Pain Management Nursing
Volume 7, Issue 4 , Pages 153-158 , December 2006

Determination of Clinically Meaningful Levels of Pain Reduction in Patients Experiencing Acute Postoperative Pain

  • Rod Sloman, PhD, RN

      Affiliations

    • The Hebrew University School of Nursing, Ein Karem, Jerusalem, Israel.
    • Corresponding Author InformationAddress correspondence and reprint requests to Rod Sloman, PhD, RN, 15/9 Bnei Bateira Street, Jerusalem 93595 Israel.
    • ,
  • Anna Woloski Wruble, PhD, RN

      Affiliations

    • The Hebrew University School of Nursing, Ein Karem, Jerusalem, Israel.
    • ,
  • Gila Rosen, MNS, RN

      Affiliations

    • Hadassah Hospital, Ein Karem, Jerusalem, Israel.
    • ,
  • Miriam Rom, PhD, RN

      Affiliations

    • The Hebrew University School of Nursing, Ein Karem, Jerusalem, Israel.

References 

  1. Aubrun F, Paqueron X, Langeron O, Coriat P, Riou B. What pain scales do nurses use in the postanaesthesia care unit?. European Journal of Anaesthsiology. 2003;20:745–749
  2. Carr DB, Goudas LC. Acute pain. Lancet. 1999;353:2051–2058
  3. Cepeda MS, Aficano JM, Polo R, Alcala R, Carr DB. In:  Dostrovsky JO,  Carr DB,  Koltzenburg M editor. What decline in pain intensity is meaningful to patients with acute pain?. Vol. 24:Seattle, USA: IASP Press; 2003;p. 601–609Proceedings of the 10th World Congress on Pain, Progress in Pain Research and Management
  4. Cohen J. Statistical power analysis for the behavioural sciences. New York: Laurence Erlbaum; 1988;
  5. Coll AM, Ameen JRM, Mead D. Postoperative pain assessment tools in day surgery: Literature review. Journal of Advanced Nursing. 2004;46(2):124–133
  6. Farrar JT, Portenoy RK, Berlin JA, Kinman JL, Strom BL. Defining the clinically important difference in pain outcome measures. Pain. 2000;88:287–294
  7. Farrar JT, Young JP, LaMoreaux L, Werth JL, Poole RM. Clinical importance of changes in pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94:149–158
  8. Forouzanfar T, Weber WEJ, Kemler M, van Kleef M. What is a meaningful pain reduction in patients with complex regional pain syndrome type 1?. The Clinical Journal of Pain. 2003;19:281–285
  9. Grossman SA, Sheidler VR, Swedeen K, Mucenski J, Piantadosi S. Correlation of patient and caregiver ratings of cancer pain. Journal of Pain and Symptom Management. 1991;6:53–57
  10. McCaffery M. Nursing practice theories related to cognition, bodily pain, and man-environment interactions. Los Angeles: University of California; 1968;
  11. McCaffery M, Pasero C. Pain: Clinical manual. (2nd ed). St. Louis: Mosby; 1999;
  12. Melzack R, Wall P. Pain mechanisms: A new theory. Science. 1965;150:971–979
  13. Merboth MK, Barnason S. Managing pain: The fifth vital sign. Nursing Clinics of North America. 2000;35:375–387
  14. Ravaud P, Keita H, Porcher R, Durand-Stocco C, Desmonts JM, Mantz J. Randomized clinical trial to assess the effect of an educational program designed to improve nurses’ assessment and recording of postoperative pain. British Journal of Surgery. 2004;91:692–698
  15. Schafheutle EI, Cantrill JA, Noyce PR. Why is pain management suboptimal on surgical wards?. Journal of Advanced Nursing. 2001;33:728–773
  16. Sloman R, Rosen G, Rom M, Shir Y. Nurses’ assessment of pain in surgical patients. Journal of Advanced Nursing. 2005;52(2):125–132
  17. Todd KH, Funk JP. The minimum clinically important difference in physician-assigned visual analog pain scores. Academic Emergency Medicine. 1996;3:142–146
  18. van Walraven C, Mahon JL, Moher D, Bohm C, Laupacis A. Surveying physicians to determine the minimal important difference: Implications for sample-size calculation. Journal of Clinical Epidemiology. 1999;52:717–723

 This study was supported by a grant from the Israeli Ministry of Health.

PII: S1524-9042(06)00145-7

doi: 10.1016/j.pmn.2006.09.001

Pain Management Nursing
Volume 7, Issue 4 , Pages 153-158 , December 2006

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