A pilot study investigating the effect of a patient-held pain assessment tool in palliative care outpatients attending a rural Kenyan hospital

作者：Besley Charlie^*; Kariuki Hellen; Fallon Marie

来源：Palliative Medicine, 2014, 28(9): 1156-1160.

DOI：10.1177/0269216314536947

• Pain
• pain management
• pain assessment tool

Background: Pain is a frequent and distressing symptom in palliative care patients worldwide. Careful assessment is the first vital step to relieve this suffering. Assessment tools form a useful adjunct to pain management, but whether they make a difference to the patient is not known.
Aim: The objective of this study was to investigate whether the use of a patient-held pain assessment tool can make a difference in patient's pain control.
Setting and Participants: AIC Kijabe Hospital, Kenya, has had a nurse-led Palliative Care Service since 2002, with an annual case-load of around 600 patients. Study participants were recruited from among adult palliative care patients attending the Outpatient Department.
Design: A quantitative experimental study methodology was employed. In the pre-intervention phase, pain was assessed at study entry and at 2 weeks, following 'standard' care at home; 49 patients were recruited for this phase. In the intervention phase, pain assessments were made at entry, with follow-up assessment after introduction to a patient-held pain assessment tool taken home by each patient; 50 patients were recruited for this phase. Analysis involved a comparison of baseline and 2-week pain scores between the two groups.
Results: The results demonstrated that the use of a patient-held pain assessment tool led to an increase in the number of patients reaching satisfactory pain relief, from 30% in the pre-intervention group, to 69% in the intervention group.
Conclusion: This study has demonstrated that a simple pain assessment tool, when linked to some action, may help achieve better analgesia.

• 出版日期2014-10