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Validaton of Nursing Diagnosis of Acute and Chronic Pain According to NANDA International in the Patients with Wound


Authors: M. Koutná 1;  A. Pokorná 2;  L. Nováková 3;  L. Cetlová 4
Authors‘ workplace: Ambulance hojení ran, Interní oddělení Strahov, VFN v Praze 1;  Katedra ošetřovatelství, LF MU, Brno 2;  Vysoká škola zdravotníctva a sociálnej práce sv. Alžbety v Bratislave 3;  Vysoká škola polytechnická Jihlava 4
Published in: Cesk Slov Neurol N 2017; 80(Supplementum 1): 54-60
Category: Original Paper
doi: https://doi.org/10.14735/amcsnn2017S54

Overview

Aim:
The aim of the study was to validate defining characteristics (according to NANDA international) of the nursing diagnoses “acute pain” (00123) and “chronic pain” (00133) and their meaning as well as the mostly subjective feelings for the patients with different wound and pain.

Material and methods:
The data were acquired from outpatient clinics for wound healing and from inpatient wards from various localities of the Czech Republic (n = 180 patients). The study followed „Patient focus CDV model“.

Results:
The most frequent defining characteristics of “acute pain diagnose” was „looking for pain relieving position” (weighted score 0.93), and of “chronic pain diagnose” „fear of appearance of another wound” (weighted score 0.74). We have verified correlation between the age of the respondents and intensity of pain and the numeric value of the average defining characteristic score (p ≥ 0.05).

Conclusion:
Weighted score values above 0.8 were found in patients with a pain intensity ranging from 7– 10 points –  severe pain (10-degree scale). Under these conditions, patients selected as the most important defining characteristics: „looking for pain relief position, protective behaviour, observed signs of pain and frequent pain“. Defining characteristics of the nursing diagnosis „chronic pain“ were lower in the weighted score but highlighting features typical of long-term issues such as non-healing wounds: „fear of another wound formation, limited mobility at the site of pain, observed protective behaviour and persistent pain”.

Key words:
NANDA International – nursing diagnoses – validation – defining characteristic – pain – patient

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.


Sources

1. Stryja J. The importance and limits of the pres­sure ulcer surgical debridement. Cesk Slov Neurol N 2016;78/ 111(Suppl 1):S25– 7. doi: 10.14735/ amcsn­n2016S25.

2. Solowiej K. Take is easy: how the cycle of stress and pain as­sociated with wound care af­fects recovery. Nurs­ing & Residental Care 2010;12(9):443– 6.

3. NANDA INTERNATIONAL. Ošetřovatelské dia­gnózy. Definice a klasifikace. Praha: Grada 2012– 2014.

4. NANDA INTERNATIONAL. Ošetřovatelské dia­gnózy. Definice a klasifikace. 10. vyd. Praha: Grada Publish­ing 2015– 2017.

5. Koutná M, Pokorná A. Znalosti a zkušenosti sester konzultantek pro hojení ran v managementu bolesti u nemocného s ránou. Bolest 2017;17(1):32– 41.

6. Fehr­ing RJ. Methods to validate nurs­ing dia­gnosis. J Critical Care 1987;16(6):625– 9.

7. Zeleníková R, Žiaková K, Čáp J, et al. Návrh kritérií výberu expertov pre validizáciu ošetrovateľských dia­gnóz v ČR a SR. Kontakt 2010;12(4):407– 13. doi: 10.5507/ pol.2012.008.

8. Neil MJE, Ban­nister J. When acute pain becomes chronic. Anaesthesia 2015;70(7):779– 83. doi: 10.1111/ anae.13145.

9. Tom­mey M. Gender Dif­ferences in Pain: Does X = Y? AANA J 2008;76(5):355– 9.

10. Matsuzaki K, Upton D. Wound treatment and pain management: a stres­sful time. Int Wound J 2013;10(6):638– 44. doi: 10.1111/ j.1742-481X.2012.01038.x.

11. Sueki DG, Dunleavy K, Puetedura EJ, et al. The role of as­sociative learn­ing and fear in the development of chronic pain –  a comparison of chronic pain and post-traumatic stress disorder. Physical Therapy Review 2014;19(5):352– 66. doi: 10.1179/ 1743288X14Y.0000000154.

12. Woo KY. Untravel­l­ing nocebo ef­fect: the mediat­ing ef­fect of anxiety between anticipation and pain at wound dres­s­ing change. J Clin Nurs 2015;24(13– 14): 1975– 84. doi: 10.1111/ jocn.12858.

13. Upton D, Solowiej K, Hender C, et al. Stress and pain as­sociated with dres­s­ing change in patients with chronic wound. J Wound Care 2012;21(2):53– 4. doi: 10.12968/ jowc.2012.21.2.53.

14. Bueno M, Yamada J, Har­rison D, et al. A systematic review and meta-analysis of nonsucrose sweet solutions for pain relief in neonates. Pain Research 2013;18(3):153– 61.

15. Jones J, Barr W, Robinson J, et al. Depres­sion in patients with chronic venous ulceration. Br J Nurs 2006;15(11):17– 23.

16. EWMA Position document –  pain at wound dres­s­ing changes 2002. [online]. Available from URL: http:/ / www.woundsinternational.com/ pdf/ content_11.pdf.

Labels
Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

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