Relationships between nurses' observations and patients' self-reports of pain |
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| Affiliation: | 1. Southern Wisconsin Emergency Medical Services Council, Inc. U.S.A.;2. Department of Neurology, University of Wisconsin, Madison, Wis. 53792 U.S.A.;1. Department of General Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China;2. Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China;1. Division of Cardiovascular Medicine, University of Utah Hospitals and Clinics, Salt Lake City, Utah;2. Division of Nephrology, University of Utah Hospitals and Clinics, Salt Lake City, Utah;3. Division of Internal Medicine, University of Utah Hospitals and Clinics, Salt Lake City, Utah;1. Health Services Research and Development, Department of Veterans Affairs Puget Sound Health Care System;2. Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Washington, Seattle, WA |
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| Abstract: | Pain researchers and clinicians alike are often troubled by a lack of correspondence between non-verbal behavior and patients' self-reports of level of pain. This paper discusses some of the variables which can effect the relationship between these measures. In addition, the paper reports on the reliability of nurses' observations of pain behavior and of their inferences about the intensity of a patient's pain. In general, though these observations and inferences have adequate reliability, the correspondence between such inferences and patients' reports of pain intensity are modest, though significant. Discrepancies between observers' and patients' ratings of pain are greater in a chronic pain sample (N = 37) than in an acute pain sample (N = 34). Theoretical implications of these results are discussed. |
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