General noteSubmitted to the faculty of the School of Nursing.
General noteAdvisor: Sylvia Brown
Dissertation noteM.S. East Carolina University 1990
Bibliography noteIncludes bibliographical references (leaves 32-36).
Genre/formAcademic theses.
Genre/formAcademic theses.
Genre/formThèses et écrits académiques.

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