Pain assessment in acute myocardial infarction patients

Intensive Crit Care Nurs. 1995 Oct;11(5):252-5. doi: 10.1016/s0964-3397(95)81693-3.

Abstract

The purpose of this study was to investigate the pain intensity and duration, and to assess the pain control intervention, in patients with acute myocardial infarction (AMI).

Methods: Ninety-seven patients (18 diabetics and 79 non-diabetics) admitted to the hospital with chest pain were included in this study. Pain was measured on the numerical rating scale (NRS) 0-10, where 0 means no pain and 10 unbearable pain. All patients were followed for 12 hours, after the last chest pain episode. The data were statistically evaluated with the Student's t-test and chi square (chi 2).

Results: The pain in AMI patients with diabetes mellitus was lower in intensity (P < 0.002) and shorter in duration (P < 0.000) respectively, compared with the non-diabetic AMI patients. The intensity of pain in patients with an anterior infarction tended to be higher (P < 0.03) than in those with an inferior infarction. Finally, the systolic blood pressure fell significantly (P < 0.000) 90 min after admission. No other significant differences were found.

MeSH terms

  • Angina Pectoris / diagnosis*
  • Angina Pectoris / etiology
  • Angina Pectoris / nursing
  • Case-Control Studies
  • Chi-Square Distribution
  • Diabetes Complications*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / complications*
  • Pain Measurement*
  • Time Factors