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How Hospital Patients Experience Pain the Previous 24 Hours–A Prevalence Assessment of Pain in Five Hospitals in Sweden

  • Anna Peterson
    Correspondence
    Address correspondence to Anne Söderlund Schaller, Ph.D., R.N., Pain and Rehabilitation Centre, University Hospital, s-581 83 Linköping, Sweden.
    Affiliations
    ain and Rehabilitation Center, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
    Search for articles by this author
  • Anne Söderlund Schaller
    Affiliations
    ain and Rehabilitation Center, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden

    Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
    Search for articles by this author
Published:September 06, 2022DOI:https://doi.org/10.1016/j.pmn.2022.07.006

      Abstract

      Background

      Previous studies show that pain is common among hospital inpatients.

      Aim

      This study measures the prevalence of pain and the impact of pain on sleep in patients admitted to five hospitals in Sweden.

      Methods

      The patients were admitted to a surgical or a medical ward. They answered on a self-reported questionnaire about their average pain intensity and how much their pain interfered with their sleep the previous 24 hours, on a 010 numerical rating scale (NRS).

      Results

      Of the 500 patients, 308 experienced pain (62%), (NRS 3) and 111 (22%) rated their pain as NRS 7. We found no difference between surgical and medical specialty regarding pain prevalence. The results suggest that roughly the same proportion of patients with pain also experienced poor sleep due to pain265 patients (53%) reported pain interference on sleep, NRS 3.

      Conclusions and Clinical Implications

      This study shows that there is still an unacceptable high pain prevalence in inpatients and that patients experience pain as negatively impacting their sleep. Future pain care is likely to include a more comprehensive implementation strategy for the dissemination of knowledge, especially related to the complex context of today’s healthcare system. That is, the possibility that anchoring new knowledge also benefits the patient is probably associated with optimization of the structural context. Future research should take this question further by examining how the organizational structure should be optimized for the dissemination of knowledge in healthcare professionals about pain and pain interference with sleep.

      Abbreviations:

      NRS (numeric rating scale), NRS-P (NRS for pain as NRS-P), NRS-S (NRS for pain interference with sleep as NRS-S)
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