Validaton of Nursing Diagnosis of Acute and Chronic Pain According to NANDA International in the Patients with Wound

Authors: M. Koutná 1;  A. Pokorná 2;  L. Nováková 3;  L. Cetlová 4
Authors‘ workplace: Ambulance hojení ran, Interní oddělení Strahov, VFN v Praze 1;  Katedra ošetřovatelství, LF MU, Brno 2;  Vysoká škola zdravotníctva a sociálnej práce sv. Alžbety v Bratislave 3;  Vysoká škola polytechnická Jihlava 4
Published in: Cesk Slov Neurol N 2017; 80(Supplementum 1): 54-60
Category: Original Paper


The aim of the study was to validate defining characteristics (according to NANDA international) of the nursing diagnoses “acute pain” (00123) and “chronic pain” (00133) and their meaning as well as the mostly subjective feelings for the patients with different wound and pain.

Material and methods:
The data were acquired from outpatient clinics for wound healing and from inpatient wards from various localities of the Czech Republic (n = 180 patients). The study followed „Patient focus CDV model“.

The most frequent defining characteristics of “acute pain diagnose” was „looking for pain relieving position” (weighted score 0.93), and of “chronic pain diagnose” „fear of appearance of another wound” (weighted score 0.74). We have verified correlation between the age of the respondents and intensity of pain and the numeric value of the average defining characteristic score (p ≥ 0.05).

Weighted score values above 0.8 were found in patients with a pain intensity ranging from 7– 10 points –  severe pain (10-degree scale). Under these conditions, patients selected as the most important defining characteristics: „looking for pain relief position, protective behaviour, observed signs of pain and frequent pain“. Defining characteristics of the nursing diagnosis „chronic pain“ were lower in the weighted score but highlighting features typical of long-term issues such as non-healing wounds: „fear of another wound formation, limited mobility at the site of pain, observed protective behaviour and persistent pain”.

Key words:
NANDA International – nursing diagnoses – validation – defining characteristic – pain – patient

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.


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