Abstract:
AIM AND OBJECTIVES:To validate the Numeric Rating Scale (NRS) for postoperative nausea assessments, and determine whether a central tendency, median, based on patients' self-rated nausea is a clinically applicable daily measure to describe patients' nausea after major surgery. BACKGROUND:Postoperative nausea causes major discomfort, risks for complications and prolonged hospital stays. The NRS is recommended for the assessment of pain but is little explored for assessing nausea. DESIGN:A repeated measure design was carried out on patients who had undergone major surgery in three Swedish hospitals. METHODS:Nonparametric statistical methods were used to analyse (a) associations between the NRS and a verbal scale (no, mild, moderate and severe) and (b) to analyse associations between Measure 1 (nausea scores postoperative Day 1) and Measure 2 (retrospective nausea scores at rest and during activity, postoperative Day 2). Reporting of this research adheres to the Strobe Guidelines. RESULTS:The mean age of the 479 patients (44% women) in the sample was 65 years (range, 22-93 years). Self-assessed nausea scores from the NRS and the verbal scale correlated well (rSpearman = 0.79). Correlation between nausea at rest and nausea during activity was rSpearman = 0.81. The calculated median scores (Measure 1) showed only moderate correlations with retrospective nausea scores (Measure 2); 4-9 ratings, rSpearman = 0.41; 6-9 ratings, rSpearman = 0.54. CONCLUSIONS:Numeric Rating Scale scores showed strong associations with a verbal scale; therefore, the NRS seems to be a valid tool to measure nausea intensity. The quality of daily summarised median nausea scores needs to be further explored before clinical use. RELEVANCE TO CLINICAL PRACTICE:The use of the NRS in assessments of nausea in postoperative care will facilitate communication between patients and health care professionals regarding nausea intensity. When documenting nausea, it seems unnecessary to distinguish nausea at rest from nausea during activity.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Wikström L,Nilsson M,Broström A,Eriksson Kdoi
10.1111/jocn.14705subject
Has Abstractpub_date
2019-03-01 00:00:00pages
959-968issue
5-6eissn
0962-1067issn
1365-2702journal_volume
28pub_type
杂志文章abstract:OBJECTIVE:Comparison of desloughing efficacy after four weeks and healing outcomes after 12 weeks in sloughy venous leg ulcers treated with Manuka honey (Woundcare 18+) vs. standard hydrogel therapy (IntraSite Gel). BACKGROUND:Expert opinion suggests that Manuka honey is effective as a desloughing agent but clinical e...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究,随机对照试验,收录出版
doi:10.1111/j.1365-2702.2008.02558.x
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abstract:AIMS:This study aimed to modify the Care Dependency Scale so that it could be used for children, to apply its Arabic version to Egyptian children to test the reliability and validity of the modified scale and to compare the care dependency of disabled and non-disabled Egyptian children. BACKGROUND:A higher dependence ...
journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
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abstract:OBJECTIVES:To improve the monitoring and control of glycated haemoglobin in insulin-dependent children. This article describes an educational intervention for this purpose where One Touch UltraSmart Software was used to manage diabetes. The results showed that this intervention helped to reduce the levels of blood gluc...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
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journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
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pub_type: 杂志文章,meta分析
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pub_type: 杂志文章,多中心研究
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journal_title:Journal of clinical nursing
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pub_type: 杂志文章
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更新日期:2018-03-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.02095.x
更新日期:2007-12-01 00:00:00
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.1995.tb00215.x
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