Sjuksköterskans dokumentation av smärtskattning och smärtlindring avseende bröstsmärtor i den prehospitala sjukvården
Abstract (Summary)The purpose of this study was to examine how nurses document the pain care for patients with acute chest pain in the ambulance journal, with specific focus on pain intensity, pain location and evaluation of pain treatment. The purpose was also to investigate in what frequency the visual analogy scale (VAS) was used in the pain assessment and evaluation of pain treatment. The purpose was even to examine if there was differences in the documentation who was related to age, gender and time in the ambulance. The results review was carried out through examination of the documentation in 200 ambulance journals. The sample was purposive and consists of journals from 100 female and 100 men who had called after an ambulance because of chest pain. The middle- age for these patients was 72, 82 year (17-97 year, SD15, 72). The mean time in the ambulance was 19, 7 minutes (3 – 64 min, SD 10.84). The result revealed that the pain location had been documented for all patients. All of the patients complained for “pain in the middle of the chest”. The pain intensity was only documented with 29,5 % of the patients. All of the time had the VAS- scale being used. The collected documents showed that 57, 7 % of the patients had received pain treatment. There were no significant differences between men and female or between young and old persons in pain treatment. It existed however a significant difference that could be related to time in ambulance. Patients who had spent > 19 minutes received pain treatment more often than patients who had a shorter time in ambulance. The pain treatment was evaluated with help of the VAS-scale in 23,5 % of the cases. In 23,5 % of the cases the evaluation was described whit patients own words. According to the documentation had no pain evaluation been done in 18,2 % of the patients who received pain treatment. There was no significant difference regarding to age. Pain assessment with help of VAS-scale had been done both initial and in evaluation aim in 23 % of the cases. There was a significant difference in VAS mean value before and after pain treatment. The authors come to the conclusion that documentation of pain care could be improved especially regarding to pain intensity and pain evaluation. If the VAS-scale was used more frequent and in a systematic manner there would be a more safe evaluation of the pain treatment.
School:Högskolan i Gävle
Source Type:Master's Thesis
Date of Publication:03/25/2008