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Integrate Review Postoperative Pain Assessment in Surgical Adult Patients

Mei Zhou

Senior Nurse, Oral and Maxillo-Facial Surgery Department, Guizhou Provincial People’s Hospital, Guizhou, China.

*Corresponding author: Mei Zhou

Published: 23 November 2022 How to cite this paper


This integrative review aimed to systematically searching update evidences in postoperative pain assessment regarding surgical adult patient and the existing tools as well as its the psychometric properties of the existing tools for postoperative pain assessment among adult patients. The method of this review was conducted by integrating review. The database search through PubMed and CINAHL, and additional searching was undertaken in The Journal of Pain Management. The search was limited with English studies from 2014 to Jan. 2019.  The included studies contain one guideline, two systematic review studies, one mix methods research, and six descriptive studies with sample size range from 21 to 144. Among of these studies mentioned eight types of pain assessment tools including numerical pain scale (NRS), CAPA, Wong-Baker Faces pain scale, color circled pain scale, 11-faces pain scales, visual analog scale (VAS) and verbal rating scale (VRS). And four studies test the psychometric properties of pain assessment tools. Consequently, numerical pain scale is widely used to detect pain intensity after surgery. However, based on the updated evidence, postoperative pain assessment should beyond pain intensity, onset and duration of pain, pain location, and duration, quality of pain, aggravating and relieving factors, previous treatment and pain effect, as well as barriers to pain assessment should be measured.

KEYWORDS: Pain, pain assessment, pain assessment tool


[1] Chou, R., Gordon D.B., Leon-Casasola, O.A., Ronsenberg, J.M., Bickler, S., Brennan, T., …Wu, C.L. (2016).  Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anes-thesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council.  The Journal of Pain. 

[2] Meissner, W., Coluzzi, F., D., Huygen, F., Morlion B., Neugebauer, E., Perez, A.M. &.  Pergolizzi, A. (2015).  Improving th e management of postoperative acute pain: priorities for change.  Current Medical Research and Opinion, 31(11), 2131-2143. 

[3] Card, R., Sawyer, M., Degnan, B., Harder, K., Kemper, J., … Varela, N. (2014).  Institute for Clinical Systems Improvement.  Perioperative Protocol. 

[4] Manworren, R C.B. & Gordon, D B. (2018).  Management Postoperative Pain.  American Journal of Nursing, 118(1), 36-43. 

[5] International Association for the Study of Pain, (2018).  IASP Curriculum Outline on.  Pain for Nursing.  Retrieved from 

[6] Liu, Y. P., Li, R., Fan, G. L., Han, X. J., Wang, D., & Gu, F.(2018).  Surgical nurses' knowledge of pain, attitude and pain management.  Chinese General Practice Nursing, 16(18), 2280-2282.  Doi: 10.12104/j.jissn.1674-4748.2018.18.044. 

[7] Tong, Y.G., Alex, H.K., Zhang, C. F., Hu, J.Y., Ye, A.F., & Dana, B. (2013).  A Cross-Sectional Exploratory Survey of Knowledge, Attitudes and Daily Self-Reported Pain Assessment Practice among Nurses in Mainland China.  Pain Medicine, 14, 1468-1476. 

[8] Wang, Y., Liu, Z., Chen, S., Ye, X., Xie, W., Hu, C., ...  & Jackson, T. (2018).  Pre-surgery beliefs about pain and surgery as predictors of acute and chronic post-surgical pain: A prospective cohort study.  International Journal of Surgery, 52, 50-55. 

[9] Say, Y.Y. & Akyolcu, N. (2014).  Comparison of pain scale preferences and pain.  Intensity according to pain scales among Turkish patients: a descriptive study.  Pain Management Nursing, 15(1), 156-164. 

[10] Karcioglu, O., Topacoglu, H., & Dikme, O. (2018).  A systematic review of the.  pain scales in adults: which to use?  American Journal of Emergency Medicine, 36, 707-714. 

[11] Topbam, D. & Drew, D. (2017).  Quality improvement project: replacing the numeric rating scale with a clinically aligned pain assessment (CAPA) tool.  Pain Management Nursing, 18(6), 363-371. 

[12] Waltz, C.F., Strickland, O. and Lenz, E.R. (2010).  Measurement in nursing and.  health research.  Springer Publishing Company, New York. 

[13] Wang & Liu.  (2017).  Reliability and Validity of the Chinese Version of the Revised American Pain Society Patient Outcome Questionnaire in Postoperative Patients.  Pain Management Nursing, 18(2), 110-120. 

[14] Aziato, L., Dedey, F., Marfo, K., Asamani, J. A., & Clegg-Lamptey, J. N. (2015).  Validation of three pain scales among adult postoperative patients in Ghana.  BMC nursing, 14(42).  doi:10.1186/s12912-015-0094-6. 

[15] Giang, N.V., Chiu, HY., & Kuo, SY.  (2015).  Validity, Sensitivity, and.  Responsiveness of the 11-Face Faces Pain Scale to Postoperative Pain in Adult Orthopedic Surgery Patients.  Pain Management in Nursing, 16(5), 678-684. 

[16] Polit, D.F., & Beck, C.T. (2017).  Nursing Research: Cenerating and assessing.  evidence for nursing practice (10th ed.).  Philadephia, PA: Wolters Kluwer.

How to cite this paper

Mei Zhou. Integrate Review Postoperative Pain Assessment in Surgical Adult Patients. OA Journal of Nursing Research, 2022, 1(2), 23-27.

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