Reliability Of Clinical Indicators In Nursing Diagnosis: Acute Pain

Background: Determine accurate nursing diagnosis based on patient’s data is the one of nurse’s responsibility. Patient’s response in nursing field called clinical indicator. Reliability of clinical indicator research is important to be conducted to help nurse determine accurate nursing diagnosis.Purpose: The aim of this study is to investigate inter-rater reliability score of clinical indicators in nursing diagnosis: acute pain.Methods: Respondents of this study is patients undertaking hemodialysis. Two raters assess 30 respondents with instruments based on clinical indicators of acute pain according NANDA-I taxonomy. The data analyzes use Cohen’s Kappa.Results: Ten items of clinical indicator in nursing diagnosis: acute pain was unreliable or low reliability score (<0,40). Otherwise, the number of items with moderate reliability score (0,41-0,60) and high reliability score (0,61-1,00) was 13 items.Conclusions: More than 50% items of indicator in nursing diagnosis: acute pain had moderate and high reliability score.Keywords: Clinical Indicators, Inter-Rater Reliability, Nursing Diagnosis, Pai

PAIN CHARACTERISTICS ON PATIENT UNDERTAKING HEMODYALISIS

Background: Research in pain especially in patient undertake hemodialysis is important to be conducted in order to help this population in the process of their hemodialysis therapy. Aim: The aim this study is to identify pain characteristic on hemodialysis patient using Visual Analogue Scale (VAS) and mnemonic PQRST. Method: This is a descriptive quantitative cross-sectional research. The number of respondent were 72 and they routinely undertake hemodialysis therapy twice a week. Research was conducted in one Central Hospital in Yogyakarta, Indonesia on February to March 2017. Univariate analysis was used to describe respondents’s pain characteristic. Results:The majority of respondents (51.39%) experience moderate pain, following by mild pain (33.33%) and severe pain (15.28%). In Provocation aspect the most characteristic was movement (87.50%), for the Quality characteristic the most aspect was knife-like pain (83.33%). Moreover, in Regio characteristic was on hand (84.72%), No Radiation of pain (91.67%), and for Time characteristic was intermitten (97.22%). As many as 53% respondents expressed that pain have an impact on their life. Consequences of pain most was in their activities (52.63%), following with others (15.79%.), nausea/vomiting (15.79%), sleep disturbance and appetite (both 13.16%). However, pain did not have an impact on their emotion. Conclusion: Respondents experience mostly moderate pain. The percentage of characteristics on PQRST mnenomic each percentage of Provocation, Quality, Regio, Radiation and Time reach was above 80% of respondents, while for Severity more than half of the respondent experienced moderate pain. The majority of respondents felt the impact of pain in their life