Pain and anxiety during bone marrow aspiration/biopsy: Comparison of ratings among patients versus health-care professionals.

European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society
Y LidénE Johansson

Abstract

To assess pain and anxiety during bone marrow aspiration/biopsy (BMA) among patients versus health-care professionals (HCPs). 235 adult hematologic patients undergoing BMA were included. BMA was performed by 16 physicians aided by nine registered nurses (RNs). Questionnaires were used to obtain patients and HCPs ratings of patients' pain and anxiety during BMA. Patterns of ratings for pain and anxiety among patients HCPs were estimated with proportions of agreement P(A), Cohen's kappa coefficient (κ), and single-measure intra-class correlation (ICC). We also explored if associations of ratings were influenced by age, sex, type and duration of BMA. The P(A) for occurrence of rated pain during BMA was 73% between patients and RNs, and 70% between patients and physicians, the corresponding κ was graded as fair (0.37 and 0.33). Agreement between patients and HCPs regarding intensity of pain was moderate (ICC=0.44 and 0.42). Severe pain (VAS>54) was identified by RNs and physicians in 34% and 35% of cases, respectively. Anxiety about BMA outcome and needle insertion was underestimated by HCPs. P(A) between patients and RNs and patients and physicians regarding anxiety ranged from 53% to 59%. The corresponding κ was slight to fair (0...Continue Reading

References

Sep 1, 1991·Journal of Advanced Nursing·A Harrison
Feb 1, 1991·Journal of Pain and Symptom Management·S A GrossmanS Piantadosi
May 1, 1990·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·N H BadnerA W Gelb
Oct 1, 1988·The American Journal of Psychiatry·I Marks
Jan 1, 1988·Statistics in Medicine·J R LandisG G Koch
Jun 1, 1970·The British Journal of Psychiatry : the Journal of Mental Science·A E Maxwell
Jun 1, 1996·Journal of Advanced Nursing·L E Radwin
Jul 11, 1996·British Journal of Nursing : BJN·L Field
Jan 22, 1998·Journal of Pain and Symptom Management·M L LevinJ Leiter
Jan 15, 1999·Journal of Advanced Nursing·J HeikkiläV Virtanen
Jul 1, 1999·Journal of Pain and Symptom Management·R A DrayerM Reidenberg
Sep 5, 2001·Journal of Clinical Pathology·B J Bain
Sep 13, 2001·Diabetic Medicine : a Journal of the British Diabetic Association·E D MollemaH M van der Ploeg
Dec 21, 2002·Acta Anaesthesiologica Scandinavica·G OzalpN Kadiogullari
Jun 25, 2003·European Journal of Pain : EJP·Anders WincentStaffan Arnér
Sep 12, 2003·Journal of Pain and Symptom Management·Philine VanhelleputteSteven Vanderschueren
May 16, 2006·Lancet·Henrik KehletClifford J Woolf
Sep 27, 2006·Clinical and Laboratory Haematology·B SteedmanD J Allsup
Dec 23, 2006·Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses·Sharon C KettwichArthur D Bankhurst
Jul 3, 2007·European Journal of Pain : EJP·Anne CoutauxUNKNOWN Pain Committee, Hôpital de la Pitié-Salpêtrière, AP-HP, Paris, France
Feb 27, 2009·Acta Anaesthesiologica Scandinavica·Y LidénE Johansson
Mar 25, 2010·Annals of Hematology·Christian DegenAlois Gratwohl
Sep 13, 2016·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Virginia Schmied BlackmanLinda S Franck

❮ Previous
Next ❯

Citations

Aug 10, 2012·Blood Reviews·Andrew S EpsteinDiane E Meier
Sep 12, 2017·Orthopaedic Journal of Sports Medicine·Kristin OliverMatthew Bayes
Dec 3, 2017·Wiener medizinische Wochenschrift·Harald SauerJuergen Foell
Jun 28, 2018·Oncology Nursing Forum·Catherine GlennonLexsie R Newcomer
Aug 16, 2018·Journal of Advanced Nursing·Jennifer McLenon, Mary A M Rogers
Jan 6, 2018·Current Opinion in Supportive and Palliative Care·Sandra A Mitchell
Apr 24, 2020·British Journal of Nursing : BJN·Nikki Welyczko
Nov 6, 2018·Clinical Nursing Research·Amy E MooreRosemary C Polomano

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Young Ho YunSang Yoon Park
Journal of Palliative Medicine
Abraham Aizer BrodyCharlene Harrington
Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Hsien SeowCraig C Earle
© 2022 Meta ULC. All rights reserved