• Yu'E Yang, Chang Xiong, Ling Xia, Si Si Kang, Jin Jin Jian, Xue Qing Yang, Ling Chen, Yuan Wang, Jin Jin Yu, and Xi Zhong Xu.
• Department of Obstetrics and Gynaecology, The Affiliated Hospital of Jiangnan University, Wuxi, China.
• J Clin Nurs. 2020 Apr 1; 29 (7-8): 1323-1331.

Aims And ObjectivesTo explore the consistency of pain intensity and pain location assessed by nurses and patients in gynaecology undergoing enhanced recovery after surgery pathway.BackgroundSeveral studies have shown that clinical nurses' assessment of patients' pain is not always accurate. Little is known about the accuracy of nurses' pain assessments for gynaecological patients. Postoperative pain assessment and management is an essential part of enhanced recovery after surgery.DesignComparative cross-sectional study.MethodsA total of 160 patients were recruited and only 85 patients and 17 nurses participated. Patients and nurses recorded pain scores (using an 11-point Numeric Rating Scale) and pain location (incision pain, surgical area pain in the abdominal cavity, other pain or no pain) on Pain Assessment Forms at 4 hr after surgery and on the first and second postoperative days. We used the STROBE guidelines to report our study.ResultsThe patients' pain score was higher than that of nurses from 4 hr to second day after laparoscopic surgery at rest. The pain scores of both nurses and patients decreased over this period of time. All the intraclass correlation coefficients were between 0.214-0.296. At the three time points, surgical area pain in the abdominal cavity and abdominal incision pain were the main pain areas. All the kappa coefficients were between 0.164-0.255.ConclusionsThe consistency of postoperative pain assessment about pain score and pain location between nurses and patients was not high. We should attach importance to systematic pain assessment, and more detailed enhanced recovery after surgery pathways should be developed about pain assessment.Relevance To Clinical PracticeContinuing education for nurses regarding pain assessment is necessary. Nurses should accept the patient's self-reported pain. There should be a step that gives more time for pain assessment in enhanced recovery after surgery pathways.© 2020 John Wiley & Sons Ltd.

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