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Pain and concomitant symptoms in medical and elective surgical inpatients: a point prevalence survey

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  • Eirin Sigurdssøn Ludvigsen
  • Øystein Øygarden Flæten
  • Caryl L Gay
  • Magnus TarAngen
  • Tove Irene Granheim
  • Anners Lerdal

Abstract

Aims and objectives This study (1) reports the prevalence of severe pain and other symptoms among both medical and elective surgical patients and (2) examines the co‐occurrence of severe pain and other symptoms and symptom‐related distress. Background As symptom burden can interfere with patients’ rehabilitation, daily activities and quality of life, detection and optimal management of pain and other symptoms is important for good nursing care. Design Cross‐sectional point prevalence survey. Methods Data were collected by self‐report on 10 predetermined screening days from medical and surgical patients admitted to a local hospital in Oslo, Norway. Patients rated their average level of pain on movement during the last 24 hours on a 0–10 numeric rating scale (severe pain defined as ≥7). The occurrence of other symptoms and symptom distress were measured with 15 items from the Memorial Symptom Assessment Scale. Data on comorbidities were also collected. Results A total of 602 patients participated in the study (response rate = 71%). Medical patients had a higher incidence of symptoms than surgical patients and reported more symptom distress. Surgical patients reported higher levels of pain than medical patients, but the prevalence of severe pain did not differ between the two groups. In analyses adjusted for age, sex and comorbidities, severe pain among medical patients was associated with severe distress due to concentration difficulties, vomiting, itching and swelling, while severe pain among surgical patients was associated with the occurrence of drowsiness. Conclusion Associations between severe pain and other symptoms differ for medical and elective surgical patients. Relevance to clinical practice Knowledge of concurrent symptoms and comorbidities in medical and surgical patients experiencing severe pain may help nurses to better tailor management of the patients’ symptoms and improve quality of care.

Suggested Citation

  • Eirin Sigurdssøn Ludvigsen & Øystein Øygarden Flæten & Caryl L Gay & Magnus TarAngen & Tove Irene Granheim & Anners Lerdal, 2016. "Pain and concomitant symptoms in medical and elective surgical inpatients: a point prevalence survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(21-22), pages 3229-3240, November.
    • Handle: RePEc:wly:jocnur:v:25:y:2016:i:21-22:p:3229-3240
    DOI: 10.1111/jocn.13346
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    References listed on IDEAS

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    1. Powell, Alison E. & Davies, Huw T.O., 2012. "The struggle to improve patient care in the face of professional boundaries," Social Science & Medicine, Elsevier, vol. 75(5), pages 807-814.
    2. Barbro Wadensten & Camilla Fröjd & Christine L Swenne & Torsten Gordh & Lena Gunningberg, 2011. "Why is pain still not being assessed adequately? Results of a pain prevalence study in a university hospital in Sweden," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(5‐6), pages 624-634, March.
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    1. Anners Lerdal & Line Wangsvik Sigurdsen & Heidi Hammerstad & Tove Irene Granheim & Risk Study Research Group & Caryl L Gay, 2018. "Associations between patient symptoms and falls in an acute care hospital: A cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(9-10), pages 1826-1835, May.
    2. Sofie Jakobsson & Gisela Ringström & Eva Andersson & Björn Eliasson & Gudmundur Johannsson & Magnus Simrén & Eva Jakobsson Ung, 2020. "Patient safety before and after implementing person‐centred inpatient care — A quasi‐experimental study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(3-4), pages 602-612, February.

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