PMID- 28326887
OWN - NLM
STAT- MEDLINE
DCOM- 20170817
LR  - 20191210
IS  - 1012-5302 (Print)
IS  - 1012-5302 (Linking)
VI  - 30
IP  - 3
DP  - 2017
TI  - [Interventions of the nursing diagnosis "Acute Pain" - Evaluation of patients' 
      experiences after total hip arthroplasty compared with the nursing record by 
      using Q-DIO-Pain: a mixed methods study].
PG  - 129-138
LID - 10.1024/1012-5302/a000533 [doi]
AB  - Background: Pain affects patients' rehabilitation after hip replacement surgery. 
      Aim: The study aim was to compare patients' responses, on their received pain 
      relieving nursing interventions after hip replacement surgery, with the 
      documented interventions in their nursing records. Method: A mixed methods design 
      was applied. In order to evaluate quantitative data the instrument "Quality of 
      Diagnoses, Interventions and Outcomes" (Q-DIO) was further developed to measure 
      pain interventions in nursing records (Q-DIO-Pain). Patients (n = 37) answered a 
      survey on the third postoperative day. The patients' survey findings were then 
      compared with the Q-DIO-Pain results and cross-validated by qualitative 
      interviews. Results: The most reported pain level was "no pain" (NRS 0 - 10 
      Points). However, 17 - 50 % of patients reported pain levels of three or higher 
      and 11 - 22 % of five or higher in situations of motion / ambulation. A 
      significant match between patients' findings and Q-DIO-Pain results was found for 
      the intervention "helping to adapt medications" (n = 32, ICC = 0.111, p = 0.042, 
      CI 95 % 2-sided). Otherwise no significant matches were found. Interviews with 
      patients and nurses confirmed that far more pain-relieving interventions 
      affecting "Acute Pain" were carried out, than were documented. Conclusions: Based 
      on the results, pain assessments and effective pain-relieving interventions, 
      especially before or after motion / ambulation should be improved and documented. 
      It is recommended to implement a nursing standard for pain control.
FAU - Zanon, David C
AU  - Zanon DC
AD  - 1 Institut fur Pflege, Zurcher Hochschule fur Angewandte Wissenschaften (ZHAW) 
      Gesundheit.
FAU - Gralher, Dieter
AU  - Gralher D
AD  - 1 Institut fur Pflege, Zurcher Hochschule fur Angewandte Wissenschaften (ZHAW) 
      Gesundheit.
FAU - Muller-Staub, Maria
AU  - Muller-Staub M
AD  - 1 Institut fur Pflege, Zurcher Hochschule fur Angewandte Wissenschaften (ZHAW) 
      Gesundheit.
LA  - ger
PT  - Comparative Study
PT  - Journal Article
PT  - Validation Study
TT  - Interventionen zur Pflegediagnose "Akute Schmerzen" - Evaluation der 
      schmerzlindernden Pflege bei hospitalisierten Patientinnen und Patienten nach 
      Huftendoprothesenversorgung im Vergleich zur Pflegedokumentation mittels 
      Q-DIO-Pain: eine Mixed Methods Studie.
DEP - 20170322
PL  - Switzerland
TA  - Pflege
JT  - Pflege
JID - 8907069
MH  - Acute Pain/diagnosis/*nursing
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Arthroplasty, Replacement, Hip/*nursing
MH  - Documentation/methods
MH  - Evaluation Studies as Topic
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Nursing Diagnosis
MH  - *Nursing Records
MH  - Osteoarthritis, Hip/*nursing/*surgery
MH  - Pain Management/methods/*nursing
MH  - Pain Measurement/methods/*nursing
MH  - Pain, Postoperative/diagnosis/*nursing
MH  - Quality Assurance, Health Care
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Huftendoprothesenversorgung
OT  - NANDA International Nursing Diagnosis
OT  - Pflegediagnosen NANDA-International
OT  - Pflegedokumentation
OT  - Q-DIO-Pain
OT  - acute postoperative pain
OT  - akute postoperative Schmerzen
OT  - arthroplasty
OT  - hip replacement
OT  - nursing records
EDAT- 2017/03/23 06:00
MHDA- 2017/08/18 06:00
CRDT- 2017/03/23 06:00
PHST- 2017/03/23 06:00 [pubmed]
PHST- 2017/08/18 06:00 [medline]
PHST- 2017/03/23 06:00 [entrez]
AID - 10.1024/1012-5302/a000533 [doi]
PST - ppublish
SO  - Pflege. 2017;30(3):129-138. doi: 10.1024/1012-5302/a000533. Epub 2017 Mar 22.